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№1' 2019
SURGERYInternational Medical Journal, Vol. 25., Iss. 1, 2019, P. 31−35.
TREATMENT OF DERMAL BURNS USING COMBINED TOPICAL APPLICATION OF SYNTHETIC WOUND DRESSINGS AND DRUGS
SI "V. T. Zaytsev Institute of General and Emergency Surgery of the National Academy of Medical Sciences of Ukraine", Kharkiv, Ukraine
The actual problem of clinical combustiology is the development of effective approaches to treat dermal burns, being the majority of thermal lesions. Optimization of treatment methods for this type of burns will significantly improve the performance of the combustiology service at the inpatient and outpatient stages of treatment. To study the wound process of dermal burns with the combined use of synthetic wound dressings and a complex solution of antibacterial and stimulating action, the treatment results for 86 patients was analyzed. After sequential necrotomy, they underwent a three−stage treatment corresponding to the staging of the wound process. The areas of true deep dermal lesion, the epithelization timing and leukocyte index were compared. The proposed method for the local treatment of burns with the combined use of synthetic wound coatings and a complex solution of antiseptic and stimulating action is helpful in optimization of wound process in both superficial and deep burns, that was expressed in accelerating epithelialization and cleansing of burns in the patients of main group.
Key words: burns, local treatment, wound dressing, paranecrosis.