SEQUESTECTOMY (Latin sequestrum, from sequestrare to separate + Greek ektome excision, removal) — the type of a necretomy consisting at a distance the sequester. The sequestectomy is made after full separation of the sequester from a bone and formation of the sequestral capsule (see. Sequester ). The page seldom happens independent operation; usually it is a stage of the expanded operation directed to elimination of osteomiyelitichesky process at hron. osteomyelitis (see) and including: an exposure of the affected bone, excision of the fistular courses in soft tissues; department of a periosteum and wide trepanation (see) a front wall of a sequestral box, removal of the sequester, pus and granulations; a resection of walls of a bone cavity within healthy fabric with formation of a wide bone trench for the best prileganiye to a bone of the next soft tissues; sanitation of a cavity antiseptic agents, antibiotics, by method of ultrasonic cavitation (see. Ultrasonic therapy ), etc.; a tamponade of a cavity adjacent muscles (free or on a leg) and bone shaving, to plastic of defect with use auto-, hallo - and xenogenic materials (see. Bone plastics ).
Operation can come to an end with sewing up of a wound tightly or it drainage (see). The last is shown at extensive is purulent - necrotic process in a bone tissue when it is impossible to process considerably a bone cavity, and existence of intermuscular purulent zatek (see). Drainage is carried out by means of perforated polyethylene tubes which can be used for active aspiration wound separated (see. Aspiration drainage ), bathings of the wound solutions of antiseptic agents, administrations of antibacterial drugs. After operation the extremity is fixed a plaster bandage.
Bibliography: Grinev M. V. Osteomyelitis, L., 1977; Kornev P. G. Surgery of bone and joint tuberculosis, L., 1964; Popkirov S. It is purulent - septic surgery, the lane with bolg., page 177, Sofia, 1977; V. I Pods. Purulent surgery, page 212, M., 1967.
3. F. Vasilkova.