Ep490 ewma p 2
1
Aim: Improve the treatment of patients with dermal burns limbs after early necrectomy. Materials and methods: In 157 patients with dermal burns limbs used the technique of early surgical treat- ment using wound coverings on lipid-kolloyd technol- ogy ( Urgotul Ag) technology gidrofayber (Aquasel) and with ions of silver (Atrauman Ag) and primary autoplasty imperforate autografts on the back of the hand Patients at 2-7 days after trauma sur- gery performed: dermabrasion and necrectomy to remove nov-viable der- mal layers of skin. Age of patients ranged from 5 months to 59 years. The area of operation to 7%. Necrectomy produced dermatomes with tangential motion, dermabrasion - brushes and a spoon, "Volkmann". After the treat- ment of burn surfaces were used lipid- kolloyd dressing with silver, on the basis of technology gidrofayber and with ions of silver. The choice of dress- ing depends on the nature of the wounds of eksudation, localization of a burn. On the back of the hand pro- duces primary autoplasty without per- foration harness. Results: Reduce treatment time com- pared with traditional methods is 2.1 times, the number of dressings decreased from 6-9 to 1-2, decreased pain during dressings, plastic without perforations improve the cosmetic and functional results of the back of the hand. Conclu sions: The use of surgical approach using a sil- ver-containing wound coverings in non-functional areas and plastics without perforation and in functional areas (back of the hand, the area of the joints) has reduced the time spent in hospital for 7-9 days as compared to con- ventional treatments. The chosen tactic reduces the risk of nosocomial infection and there is greater comfort for patients. Experience of using wound coverings for early surgical treatment of patients with dermal burns of the limbs Sergey Bogdanov, Stanislav Pyatakov, Olga Afaunova Krasnodar city, Russia Roman Babichev, 3 days after the burn with boiling water Debridement performed to the lower layers of the dermis Bandage Aquasel After 10 days of primary dressings are removed. Complete epithelialization Flame burn. 4 day. A tourniquet made debridement, skeletal suspension. Primary autoplasty without perforation on back of the hand, with a perforation in the shoulder, forearm On the forearm bandage URGO Ag, elbow wet-drying, shoulder URGO 5 days Вandages are removed, the best epithelialization of cells and engraftment under URGO Ag Flame burn thigh Day 3 Debridement and dermabrasion Dressings Branolind H and Atrauman Start epithelialization after 5 days 8 days Bandage URGO Ag Flame burn, Day 2 7 days epithelialization. Dressings do not stick to the wound 2 weeks
Transcript of Ep490 ewma p 2
Aim: Improve the treatment of patients with dermal burns limbs after early necrectomy.Materials and methods: In 157 patients with dermal burns limbs used the technique of early surgical treat-ment using wound coverings on lipid-kolloyd technol-ogy ( Urgotul Ag) technology gidrofayber (Aquasel) and with ions of silver (Atrauman Ag) and primary autoplasty imperforate autografts on the back of the
handPatients at 2-7 days after trauma sur-gery performed: dermabrasion and necrectomy to remove nov-viable der-mal layers of skin. Age of patients ranged from 5 months to 59 years. The area of operation to 7%. Necrectomy produced dermatomes with tangential motion, dermabrasion - brushes and a spoon, "Volkmann". After the treat-ment of burn surfaces were used lipid-kolloyd dressing with silver, on the basis of technology gidrofayber and with ions of silver. The choice of dress-ing depends on the nature of the wounds of eksudation, localization of a burn. On the back of the hand pro-duces primary autoplasty without per-foration harness. Results: Reduce treatment time com-pared with traditional methods is 2.1 times, the number of dressings decreased from 6-9 to 1-2, decreased pain during dressings, plastic without perforations improve the cosmetic and functional results of the back of the hand.
Conclu sions: The use of surgical approach using a sil-ver-containing wound coverings in non-functional areas and plastics without perforation and in functional areas (back of the hand, the area of the joints) has reduced the time spent in hospital for 7-9 days as compared to con-ventional treatments. The chosen tactic reduces the risk of nosocomial infection and there is greater comfort for patients.
Experience of using wound coverings for early surgical treatment of patients
with dermal burns of the limbs
Sergey Bogdanov,
Stanislav Pyatakov, Olga Afaunova
Krasnodar city, Russia
Roman Babichev,
3 days after the burn with boiling water Debridement performed to the lower layers of the dermis
Bandage Aquasel After 10 days of primary dressings are removed. Complete epithelialization
Flame burn. 4 day. A tourniquet made debridement, skeletal suspension.
Primary autoplasty without perforation on back of the hand, with a perforation in the shoulder, forearm
On the forearm bandage URGO Ag, elbow wet-drying, shoulder URGO
5 days Вandages are removed, the best epithelialization of cells and engraftment under URGO Ag
Flame burn thigh Day 3
Debridement and dermabrasion
Dressings Branolind H and Atrauman
Start epithelialization after 5 days
8 days
Bandage URGO Ag Flame burn, Day 2
7 days epithelialization. Dressings do not stick to the wound
2 weeks
