ABSTRACT
Experience of treatment of chronic wounds in 11 patients in 2014 2016 yrs was analyzed. The impact of negative pressure, using domestically manufactured apparatus «ÐGÐТ- Dnepr¼, in complex of treatment as a local therapy, was applied. Vacuum-therapy was conducted preoperatively and postoperatively together with autodermoplasty. The injection material for the skin regeneration "lacerta" was applied subcutaneously intraoperatively. The Ialuset-cream bandages were used in 10 - 12 days postoperatively during 2-3 weeks. Ðfficacy of vacuum-therapy was estimated, basing on analysis of the wound process course dynamics, clinic-laboratory criteria, terms of the wound defect complete closure. The patients' stationary treatment duration have constituted 38.3 days at average. Complex treatment of chronic wounds have had guaranteed complete healing of the wound defect in 7 (63%) patients in terms up to 1 - 5 weeks, and in 3 (26%) - 6 weeks.
Subject(s)
Hyaluronic Acid/therapeutic use , Leg Injuries/therapy , Negative-Pressure Wound Therapy/methods , Skin Transplantation/methods , Suppuration/therapy , Wounds, Penetrating/therapy , Adult , Aged , Aged, 80 and over , Bandages , Chronic Disease , Combined Modality Therapy , Female , Humans , Leg Injuries/pathology , Leg Injuries/surgery , Lower Extremity/pathology , Lower Extremity/surgery , Middle Aged , Ointments , Retrospective Studies , Suppuration/pathology , Suppuration/surgery , Transplantation, Autologous , Treatment Outcome , Wounds, Penetrating/pathology , Wounds, Penetrating/surgeryABSTRACT
The experience of "distressed" (problematic) flaps application in 33 patients with soft tissue defects over 2010-2014 years were analysed. It was proposed to use the local negative pressure for the prevention and treatment of complications associated with venous insufficiency or trombosis in using of plastics with vascularised complexes of tissues. Vacuum-therapy was conducted with the help of negative pressure apparatus "AGATE-Dnepr" (Ukraine) by attaching silver-containing polyurethane sponge on the operating zone, covering the flap with the surrounding skin netting band "Grassolind". The recommended standard of negative pressure of 75-125 mm Hg, both in impulse and in continuous mode was used. The high efficiency of vacuum-therapy for survival of grafts has been demonstrated. Thus, it might be considered as an effective element of prevention and treatment of complications associated with venous insufficiency or trombosis using of vascularised tissue complex plastics of defects.
Subject(s)
Decompression, Surgical/methods , Soft Tissue Injuries/surgery , Surgical Flaps/transplantation , Venous Insufficiency/surgery , Venous Thrombosis/surgery , Adolescent , Adult , Child , Female , Humans , Male , Middle Aged , Polyurethanes/therapeutic use , Retrospective Studies , Skin/blood supply , Soft Tissue Injuries/pathology , Surgical Flaps/blood supply , Surgical Flaps/innervation , Vacuum , Venous Insufficiency/pathology , Venous Thrombosis/pathologyABSTRACT
Comparative analysis of the treatment results in 52 patients, suffering deep defects of the coverage tissues of extremities, was done, basing on applying of flaps with temporary and constant nutrent pedicle. The extremity functional state and the patient's quality of life were determined, using SF-36 and EUROQOL-5D questionnaire. The method of plasty, using the flap on a constant nutrient pedicle, have appeared the optimal one for closure of defects in the coverage tissues of the extremities.
