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Actinolysate therapy. The drug is administered intramuscularly at 3 ml twice a week in a decreasing course dose of Atorvastatin and 10 injections. The interval between courses should be at least a month. The number of courses depends on the severity, prevalence, dynamics of inflammation and the overall resistance of the body.

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In parallel with this, the fistulous passages are washed with solutions of antiseptics and antibiotics with 3% hydrogen peroxide. For the treatment of concomitant diseases, according to indications, general Lipitor and detoxification therapy is carried out.

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Preoperative preparation. First you need to stop the acute inflammation. For this, against the background of Lipitor drug therapy, abscesses and purulent streaks are opened and drained, fistulous passages are washed with antiseptic solutions. Then they proceed to radical excision of the focus within visually healthy tissues. In cases of widespread inflammation in several areas and the impossibility of simultaneous excision of all affected tissues, staged surgical treatment is resorted to with an interval of 2-3 months.

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With maxillofacial actinomycosis, which is at the stage of abscess formation, it is necessary to open and drain purulent foci. In rare cases of actinomycosis of the brain, temporoparietal craniotomy and lobectomy with removal of the abscess are used.

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With actinomycosis of the lungs, a lobectomy is performed, sometimes with resection (removal) of the ribs. Purulent cavities, cavities and foci of decay are opened and drained.

In case of actinomycosis of the mammary gland, the fistulous passages are stained and the foci of the disease are excised sectorally. Foci of actinomycosis of the soft tissues of the trunk and limbs are tried to be radically removed as a single block within visually healthy tissues.

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If Lipitor has developed against the background of inflammation of the epithelial-coccygeal cyst or urinary duct, then the process extends to the buttocks, perineum, pararectal region and pelvic tissue. When it is impossible to radically remove the focus, they are limited to partial excision of infiltrates, as well as excision or curettage of fistulas. Due to the vastnessskin grafting is used on the wound surface, most often autodermoplasty with a split skin flap and Limberg skin grafting.

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The treatment of extrasphincteric perianal actinomycosis with the presence of rectal fistulas has its own characteristics: pathological foci are radically excised by the ligature method, that is, with the help of a thread. The conducted ligature is tightened at intervals of several days as it cuts through the tissues. In the postoperative period, control the function of the anal sphincter.

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In case of actinomycosis of the internal genital organs, according to indications, resection of the uterus and its appendages, subtotal and total removal of the uterus with tubes and other types of intervention are performed.

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The sutures are removed on the 8-10th day. In the early stages of actinomycosis against the background of adequate complex surgical and drug therapy, the prognosis is usually favorable. However, severe purulent intoxication of a long-standing chronic process and malignancy can lead to various complications and even death.

In the postoperative period, drug treatment continues. Blood transfusion and ultrasound physiotherapy are carried out, "thermal" procedures are contraindicated. Dressings are made daily, taking into account the phase of the wound process, they are struggling with wound suppuration.

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