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Method for preparing free autograft for burn wound

IPC classes for russian patent Method for preparing free autograft for burn wound (RU 2466714):
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Composition containing at least one active component specified in at least one antiperspirant active component and at least one deodorant active component; at least one hydrocarbon of formula CnH2n+2, wherein n has the value of approximately 20 to approximately 100, and hydrocarbon has at least 90% of a linear structure; at least one soya oil having an iodine number of more than 0 to approximately 20; and at least one silicone compound.

FIELD: medicine.

SUBSTANCE: 10 minutes before grafting, donor skin 0.2-0.3 mm is coated with Tisol gel mixed with ozonised sea buckthorn oil. Then, 10 minutes later, the residual mixture is removed; the donor skin surface is treated with spirits, and grafting procedure is started.

EFFECT: method provides better microcirculation within the donor area, ensures bactericidal action, higher tissue and graft oxygenation.

1 ex

 

The present invention relates to medicine, namely to combustology, and can be used in the preparation of the donor area of skin, you need to take grafts.

It is known that tyazheloobozhzhennykh sharply reduced consumption by the tissues of oxygen, which leads to hypoxia. Persistent soft tissue hypoxia adversely affects the timing of donor healing of wounds and reduces oxygenation cutting grafts, leading to lysis and greatly aggravates the patient's condition, lengthens the healing time of donor wounds and requires re-autodermoplastiki. In this regard, the search for ways to improve microcirculation and increase oxygenation in the area of donor skin area, scheduled to take grafts, remains an urgent task.

The known method of preparing graft for free autodermoplastiki burn wounds, which consists in the treatment of the donor area by a stream of helium plasma with an electric current of 30 a, a voltage of 30 V at a gas pressure of 0.1 kg/cm2from a distance of 15 cm from the nozzle of the plasmatron to the surface of the skin with exposure time of 20 sec on one field daily for 5 days (patent RF №2134134, 1999).

The disadvantage of this method is the need for bulky, expensive equipment and training is the illusion to work on the torch. In addition, the duration of procedures that cover at least 5 days, at a limited area of preparation of donor skin (2 plots of 200 cm2), increases the recovery of the skin.

As a prototype of the chosen method of preparation of the graft for free autodermoplastiki burn wounds, is the impact of the ultrasonic waveguide to the skin of the proposed donor site through vaseline oil for 10 minutes over 5 days before surgery (see Said V.L. Experimental and clinical reasoning training skin autotransplants in the treatment of patients with thermal burns. Abstract. dis. ... candidate honey. Sciences. - Vitebsk, 1986. 18 C.).

However, RAS has no independent bacteriostatic effect on microorganisms and to contact the waveguide with the tissue surface requires constantly renewing the staging environment.

The task of the invention is the improvement of the method.

The technical result - improvement of microcirculation in the area of donor skin area, ensure bactericides, increase oxygenation of tissues and cutting grafts.

The technical result is achieved in that in the method, including the impact on the prospective donor site on it for 10 minutes before taking the tra is of plantaton put a layer of 0.2-0.3 mm medicinal mixture of gel Tizol" with ozonized oil with ozone 200-250 mcg.

The method of preparation of the graft for free autodermoplastiki as follows: 10 minutes before taking grafts on the skin of the donor area with a layer of 0.2-0.3 mm apply the mixture of gel Tizol" with ozonated sea buckthorn oil with ozone 200-250 mcg. After 10 minutes, a mixture of residues located at the donor site, is removed using a dry sterile cloth. Then twice treated with the surface of the skin donor site alcoholic chlorhexidine 1:400 or 1% solution of itaperuna and start cutting grafts.

Clinical example:

B-Noy So 1, 5 months. (IB. No. 256611), was admitted to the burn centre of Nizhniy Novgorod with burn flame III-B, the degree of torso, limbs in the area of 15% of the body surface. After preparation of burn wounds the child made 2 transactions skin plasty. When performing autodermoplastiki preparation of donor skin was carried out by applying a mixture of gel Tizol" and ozonated sea buckthorn oil for 10 minutes before taking grafts. In spite of the child expressed hypoxia, which is the result of extensive deep burns, burns of the respiratory tract, the transplanted grafts on the receiving bed she had completely and donor wound healed without suppuration within 8 days, that a significant shortage of donor the skin resources allowed to re-use these sites to take grafts. The skin of the patient recovered completely, and he after 20 days was discharged for outpatient treatment

The method allows to provide a complete engraftment of transplanted grafts to close the site of wounds, on average, 8 days without signs of sepsis and reduce for 3-4 days time epithelialization of donor wounds. The reduction in 3-4 days time donor healing of wounds allows you to use the repaired skin to re-cut grafts, which is especially important in patients with extensive deep burns that have a shortage of skin resources.

Gel Tizol" accelerates healing processes in the skin, reduces inflammation, reduces pain syndrome. The presence of associated molecules of glycerin and titanium atom in the molecule Title provides tread, dehydrating, antiedematous and local analgesic effect. In addition, the gel structure Title with good transcutaneous action, provides the conductance through biological tissue of medicines, in particular ozonated sea buckthorn oils containing highly active biological substances and having a high bactericidal effect due to ozone.

The method improves the metabolic processes in the tissues of the donor area, helping them improve oxygenate and in cutting the grafts. Applied to the skin of a medicinal mixture easily penetrates deep into the tissues and after 10 minutes the donor site for the planning area prepared for taking grafts.

The method of preparation of the graft for free autodermoplastiki burn wounds by the impact of oil on the prospective donor site, wherein the donor area for 10 minutes before taking grafts put a layer of 0.2-0.3 mm mixture of gel Tizol" with ozonated sea buckthorn oil with ozone 200-250 mcg.

 

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