New ways of surgical treatment of an opisthenar burns
https://doi.org/10.21886/2219-8075-2017-8-2-64-70
Abstract
Objective is to improve outcomes of treatment of patients with opisthenar burns by optimizing the algorithm of care. Materials and methods: 272 victims with local deep opisthenar burns were analyzed. Results: the study showed an advantage of the method of early surgical treatment of opisthenar burns before the landmark treatment of these burns. Patients operated on by early necrectomy with plastic without perforations have the best immediate and long-term results of treatment. Conclusion: the use of active surgical tactics including the removal in the early period (1-3 days after injury) burn eschar with simultaneous plasty of wound non-perforated skin graft performed under tourniquet followed by the imposition of a pressure bandage is the method of choice. This approach helps prevent the development of rough scar contractures and deformities in the postoperative period and achieve good cosmetic results.
About the Authors
S. B. Bogdanov
«Research Institute - S.V. Ochapovsky Regional Clinical Hospital No. 1», Krasnodar
Russian Federation
candidate of medical sciences, head of the burn department
Russian Federation
candidate of medical sciences, head of the burn department
R. G. Babichev
«Scientific Research Institute - S.V. Ochapovsky Regional Clinical Hospital No. 1», Krasnodar
surgeon of the burn department
surgeon of the burn department
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Review
For citations:
Bogdanov S.B., Babichev R.G. New ways of surgical treatment of an opisthenar burns. Medical Herald of the South of Russia. 2017;8(2):64-70. (In Russ.) https://doi.org/10.21886/2219-8075-2017-8-2-64-70
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