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Surgical treatment of phlegmon

Surgery treatment of phlegmon

Surgical treatment of phlegmon in Kiev

Surgical interventions in the inpatient department are covered by the loyalty program, which makes treatment even more affordable.

Phlegmon is an acute purulent inflammation of the subcutaneous fat tissue. It can develop in any area of the body: leg, arm, abdomen, back, neck, or face, as well as on the surface of internal organs.

Unlike an abscess, phlegmon has no clear boundaries and can grow to large sizes. At the same time, the inflammation does not affect the upper layers of the skin but develops in the deeper layers (dermis and hypodermis) and can spread to muscles and tendons. Gradually, the inflammation leads to destruction and necrosis of the affected tissues.

Most often, phlegmon is treated surgically. The purulent focus is opened and cleaned, and the damaged tissues are removed. After surgery, anti-inflammatory therapy is prescribed. At early stages, conservative treatment may be possible, but at this time patients rarely seek qualified medical care.

At «Oxford Medical», removal of phlegmon is performed mainly using minimally invasive techniques. In cases of soft tissue involvement, the operation is performed under local anesthesia in the conditions of a day hospital. Phlegmons of internal organs require more complex operations. Depending on the location of the pathological focus, it can be performed using endoscopic, laparoscopic, or laparotomic (open access) methods.

When is surgical treatment of phlegmon necessary?

Most often, phlegmon requires surgical intervention. At early stages, drug therapy may be applied, but since symptoms are mild during this period, patients usually do not seek medical attention.

At the onset of the disease, only local symptoms appear — hyperemia (skin redness and local increase in temperature), tissue swelling, a feeling of fullness and pain. The area of inflammation has no clear boundaries and gradually increases. The diameter of phlegmons can reach 5, 10, or more centimeters. If the affected area is near a joint, its function may be impaired (for example, it becomes difficult to bend the wrist or put weight on the ankle).

Deterioration of general health, fever, and the appearance of other symptoms occur with body intoxication. This develops when the purulent process goes deep, spreads to a large area of the skin, or has several foci. With the development of a large phlegmon, due to toxic effects, the respiratory and cardiovascular systems may also suffer, causing shortness of breath and changes in heart rate.

When inflammation of the internal organs’ adipose tissue occurs, such as in phlegmonous cholecystitis, external symptoms may be absent, but organ function disorders and severe intoxication may develop. In such cases, the disease can only be diagnosed using instrumental diagnostics.

The earlier the patient seeks a surgeon, the easier the treatment may be and the lower the risk of complications.

How is phlegmon treated?

During surgery, the surgeon opens the phlegmon, cleans it of accumulated pus and necrotic tissues. After that, the wound is washed, drainage is placed, and a sterile dressing is applied. The next day, the wound is re-examined and, if necessary, cleaned again from pus and treated with an antiseptic. On average, dressings are changed within 3–7 days until the wound begins to heal.

If the patient’s general condition is satisfactory, treatment can be carried out on an outpatient basis, but with severe intoxication, hospitalization is required.

Removal of phlegmon of internal organs is a more complex task. The patient is hospitalized and surgery is performed under general anesthesia. The method of surgical intervention depends on the location of the phlegmon and the affected organ. Surgeons at «Oxford Medical» mainly use minimally invasive techniques. They allow minimizing damage to healthy tissues, reducing the risk of postoperative complications, and facilitating the rehabilitation period.

In addition to surgical treatment, the patient is prescribed antibiotic therapy to eliminate the infection and other drugs based on his condition.

Complications of Phlegmon

The main cause of phlegmon is the penetration of infection into the soft tissues.
Most often, inflammation is provoked by Staphylococcus aureus, but it can also be caused by
streptococcus bacteria, clostridia, Pseudomonas aeruginosa, and others. The risk of developing phlegmon
increases with weakened immunity, chronic diseases, infectious and
inflammatory diseases.

They can get deep into the skin when:

scratches, cuts, wounds, animal and insect bites, injections, surgeries, etc., when the integrity of the skin is broken

release of abscess contents into the deep layers of the skin

spread of infection throughout the body with blood and lymph

inflammatory diseases of internal organs

List of diseases

Phlegmon Treatment: Price at «Oxford Medical»

«Oxford Medical» has a modern high-tech surgery department. It is equipped with expert-class diagnostic and surgical equipment that allows for the most accurate examinations and operations of any complexity. Thanks to this, as well as the work of a team of highly qualified surgeons, each patient receives medical care in accordance with world standards.

