Evaluation of the results of local treatment of donor site wounds in patients with deep burns

• Main Authors: A E Mordyakov, A L Charyshkin, E V Slesareva
• Format: Article
• Language: Russian
• Published: ECO-vector 2018-02-01
• Series: Kazanskij Medicinskij Žurnal
• Subjects: раны донорских мест; свободная аутодермопластика расщеплёнными трансплантатами; собственная жидкая среда
• Online Access: https://journals.eco-vector.com/kazanmedj/article/view/7803
• ISSN: 0368-4814; 2587-9359

Aim. Evaluation of the effectiveness of donor site wounds treatment in own liquid medium in patients with deep burns. Methods. The study included 135 patients with deep burns, who underwent split-thickness skin grafting. The average age of patients was 52.4±1.5 years. Distribution by gender: men - (65.9%) patients, women - 46 (34.1%). In the study group (n=74) treatment of donor site wounds was carried out with moisture-controlled film dressings DDB-M. In the comparison group (n=61) treatment was performed using wet-to-dry gauze dressings with a solution of iodine-containing antiseptics in combination with additional physical methods of wound drying. Evaluation of the effectiveness of treatment methods for donor site wounds was conducted by analyzing clinical and laboratory data, bacteriological, cytological, morphological studies, and statistical methods. Results. In the structure of complications of donor site wounds in case of conventional treatment suppuration prevails - 23.7% of patients, and in case of treatment with moisture-controlled film dressings DDB-M bleeding prevails - 12.2% of patients. Epithelialization in the study group (n=74) occurred on average 2 days earlier than in the comparison group (n=61), the difference was statistically significant (U=146.0; p=0.000). Conclusion. The treatment of wounds in own liquid medium is an effective way, as it significantly shortens the period of epithelialization; a significant disadvantage of this method is lack of haemostatic prophylaxis of bleeding from donor site wounds in postoperative period, that could worsen its course, especially in patients with severe burns.