Improvement of Surgical Treatment for Post-Ambustial Cicatrical Deformations Using Vacuum Therapy

Богданов, С. Б.; Марченко, Д. Н.; Поляков, А. П.; Каракулев, А. В.; Аладьина, В. А.

doi:10.35401/2500-0268-2019-14-2-30-35

Innovative Medicine of Kuban

2019

DOI: 10.35401/2500-0268-2019-14-2-30-35

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Improvement of Surgical Treatment for Post-Ambustial Cicatrical Deformations Using Vacuum Therapy

С. Б. Богданов

Д. Н. Марченко

А. П. Поляков

et al.

Abstract: Background Improvement of treatment results in patients with cicatrical deformations by means of new surgical techniques and vacuum dressings is the aim of this study. Material and Methods We described clinical results after vacuum therapy application for reconstructive surgical treatment after facial and cervical cicatrical deformation caused by burns. Patients underwent dissection of cicatrical blocks, and then we performed layer-by-layer autodermoplasty with further vacuum dressing placement. Results Engraf… Show more

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Cited by 3 publications

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New possibilities for surgical treatment of borderline burns using biological wound coverings

Bogdanov,

Karakulev,

Afanasov

et al. 2024

Saratov J Med Sci Res

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Objective: selection of optimal biological wound coverings for the treatment of patients with borderline burns. Material and methods. The results of treatment of 30 patients aged 28-58 years were analyzed. All patients were diagnosed with second degree burn wounds of varying localization and area from 5 to 20% (according to International Classification of Diseases 10th Revision). Of these, 13 (43%) patients in group I (age 48 [39; 54] years) underwent surgical removal of necrosis, and ChitoPran® biological wound dressings were applied to the wounds. The remaining 17 (56%) patients in group II (age 42 [28; 58] years) also underwent early surgical treatment, but the grafts were covered with synthetic Voskopran™ wound coverings. Results. In group I, where the biological wound coating ChitoPran® was used, the epithelialization period was 10 (9.0; 10.0) days. In group II, where the synthetic wound coating Voskopran™ was used, the epithelialization period was 12 (11.0; 13.0) days (p=0.031). The data obtained show that biological wound coatings ChitoPran® demonstrate an advantage in accelerating the timing of wound epithelization compared with synthetic wound coatings Voskopran™. In group I, the duration of hospitalization was 10.5 (10.0; 11.0) days, for group II — 11.5 (10.0; 12.0) days (p=0.048). Conclusion. A comparative assessment of the effectiveness of biological wound coverings in the treatment of patients with borderline burns showed that, in contrast to the synthetic wound covering Voskopran™, the use of the biological wound covering ChitoPran® provides favorable conditions for regeneration, due to which the period of epithelization of wounds was reduced by an average of 1-2 days, and hospitalization time is on average up to 2 days.

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New possibilities for surgical treatment of borderline burns using biological wound coverings

Bogdanov,

Karakulev,

Afanasov

et al. 2024

Saratov J Med Sci Res

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Improving Surgical Treatment of Skin Burns to Reduce the Incidence of Pathologic Scarring

Yurova

Zinoviev

2023

Innovacionnaâ medicina Kubani

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Background: In some parts of the world, the incidence of postburn pathologic scars reaches 16%. One should understand reconstructive surgery techniques and prioritize scar prevention during burn wound treatment. Inadequate wound management affects scar tissue formation and may cause pathologic scarring. Optimal timing of skin restoration operations reduces the risk of postoperative complications.Objective: To demonstrate that the surgical removal of fibrotic dermis and granulation tissue is feasible to reduce the incidence of pathologic scarring.Materials and methods: We studied treatment results in 57 patients with deep burns who were divided into 2 groups based on surgical treatment types before autologous skin grafting. Group 1 underwent total excision of granulation tissue, removal of fibrotic dermis, and excision of wound edges on day 27–31 after the injury. On day 22–28 postburn, group 2 had tangential excision of granulation tissue, removal of the upper skin layers only (the fibrotic dermis preserved), and then autologous skin grafting. The patients were followed up postoperatively at 1, 6, 12 months. During the examinations we assessed the formed scar tissue and perfusion of the burn injuries. Types and features of the scar tissue were identified by histologic examination of biopsy tissues.Results: We identified statistically significant differences between the analyzed patient groups based on the perfusion values measured by laser Doppler flowmetry and found a relationship between surgical approaches, wound perfusion, and the incidence of pathologic scarring.Conclusions: When early debridement is unfeasible, the preferred surgical approach for deep burns is a staged wound cleansing from necrotic tissue followed by total removal of granulation tissue and fibrotic dermis, and finally autologous skin grafting. This approach prevents pathologic scarring.

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Results of two-stage plasty in severe consequences of burns of the upper extremity

Mirzoev

Khojamuradov

Shamonov

et al. 2022

jour

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Aim. To study the immediate and long-term results of the use of non-free flaps in the treatment of patients with the consequences of burns of the upper limb.Material and methods. The study included 32 patients with the consequences of burns of the upper limb, who were admitted to the Republican Scientific Center of Cardiovascular Surgery in the period from 2003 to 2020. The age of the patients ranged from 4 to 32years, the average value was 19.6 ± 1.9 years.Results. There were no intraoperative complications. The average volume of blood loss during one operation was 125.6 ± 11.3 ml (determined by squeezing napkins). The average duration of the operation was 128.6 ± 15.7 minutes. There were no complications after transplantation of a non-free inguinal flap. To achieve a more acceptable aesthetic result, a non-free radial flap was used in a period of five to fifteen years after the primary operation.Conclusion. Thus, the observance of surgical staging depending on the prevalence of one or another lesion component is decided individually and the principles of reconstruction of important anatomical structures shall be strictly followed.

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Improvement of Surgical Treatment for Post-Ambustial Cicatrical Deformations Using Vacuum Therapy

Cited by 3 publications

References 3 publications

New possibilities for surgical treatment of borderline burns using biological wound coverings

New possibilities for surgical treatment of borderline burns using biological wound coverings

Improving Surgical Treatment of Skin Burns to Reduce the Incidence of Pathologic Scarring

Results of two-stage plasty in severe consequences of burns of the upper extremity

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