EFFICIENCY OF WOUND BED PREPARATION METHODS FOR PLASTIC CLOSURE OF CHRONIC WOUNDS IN PATIENTS WITH DIABETES MELLITUS
Diabetes mellitus (DM) disturbs the maturation process of the granulation tissue of the wound and promotes the development of its pathological changes (atrophy, hypertrophy, scarring). Histological signs of proliferation disorders determine the need for an additional surgical wound treatment in pa...
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| Format: | Article |
| Language: | Belarusian |
| Published: |
Grodno State Medical University
2018-12-01
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| Series: | Žurnal Grodnenskogo Gosudarstvennogo Medicinskogo Universiteta |
| Subjects: | |
| Online Access: | http://journal-grsmu.by/index.php/ojs/article/view/2353/2149 |
| _version_ | 1828348883651002368 |
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| author | Slavnikov I. A. Yarets Y. I. Dundarov Z. A. |
| author_facet | Slavnikov I. A. Yarets Y. I. Dundarov Z. A. |
| author_sort | Slavnikov I. A. |
| collection | DOAJ |
| description | Diabetes mellitus (DM) disturbs the maturation process of the granulation tissue of the wound and promotes the
development of its pathological changes (atrophy, hypertrophy, scarring). Histological signs of proliferation disorders
determine the need for an additional surgical wound treatment in patients with DM at the stage of preparation of a
chronic wound (CW) for autodermoplasty (ADP).
Aim. To determine the most optimal method of surgical treatment of pathologically changed granulations in
patients with CW and DM in preparation for ADP.
Material and methods. The results of the complex treatment of CW for 94 patients, including 73 patients with
DM, were studied. Several methods were used to prepare local wounds for ADP: excision of granulations using a
necrotome knife, hardware treatment (double wound bed treatment with low-frequency ultrasound using controlled
negative pressure between operations of the session) and a combination of these techniques (excision of granulations
was performed during the first ultrasound session).
Results. The smallest number of skin graft failure cases was obtained when using a combined method of chronic
wound bed preparation with surgical excision of pathologically altered granulations.
Conclusion. A combination of surgical excision of pathologically altered granulations and hardware treatment is
the most effective way chronic wound bed preparation for skin grafting in patients with DM. |
| first_indexed | 2024-04-14T01:00:43Z |
| format | Article |
| id | doaj.art-a693fbffeb0640a6a466f3afca0d3fe9 |
| institution | Directory Open Access Journal |
| issn | 2221-8785 2413-0109 |
| language | Belarusian |
| last_indexed | 2024-04-14T01:00:43Z |
| publishDate | 2018-12-01 |
| publisher | Grodno State Medical University |
| record_format | Article |
| series | Žurnal Grodnenskogo Gosudarstvennogo Medicinskogo Universiteta |
| spelling | doaj.art-a693fbffeb0640a6a466f3afca0d3fe92022-12-22T02:21:25ZbelGrodno State Medical UniversityŽurnal Grodnenskogo Gosudarstvennogo Medicinskogo Universiteta2221-87852413-01092018-12-0116673573910.25298/2221-8785-2018-16-6-735-739EFFICIENCY OF WOUND BED PREPARATION METHODS FOR PLASTIC CLOSURE OF CHRONIC WOUNDS IN PATIENTS WITH DIABETES MELLITUSSlavnikov I. A.0Yarets Y. I.1Dundarov Z. A.2Educational Institution “Gomel State Medical University”Republican Research Center of Radiation Medicine and Human Ecology, Gomel, BelarusEducational Institution “Gomel State Medical University”Diabetes mellitus (DM) disturbs the maturation process of the granulation tissue of the wound and promotes the development of its pathological changes (atrophy, hypertrophy, scarring). Histological signs of proliferation disorders determine the need for an additional surgical wound treatment in patients with DM at the stage of preparation of a chronic wound (CW) for autodermoplasty (ADP). Aim. To determine the most optimal method of surgical treatment of pathologically changed granulations in patients with CW and DM in preparation for ADP. Material and methods. The results of the complex treatment of CW for 94 patients, including 73 patients with DM, were studied. Several methods were used to prepare local wounds for ADP: excision of granulations using a necrotome knife, hardware treatment (double wound bed treatment with low-frequency ultrasound using controlled negative pressure between operations of the session) and a combination of these techniques (excision of granulations was performed during the first ultrasound session). Results. The smallest number of skin graft failure cases was obtained when using a combined method of chronic wound bed preparation with surgical excision of pathologically altered granulations. Conclusion. A combination of surgical excision of pathologically altered granulations and hardware treatment is the most effective way chronic wound bed preparation for skin grafting in patients with DM.http://journal-grsmu.by/index.php/ojs/article/view/2353/2149chronic woundlocal wound defectdiabetes mellitussurgical wound treatmenthardware treatment of wounds |
| spellingShingle | Slavnikov I. A. Yarets Y. I. Dundarov Z. A. EFFICIENCY OF WOUND BED PREPARATION METHODS FOR PLASTIC CLOSURE OF CHRONIC WOUNDS IN PATIENTS WITH DIABETES MELLITUS Žurnal Grodnenskogo Gosudarstvennogo Medicinskogo Universiteta chronic wound local wound defect diabetes mellitus surgical wound treatment hardware treatment of wounds |
| title | EFFICIENCY OF WOUND BED PREPARATION METHODS FOR PLASTIC CLOSURE OF CHRONIC WOUNDS IN PATIENTS WITH DIABETES MELLITUS |
| title_full | EFFICIENCY OF WOUND BED PREPARATION METHODS FOR PLASTIC CLOSURE OF CHRONIC WOUNDS IN PATIENTS WITH DIABETES MELLITUS |
| title_fullStr | EFFICIENCY OF WOUND BED PREPARATION METHODS FOR PLASTIC CLOSURE OF CHRONIC WOUNDS IN PATIENTS WITH DIABETES MELLITUS |
| title_full_unstemmed | EFFICIENCY OF WOUND BED PREPARATION METHODS FOR PLASTIC CLOSURE OF CHRONIC WOUNDS IN PATIENTS WITH DIABETES MELLITUS |
| title_short | EFFICIENCY OF WOUND BED PREPARATION METHODS FOR PLASTIC CLOSURE OF CHRONIC WOUNDS IN PATIENTS WITH DIABETES MELLITUS |
| title_sort | efficiency of wound bed preparation methods for plastic closure of chronic wounds in patients with diabetes mellitus |
| topic | chronic wound local wound defect diabetes mellitus surgical wound treatment hardware treatment of wounds |
| url | http://journal-grsmu.by/index.php/ojs/article/view/2353/2149 |
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