Affiliation:
1. City Hospital #4; Kuban State Medical University
2. Kuban State Medical University
Abstract
Justification The most methods of extensive skin and soft tissue defects are aimed at accelerating wound healing and preventing infectious complications. To improve the effectiveness of such defects treatment, a method of dosed tissue distraction (MDTD) is used, consisting in the application of a continuously acting load to the area of healthy soft tissue in close proximity to the wound defect.
Purpose It performed the evaluation of the medico-social effectiveness of the introduction into clinical practice of developed methods and devices for implementing MDTD in the treatment of skin and soft tissue defects of the extremities.
Methods 407 patients were treated with wound defects of the extremities, which were divided into two groups: the main group – 198 patients in whose treatment MDTD was applied using original methods and devices; comparison group – 209 patients, in whose treatment standard treatment methods were applied. Comparison of the long-term results of treatment according to the frequency of repeated operations, complications, indicators of quality of life, frequency of disability.
Results The use of MDTD is characterized by better performance compared with the use of standard approaches. There is a decrease in the frequency of performing reconstructive plastic surgery after inpatient treatment (9-10 times), remote complications by 2.6 times, a reduced value of the Vancouver scale (by 28.8%), quality of life indicators higher levels. The use of the proposed approach is characterized by a shorter duration of treatment (by 26.0%), duration of disability (1.4 times), cases of disability (2.2 times).
Conclusion The use of MDTD is characterized by high medical and social efficiency, allows to reduce the cost of treating extensive skin and soft tissue defects by reducing the length of hospitalization, the frequency of repeated rehabilitation and reconstructive operations, accelerated recovery of patients, improving the quality of life and reducing the incidence of disability
Publisher
Scientific Research Institute - Ochapovsky Regional Clinical Hospital No 1
Reference16 articles.
1. Bajtinger V.F., Selyaninov K.V., Kurochkina O.S. i dr. Evolution of technologies for closure of vast and deep soft-tissue defects of human body. Voprosy rekonstruktivnoj i plasticheskoj hirurgii. 2018; 21, 1 (64):5-14. (In Russ.). doi: 10.17223/1814147/64/01
2. Hagurov R.A., Aleksandrov A.V., Rybchenok V.V. i dr. Application of the balloon skin expansion method in pediatric reconstructive surgery. Vestnik Rossijskogo Gosudarstvennogo Medicinskogo Universiteta. 2016;5: 34-38. (In Russ.).
3. Aziz J., Ahmad M.F., Rahman M.T. et al. AFM analysis of collagen fibrils in expanded scalp tissue after anisotropic tissue expansion. Int. J. Biol. Macromol. 2018; 107 (Pt. A):1030-1038. doi: 10.1016/j.ijbiomac.2017.09.066. Epub 2017 Sep 20.
4. Bogdanov A.N., Parshin M.S., Ovdenko A.G. Treatment of patients with extensive wound defects of the extremities using the method of apparatus-threaded dosed dermotension. Health is the basis of human potential: problems and their solutions. Zdorov’e — osnova chelovecheskogo potenciala: problemy i puti ih resheniya. Health – the base of human potential: problems and ways to solve them. 2017; 12(2):634-637 (In Russ.).
5. Dong W., Yang Q. Reconstruction of Facial Defects with Three-Stage Frontal Expanded Bipedicled Flaps. J. Craniofac. Surg. 2018; Oct 24. doi: 10.1097/SCS.0000000000004852. [Elpub ahead of print].
Cited by
3 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献