医学
外科
软组织
软组织损伤
伤口愈合
枪伤
伤口闭合
作者
Andrii Formanchuk,V. O. Shaprynskyі,Sergiy P Dmytryshin,Yuriy P Hnatiyk,Olexandr V Moskaliuk,Tetiana O Vozniuk,Tetiana Formanchuk
出处
期刊:Wiadomości lekarskie (Warsaw Poland)
[ALUNA]
日期:2023-01-01
卷期号:76 (5): 1167-1172
标识
DOI:10.36740/wlek202305205
摘要
The aim: To evaluate efficacy of the tissue defect closure techniques in combination with VAC in the treatment of battle casualities of the lower extremities. Materials and methods: The results of wound healing until complete wound closure, of 62 patients with shrapnel defects of the lower extremities where assessed. Results: Treatment of patients with soft tissue defects of the lower extremities using rotational flaps on the vascular pedicle and VAC significantly reduces the incidence of infectious complications (18.75% in the main group vs. 30% in the control group (p<0.05)), reduces the intensity of pain according to the VAS scale during the first week of treatment in the main group to 5±0.5 versus 7±0.8 in the control group (p<0.05) and reduces the length of hospital stay by 7 days. Conclusions: The use of rotational flaps on the vascular pedicle and local tissue closure techniques in combination with VAC is an effective method of treating patients with combat gunshot wounds of the soft tissues of the lower extremities
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