New ways of surgical treatment of an opisthenar burns

Objective is to improve outcomes of treatment of patients with opisthenar burns by optimizing the algorithm of care. Materials and methods: 272 victims with local deep opisthenar burns were analyzed. Results: the study showed an advantage of the method of early surgical treatment of opisthenar burns...

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Main Authors: S. B. Bogdanov, R. G. Babichev
Format: Article
Language:English
Published: State Budget Educational Institute of Higher Professional Education, Rostov State Medical University, Ministry Health of Russian Federation 2017-06-01
Series:Медицинский вестник Юга России
Subjects:
Online Access:https://www.medicalherald.ru/jour/article/view/457
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author S. B. Bogdanov
R. G. Babichev
author_facet S. B. Bogdanov
R. G. Babichev
author_sort S. B. Bogdanov
collection DOAJ
description Objective is to improve outcomes of treatment of patients with opisthenar burns by optimizing the algorithm of care. Materials and methods: 272 victims with local deep opisthenar burns were analyzed. Results: the study showed an advantage of the method of early surgical treatment of opisthenar burns before the landmark treatment of these burns. Patients operated on by early necrectomy with plastic without perforations have the best immediate and long-term results of treatment. Conclusion: the use of active surgical tactics including the removal in the early period (1-3 days after injury) burn eschar with simultaneous plasty of wound non-perforated skin graft performed under tourniquet followed by the imposition of a pressure bandage is the method of choice. This approach helps prevent the development of rough scar contractures and deformities in the postoperative period and achieve good cosmetic results.
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spelling doaj.art-4bb007b31cb848b789d953b2c231cc172022-12-22T04:39:52ZengState Budget Educational Institute of Higher Professional Education, Rostov State Medical University, Ministry Health of Russian FederationМедицинский вестник Юга России2219-80752618-78762017-06-0182647010.21886/2219-8075-2017-8-2-64-70388New ways of surgical treatment of an opisthenar burnsS. B. Bogdanov0R. G. Babichev1«Research Institute - S.V. Ochapovsky Regional Clinical Hospital No. 1», Krasnodar«Scientific Research Institute - S.V. Ochapovsky Regional Clinical Hospital No. 1», KrasnodarObjective is to improve outcomes of treatment of patients with opisthenar burns by optimizing the algorithm of care. Materials and methods: 272 victims with local deep opisthenar burns were analyzed. Results: the study showed an advantage of the method of early surgical treatment of opisthenar burns before the landmark treatment of these burns. Patients operated on by early necrectomy with plastic without perforations have the best immediate and long-term results of treatment. Conclusion: the use of active surgical tactics including the removal in the early period (1-3 days after injury) burn eschar with simultaneous plasty of wound non-perforated skin graft performed under tourniquet followed by the imposition of a pressure bandage is the method of choice. This approach helps prevent the development of rough scar contractures and deformities in the postoperative period and achieve good cosmetic results.https://www.medicalherald.ru/jour/article/view/457burnsopisthenarsurgery
spellingShingle S. B. Bogdanov
R. G. Babichev
New ways of surgical treatment of an opisthenar burns
Медицинский вестник Юга России
burns
opisthenar
surgery
title New ways of surgical treatment of an opisthenar burns
title_full New ways of surgical treatment of an opisthenar burns
title_fullStr New ways of surgical treatment of an opisthenar burns
title_full_unstemmed New ways of surgical treatment of an opisthenar burns
title_short New ways of surgical treatment of an opisthenar burns
title_sort new ways of surgical treatment of an opisthenar burns
topic burns
opisthenar
surgery
url https://www.medicalherald.ru/jour/article/view/457
work_keys_str_mv AT sbbogdanov newwaysofsurgicaltreatmentofanopisthenarburns
AT rgbabichev newwaysofsurgicaltreatmentofanopisthenarburns