Method of surgical treatment of burn wounds

 

(57) Abstract:

The invention relates to medicine, in particular to plastic surgery, and can be used to treat burn wounds. To close the affected area using autodermotransplantat. Donor pre-applied emulsion 30% solution of Dimexidum and 10% oil solution of tocopherol acetate in the ratio of 5: 1. The method allows to prevent infection of grafts and donor wounds. This reduces the time of recovery of the skin.

The present invention relates to medicine, in particular to plastic surgery, and can be used in the treatment of burn wounds.

There is a method of surgical treatment of burn wounds, lies in their free skin grafting method "postage stamps" (see Ariev T. J. Burns and frostbite - Publishing house "Medicine", L., 1971, - S. 136-137).

However, this method often leads to severe cicatricial deformities and contractures.

As a prototype we have chosen a method of treatment of burn wounds, which consists in taking autograft donor designated and closing them affected area of the skin (see Sokolov L. N. Early free Riki, 1964, S. 10).

However, frequent complication of this treatment is the lysis of autodermotransplantat and infection of wounds and donor sites.

The task of the invention is the prevention of infection of the donor wounds and reduce the time of recovery of the skin by improving conditions for engraftment autotransplants.

The problem is solved due to the fact that the method comprising the capture of autograft donor sites and close them affected area of the skin, pre-donor site apply the emulsion 30% solution of Dimexidum and 10% oil solution of tocopherol acetate in the ratio of 5:1.

Method of surgical treatment of burn wounds is as follows: 15 minutes before the start of the operation of the free autoplasty of the skin at a pre-selected donor site apply the emulsion, consisting of a 30% solution of Dimexidum and 10% oil solution of tocopherol acetate in the ratio of 5:1. Just before taking autodermotransplantat donor sites treated with alcohol and sterile vegetable oil for the best sliding dermatome. Taken the skin flaps thickness of 0.3-0.5 mm respectivey is revascu wounds after completed autodermoplastiki do for 3-4 days after surgery. The dressing on the donor wounds, leave to full self-recovery of the skin.

Clinical example

Patient C. , age 6, And/b N 167776, arrived in Nizhny Novgorod research Institute of traumatology and orthopedics about scald IIIA-IIIB Art. abdomen, perineum, lower extremity on the area of 30% of the body surface. To restore lost skin made free skin plastic granulating wounds with pre-treatment of donor places emulsion 30% solution of Dimexidum and 10% oil solution of tocopherol acetate (vitamin E) with the aforementioned method. The first ligation performed 3 days after surgery. Donor wounds healed under a bandage for 8 days without complications. The patient was discharged to outpatient treatment, full recovery of the skin. Cicatricial deformity and contracture was no movement in the joints were full.

The method of processing donor designated in surgical treatment of burn wounds improves conditions for healing autodermotransplantat, increasing their viability. The solution Dimexidum is a good guide for oil solution of tocopherol acetate, saturating them with the skin donors krasae terms of recovery of the skin for 2-3 days, which is especially important when extensive lesions and the shortage of donor skin resources.

Method of surgical treatment of burn wounds by taking the autograft donor designated and closing them affected area of skin, wherein the pre-donor site apply the emulsion 30% solution of Dimexidum and 10% oil solution of tocopherol acetate in the ratio of 5:1.

 

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