Improvement of surgical treatment for post-ambustial cicatrical deformations using vacuum therapy
https://doi.org/10.35401/2500-0268-2019-14-2-30-35
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. Engraftment of tissue autotransplant took 507 days and we observed reliable clinical result.
Conclusions. Vacuum therapy favours optimal conditions for rapid engraftment and adaptation layer-by-layer tissue autotransplants.
About the Authors
S. B. BogdanovRussian Federation
Bogdanov Sergey B. – 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.
D. N. Marchenko
Russian Federation
Marchenko Denis N. – surgeon of Burn unit, Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1
350086, Krasnodar, 167, 1st May str.
A. V. Polyakov
Russian Federation
Polyakov Andrey V. – 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
350086, Krasnodar, 167, 1st May str.
A. V. Karakulev
Russian Federation
Karakulev Anton V. – medical resident of Surgery Department no. 1 ATF
350086, Krasnodar, 167, 1st May str.
V. A. Aladyina
Russian Federation
Aladina Valeriya A. – medical resident of Surgery Department no. 1 ATF
350086, Krasnodar, 167, 1st May str.
References
1. Azolov V.V., Dmitriev G.I. Surgical treatment for burn sequels. N. Novgorod: PTC «Dzerzhinskaya tipographia», 1995. 50 р. (In Russ.).
2. Yudenich V.V., Grishkevich V.M. Guidelines on rehabilitation of the burned patients. M.: Medicine, 1986. 177 р. (In Russ.).
3. Baindurashvily A.G. Early surgical treatment for deep burns of face and neck in children. Manual for physicians. Sрb. 2000. 23 p. (In Russ.).
4. Corry N., Klick В., Fauerbach J.A. Posttraumatic stress disorder and pain Impact functioning and disability after major burn injury. J. Burn Care Res. 2010;31(1):13-25.
5. Chmirev I.V., Skvortsov Y.R., Kichemasov S.H. Complicated situations in cases with deep facial burns. IV Conference of combustiologists of Russia: Collection of scientific papers. 2013. M., рр. 150-151 (In Russ.).
6. Baindurashvily A.G. Early surgical treatment of deep burns in children: doctorate thesis. Dr. med. sci. abstracts diss. Sankt-Peterburg, 1993. 25 р. (In Russ.).
7. Budkevich L.I. Modern techniques of surgery in children with severe thermal traumas: Dr. med. sci. abstracts diss. Moscow, 1998. 33 p. (In Russ.).
8. Korotkova N.L. Reconstructive repairs in patients with facial burns: doctorate thesis. Dr. med. sci. abstracts diss. N. Novgorod, 2015. 352 р. (In Russ.).
9. Sarigin P.V. Surgery after face and neck burns: doctorate thesis. Dr. med. sci. abstracts diss. Moscow, 2005. 48 p. (In Russ.).
10. Tkachev A.M. Surgery for post-ambustial cicatricial deformity and defects of nose: Dr. med. sci. abstracts diss. Moscow, 2008. 28 р. (In Russ.).
11. Dyster-Aas J. Psychiatric history and adaptation in burn injured patients. Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine 199, Acta Universitatis Upsaliensis. Uppsala, Sweden. 2006. р. 60-62.
12. Serghiou M.A. A survey of current rehabilitation trends for burn injuries to the head and neck. J Burn Care Rehabil 2004;25(6):514-518.
13. Kantak N.A. A review of negative-pressure wound therapy in the management of burn wounds. Burns. 2016;42(8):1623-1633. DOI: https://doi.org/10.1016/j.burns.2016.06.011.
Review
For citations:
Bogdanov S.B., Marchenko D.N., Polyakov A.V., Karakulev A.V., Aladyina V.A. Improvement of surgical treatment for post-ambustial cicatrical deformations using vacuum therapy. Innovative Medicine of Kuban. 2019;(2):30-35. (In Russ.) https://doi.org/10.35401/2500-0268-2019-14-2-30-35