Comparative Evaluation of the Effectiveness of Atraumatic Dressings for the Treatment of Patients with Burns

Abstract

Rationale. Atraumatic mesh bandages are most commonly used bandages for treatment of wounds and burns. To date, considerable experience has been gained in the use of Branolind N bandages in clinical practice in treatment of burn wounds.Aim. Comparative evaluation of the results of the use of various atraumatic dressings and evaluation of the effectiveness of the Branolind N bandage in treatment of patients with burns. Materials and Methods. In 222 patients with burns, the comparative clinical and laboratory evaluation of effectiveness of various atraumatic dressings (180 patients) and cotton-gauze dressings with hydrophilic-based ointment Levomekol (42 patients), in various clinical situations, was carried out.Results. All types of atraumatic dressings had similar clinical effectiveness and were most effective for treatment of superficial and borderline burns of I-II degree, as well as for limited burns of II-III degree after surgical necrectomy at the stage preparation of granulating wounds for skin grafting, starting from the second, and especially in the third stage of wound process. The best results were obtained with the use of Branolind N bandages. Conclusions. The use of atraumatic "mesh" bandages Branolind N allows to improve the results of medical care for patients with burns. Their use contributes to a favorable course of wound process, provides comfort to patients and convenience for work of medical staff in treatment of patients in hospital, and on outpatient basis.