DEVELOPMENT OF PHYSICAL FACTORS IN LOCAL TREATMENT OF BURN WOUNDS
S. V. Bogdanov,
E. V. Zinoviev,
K. F. Osmanov,
A. V. Karakulev,
A. V. Polyakov,
A. A. Popov,
I. M. Lopatin 
Abstract
Background. To define efficiency of decreased microbial dissemination in burn wounds after low-temperature argon plasma of the arc discharge of atmospheric pressure.
Materials and methods. In the present article we described results of efficiency analysis after usage of low-temperature argon plasma of the arc discharge of atmospheric pressure for skin burn treatment Degree II–III (ICD-10). Burns had various etiology (flame, boiled water, contact) and area. We defined change in microflora of burn wounds after single administration of the PLAZMORAN installation in three groups of patients, depending on a surgical treatment type (dermabrasion, early necrotomy with plasty and plasty on the granulating wounds).
Results. We noticed that treatment of burn wounds with Plasmoran showed results confirming decreased bacterial dissemination or complete wound sanitation after plasma effect and it reduced risk of possible purulent inflammation and speeded up terms of wound epithelialization.
Conclusion. Basing on the bacteriological researches analysis it was determined that use of low-temperature air plasma of the arc discharge of atmospheric pressure reduces dissemination of wounds by pathogenic microflora.
About the Authors
S. V. Bogdanov
Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1; Kuban State Medical University
Russian Federation
Russian Federation
Dr. of Sci. (Med.), head of the burns center, Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, professor of the Department of Orthopedics, Traumatology and Military Field surgery, Kuban State Medical University
350086, Krasnodar, 167, 1st May str.
E. V. Zinoviev
Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine;
Saint Petersburg State Pediatric Medical University
Russian Federation
Dr. of Sci. (Med.), professor, senior staff scientist of thermal injuries unit
Russian Federation
Dr. of Sci. (Med.), professor, senior staff scientist of thermal injuries unit
K. F. Osmanov
Saint Petersburg State Pediatric Medical University
Russian Federation
Lab technician in thermal injuries unit, Scientific Research Laboratory of Experimental Surgery
Russian Federation
Lab technician in thermal injuries unit, Scientific Research Laboratory of Experimental Surgery
A. V. Karakulev
Kuban State Medical University
Russian Federation
Medical resident of surgery department no. 1 ATF
Russian Federation
Medical resident of surgery department no. 1 ATF
A. V. Polyakov
Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1; Kuban State Medical University
Russian Federation
Cand. of Sci. (Med.), surgeon of burn unit, Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, assistant professor of general surgery department, Kuban State Medical University
Russian Federation
Cand. of Sci. (Med.), surgeon of burn unit, Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, assistant professor of general surgery department, Kuban State Medical University
A. A. Popov
Saint Petersburg State Pediatric Medical University
Russian Federation
Lab technician in thermal injuries unit, Scientific Research Laboratory of Experimental Surgery
Russian Federation
Lab technician in thermal injuries unit, Scientific Research Laboratory of Experimental Surgery
I. M. Lopatin
Saint Petersburg State Pediatric Medical University
Russian Federation
Lab technician in thermal injuries unit, Scientific Research Laboratory of Experimental Surgery
Russian Federation
Lab technician in thermal injuries unit, Scientific Research Laboratory of Experimental Surgery
References
1. Bogdanov SB, Afaunova ON. Usage of wound dressings in early surgical treatment for extremities border burns in functionally active areas. Postgraduate physician. 2016;6(79):4-9. (In Russ.).
2. Filimonov KA. Improvement of local burn injuries in patients with local burns. Cand. med. sci. diss. Samara, 2013. 144 p. (In Russ.).
3. Znamensky GM, Skvortsov YP. First application of Plason device for burn injuries treatment. Second meeting of combustiologists: scientific articles. М., 2008. p. 225. (In Russ.).
4. Krylov KM. et al. Modern possibilities for local burns treatment. Outpatient surgery. Technologies for hospital replacing. 2010;1:30-35. (In Russ.).
5. Sergeeva EN. Application of monochrome non-coherent light diode emission for complex treatment of skin burns in children. SPb., 2008. 142 р. (In Russ.).
6. Gerasimova LI. Lasers in surgery and therapy for thermal burns: guidelines for doctors. M.: Medicine, 2000. 224 р. (In Russ.).
7. Podoynitsina MG, Krukova VV et al. Magnetic plasmic therapy for burn injuries management to dermatomal plasty. Actual issues in clinical and experimental medicine: Russian scientific conference dedicated to 60th anniversary of Chitinskaya medical academy. Chita, 2013. р. 137-138. (In Russ.).
8. Vasilieva TM. Plasmic chemical technologies in biology and medicine: modern state-of-the-art. High chemical technologies. 2015;10(2):6-9. (In Russ.).
9. Yaskov I.M. et al. Usage of helium plasma flow for deep burn wound healing. Medical equipment. 2010;2:43-46. (In Russ.).
10. Bratiychuk AN. et al. Usage of Plason device in patients with purulent surgical infection in out-patient hospital. War medical journal. 2009;3:72-73.(In Russ.).
11. Ermakov AM. et al. Activation of planaria regeneration by low temperature argon plasma regenerated by a plasma scalpel. Biophysics. 2012;13:547-555. (In Russ.).
12. Patent 054534 Switzerland, PCT/IB2017/054534 Tissue tolerable plasma generator and method for the creation of protective film from the wound substrate. O.V. Borisov; 26. July 2017.
13. Pedroso J et al. Comparative thermal effects of j-plasma, monopolar, argon and laser electrosurgery in a porcine tissue model. Journal of Minimally Invasive Gynecology. 2014;21(6):59.
14. Reuter S et al. Detection of ozone in a MHz argon plasma bullet jet. Plasma Sources Science and Technology. 2012;21(3):45-50.
15. Stolz W. Low-temperature argon plasma for sterilization of chronic wounds: from bench to bedside. Conf. on Plasma Med. Corpus Christi, 2007. p. 134.
16. Weltmann KD. Atmospheric pressure plasma jet for medical therapy: plasma parameters and risk estimation. Contributions to plasma physics. 2009;49(9):631-640.
Review
For citations:
Bogdanov S.V., Zinoviev E.V., Osmanov K.F., Karakulev A.V., Polyakov A.V., Popov A.A., Lopatin I.M. DEVELOPMENT OF PHYSICAL FACTORS IN LOCAL TREATMENT OF BURN WOUNDS. Innovative Medicine of Kuban. 2019;(1):44-52. (In Russ.)
Views:
409
Email this article 
