The article describes clinical cases of successful treatment gunshot wounds (shot) in the Trauma Department Scientific Research Institute – Regional Clinical Hospital No. 1 named after Professor S.V. Ochapovsky" (Krasnodar, Russia). In fractures, recognized method is use external transosseous fixation devices, but modern conditions it possible to various surgical techniques one-stage and staged treatment. To prevent infectious complications, addition medications, VAC drainage subsequently...

In addition to the physical injury, deep burns of face also can cause psychological injury. The purpose this study was develop new technical methods for improving engraftment full-thickness autografts. Since 2017, autologous fibroblasts have been used skin facioplasty one full thickness autograft in Scientific Research Institue, Reginal Clinical Hospital No 1. Isolation performed by using an enzymatic method and a sample with area 10 cm2. Cultivation 22 days according standard procedure....

Aim. To develop and improve new ways of surgical treatment for deep burn injuries their consequences with use vacuum therapy cell technologies. Material methods. In the present article clinical examples application two groups patients are given. first group there were total body, second included multiple scarry deformations hands. both during underwent autodermoplasty wound defects subsequent imposing dressings, in cultures frozen dermal allofibroblasts also used. Results. We achieved...

Introduction The analysis of clinical experience for using biodegradable wound coating based on «HitoPran» chitosan in treatment patients with burn trauma is presented. Background Our work included an a surgical local and common thermal burns. Material Methods A was conducted 46 male female patients, aged from 1 to 63 years burns area 5 56% the body surface. All injured were given complex use low-temperature air plasma arc discharge atmospheric pressure conditions our center 2017-2018....

Purpose: to prove the relevance of application wound dressings with early surgical treatment borderline burns on extremities in children. Materials and Methods: core group patients who were treated by use dressings, comparison legs, conservative method (ligation using coverings). Results: study showed advantage children local data. Summary: implementation allows you «cure patient a single operation», which significantly reduces complexity process, number including reducing amount surface...

ГБУЗ «Научно-исследовательский институт -Краевая клиническая больница № 1 им.проф.С.В.Очаповского» Министерства здравоохранения Краснодарского края, г

Objective. Tracheostomy is one of the most frequently performed surgical procedures in seriously ill patients intensive care unit and units who require long-term mechanical ventilation. Protecting larynx upper airway from complications prolonged intubation an important reason for tracheostomy management. Early can reduce dosage sedatives used, contributes to a gradual decrease artificial ventilation support. However, with development minimally invasive techniques performing tracheostomy,...

Background: Early necrosectomy with immediate or delayed skin grafting is the gold standard in treatment of burn injuries. Despite all advances active surgical patients, optimal time as well methods and timing remain subject debate among surgeons. Reliability practicality to determine viability affected tissues act a limiting factor strategies for early Objective : To improve patients deep burns using biological dressings. Materials Our study analyzed outcomes 34 (age, 18 60 years) diagnosed...

Objective: selection of optimal biological wound coverings for the treatment patients with borderline burns. Material and methods. The results 30 aged 28-58 years were analyzed. All diagnosed second degree burn wounds varying localization area from 5 to 20% (according International Classification Diseases 10th Revision). Of these, 13 (43%) in group I (age 48 [39; 54] years) underwent surgical removal necrosis, ChitoPran® dressings applied wounds. remaining 17 (56%) II 42 [28; 58] also early...

Background : Despite advances made in combustiology, the method and timing of wound closure remain a matter debate. There are 2 decisive factors engraftment full-thickness skin graft: infection degree level bed vascularization. Reasons for unsuccessful insufficient hemostasis, late surgery, exposed subcutaneous fat. Full-thickness grafting wounds various origins optimizes improvement long-term cosmetic functional results surgery. Objective To improve treatment patients with etiologies by...

The OBJECTIVE is to evaluate the results of introduction new method preparation in patients with deep neck burns imposition tracheostomy. MATERIAL AND METHODS. study included 124 extensive and inhalation injury. treatment consisted early (3–4 days from moment injury) necrectomy simultaneous autodermoplasty projection anterior surface torso on area 1–1.5% body surface. Tracheostomy was performed after graft engraftment. RESULTS. According proposed method, 20 were operated. 17 them subjected...

Background Improvement of treatment results in patients with cicatrical deformations by means new surgical techniques and vacuum dressings is the aim this study. Material Methods We described clinical after therapy application for reconstructive facial cervical deformation caused burns. Patients underwent dissection blocks, then we performed layer-by-layer autodermoplasty further dressing placement. Results Engraftment tissue autotransplant took 507 days observed reliable result. Conclusions...

BACKGROUND: Victims with severe burn injuries require specialized and high-tech care. The treatment results of such patients, as a rule, depend on the timing transfer volume surgical aimed at removing necrotic tissues restoring skin in conditions shortage donor resources. In this regard, development implementation into clinical practice innovative techniques for temporary closure wounds synthetic coatings creation optimal wound engraftment grafts high perforation index. СLINICAL CASE: This...

BACKGROUND: Injury is an epidemic of the 21st century. It associated with increasing high-speed transportation, natural and man-made emergencies, local wars. All this leads to appearance patients complex, multiple, not rarely combined injuries. Traumatic skin detachment result high-energy trauma. The treatment patient group presents certain difficulties due provisional peculiarities medical care because severity these condition such underlying muscle tissue destruction. CLINICAL CASES: This...

В работе представлен анализ оказания медицинской помощи пострадавшим от ожогов в Краснодарском крае, определеныоптимальные сроки и виды эвакуации больных с термической травмой зависимости возраста пострадавших, площа-ди глубины поражения. Объекты исследования составили стационарные больные Краснодар-ском крае период 2010–2015 гг. Ежегодно регистрируется до 3500 пострадавших ожогами, получающих ста-ционарное лечение. До 1300 из них находятся на специализированном лечении краевом ожоговом...

The article presents an analysis of the organization and provision access to high-tech medical aid victims burns in Krasnodar region. Considered problematic issues burn services Russia economic aspects payment patients with injury for MMI system.

Since of the invention lipofilling, there was a significant change in ideas role used autologous fat tissue (Auto Fat) from natural filler defects to product for stimulating regeneration. There considerable evolution technology liposuction and Auto Fat processing, material methodical providing procedure improved. Opening studying stromal-vascular fraction (SVF) adipose tissue, particular mesenchymal stem cells (MSC FT), promoted extension indications while using this method aesthetic...

Background. The paper presents the clinical results of treating patients using full-thickness skin autografts for granulating wounds. Objective. To study surgical aspects autograft engraftment on a wound. Material and methods In traumatology burn research, to achieve best cosmetic results, transplantation free are used. Regional Clinical Hospital #1, method grafting with was developed, which allows close defect in conditions purulent wound: granulations excised before transplantation, vacuum...