The cost of treating phlegmon can vary significantly depending on its location, stage, and the required operation. You can find out the prices of treatment at «Oxford Medical» here.

Only a surgeon can provide a more accurate price, taking into account the diagnosis, after conducting an examination and, if necessary, performing tests and hardware examinations. Make an appointment with a doctor at a time convenient for you.

You can make an appointment with a surgeon by calling the numbers listed on the website or using the online application form.

Frequently Asked Questions about Surgical Treatment of Phlegmon

What is phlegmon?

Phlegmon is an infectious-inflammatory disease accompanied by the formation and accumulation of pus in the subcutaneous fat tissue. It does not affect the upper layers of the skin but can involve muscles and tendons. Due to its location in the deeper layers, it is treated mainly by surgical methods.

 

Why is phlegmon dangerous?

Without timely treatment, phlegmon can provoke necrosis of affected tissues, as well as the spread of infection throughout the body via the bloodstream and lymphatic system. As a result, inflammation of lymph nodes and internal organs, meningitis (inflammation of the brain membranes), joints (purulent arthritis), and sepsis (blood poisoning) may develop.

 

How long does phlegmon treatment take?

Phlegmons are mainly treated surgically. Depending on the location and complexity of the pathology, the operation is performed on an outpatient basis or in a hospital. It usually takes from 30 minutes to 2 hours. After that, the patient is prescribed dressings and drug therapy, which may last about 2–3 weeks. The exact duration of phlegmon treatment and recovery after surgery depends on individual characteristics.

 

How is phlegmon treated?

At early stages, drug therapy may be applied. However, during this period symptoms are mild, and patients rarely seek medical help. If phlegmon increases, surgery is required. The surgeon opens the abscess, removes pus, sanitizes the cavity, and then sutures the wound and applies a sterile dressing.

 

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Advantages of Phlegmon Treatment at «Oxford Medical»

Possibility of performing the operation without hospitalization (same-day surgery)

Using predominantly minimally invasive techniques

Equipment from the best world manufacturers

High professionalism of doctors

Our doctors

Valetsky Valery Leontyevich
4.58
rating (24)
42+
Years of experience
Surgeon-oncologist of the highest category, Candidate of Medical Sciences
42+ Years of experience
Consultation 1989
Kyiv, st. Bereznyakivska, 30b
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Mudrievsky Bogdan Lyubomirovich
4.84
rating (19)
38+
Years of experience
Online consultation
Surgeon
38+ Years of experience
Consultation 1100
Kyiv, st. Bereznyakivska, 30b
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Kovalchuk Alexander Vasilyevich
4.95
rating (19)
43+
Years of experience
Surgeon of the highest category
Candidate of Medical Sciences
43+ Years of experience
Consultation 1100
Kyiv, st. Bereznyakivska, 30b
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Zezekalo Efim Olegovich
4.5
rating (10)
2+
Years of experience
Online consultation
Surgeon
2+ Years of experience
Consultation 1100
Kyiv, st. Bereznyakivska, 30b
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Reviews
Альона 29.01.2026
Щиро дякую хірургу Фроловій Єлені Юріївні за суперово виконану операцію. Втручання було невелике, але для мене дуже важливе — і все пройшло швидко, акуратно та без ускладнень. Лікар уважна, спокіна, усе пояснив перед процедурою, так як я боялась- вона мене підтримувала та відволікала)) Загоєння проходило добре, шви зняла безболісно, результатом повністю задоволена. Дуже приємно мати справу з таким відповідальним і людяним спеціалістом. Рекомендую від щирого серця.
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Яніна 18.01.2026
Хочу висловити подяку Мудрієвському Богдану Любомировичу. Моєму батьку було зроблено ургентно (15.12.2025) операцію по видаленню жовчного міхура. Поки я їхала в лікарню лікар і медперсонал підготували тата до операції. Велика подяка Богдану Любомировичу за Професіоналізм, за чітке пояснення і відповіді на всі питання. Цей лікар не тільки Професіонал своєї справи з великої літери, це ще і чудова людина!!! Бажаємо Богдану Любомировичу міцного здоров'я і завжди залишатися такою ж чудовою та розуміючою людиною
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