IMPROVING THE TECHNOLOGY OF LOCAL TREATMENT IN PATIENTS WITH DEEP BURNS
Introduction. Currently, in order to reduce mortality and disability, treatment methods for patients with thermal injuries are being improved. At the same time, the problem of complete uncomplicated engraftment of skin-grafts is a key one. Materials and Methods. The experience of treating 120 patients in the Burn Center of F. I. Inozemtsev City Clinical Hospital (Moscow) in 2018-2019 is presented. All patients underwent surgical treatment for deep burns (surgical necrectomy in the deep lesion area followed by delayed autodermoplasty) and non-invasive wound treatment with the use of wet-to-dry gauze dressings and atraumatic mesh dressings. Results and discussion. A comparative analysis of the results showed greater effectiveness of atraumatic dressings, including shorter preparatory stage for autodermoplasty and shorter time of skin restoration, as well as better long-term results of autodermoplasty with the use of modern atraumatic mesh dressings for local treatment. Conclusions: The results of treating patients with deep burns are determined not only by the effectiveness of surgical treatment but also by the effectiveness of local conservative treatment with the use of atraumatic wound dressings.