PECULIARITIES OF THE TREATMENT TACTICS IN CLOSURE OF DEFECTS OF COVERING TISSUES OF TRUNK AND EXTREMITIES OF MECHANICAL ORIGIN

• Published in: Klinična hìrurgìâ (Kiïv) no. 12; pp. 46 - 48
• Main Author: Ponomarenko, O V
• Format: Journal Article
• Language: Ukrainian
• Published: Ukraine 2016
• Subjects: Adult; Arm Injuries - drug therapy; Arm Injuries - pathology; Arm Injuries - surgery; Dermatologic Surgical Procedures - methods; Female; Fractures, Bone - drug therapy; Fractures, Bone - pathology; Fractures, Bone - surgery; Hemodynamics; Humans; Hyaluronic Acid - therapeutic use; Leg Injuries - drug therapy; Leg Injuries - pathology; Leg Injuries - surgery; Male; Middle Aged; Multiple Trauma - pathology; Multiple Trauma - surgery; Precision Medicine; Retrospective Studies; Skin - drug effects; Skin - injuries; Skin Transplantation; Soft Tissue Injuries - drug therapy; Soft Tissue Injuries - pathology; Soft Tissue Injuries - surgery; Surgical Flaps; Thoracic Injuries - drug therapy; Thoracic Injuries - pathology; Thoracic Injuries - surgery; Trauma Severity Indices
• ISSN: 0023-2130

Results of treatment of 242 patients, to whom 697 оperative interventions were done, including 492 (70.6%) —with restoration of the injured soft tissues and other trunk and extremities structures —were analyzed. Choice of the correcting intervention method and closure of the covering tissues defect have depended on the wound dimensions and depth, peculiarities of hemodynamics in the area injured. Application of Lacert preparation for the traumatic injury consequences made spectrum of treatment options in patients, suffering covering tissues defect,broader. Differential approach to choice of procedure for the wound surface closure have permitted to achieve satisfactory results in 98.75% of patients.