A multidisciplinary approach to the treatment of patients with the combined form of hand phlegmon (a clinical observation)

The present clinical observation describes a case of a patient with the combined form of hand phlegmon who received a complex three-stage therapy in the hospital for 22 days: 5 days in the department of purulent surgery where she was operated twice and received antibacterial and anti-inflammatory therapy. The next stage of wound treatment was in the day hospital for 14 days. After, the patient was re-hospitalized to the department of hand trauma where she stayed for 3 days. There, plastic closure of the wound defect was made with a posterior interosseous forearm flap. Terms of treatment depended on the wound process. We reduced the length of stay in the 24-hour hospital, but maintained our control of the patient in a day hospital. Thus, such an algorithm allowed us not only to reduce economic costs for the treatment, but also to form a significantly much comfortable psychological situation for the patient. Such an approach creates in patients an idea that their treatment is an integral and complex multi-stage process which assumes the importance of balanced assessment of long-term outcomes just at the early stages of wound treatment.