Babichev Roman, Bogdanov Sergey, Afaunova Olga, Savchenko Yuriy, Pyatakov Stanislav

1. Combined use of the free
autologous dermal grafts and
advanced wound dressings in
plastic closing dorsum of the hand
Krasnodar Region Hospital, Russia
S.B. Bogdanov, R.G. Babichev, Y.P. Savchenko
Krasnodar 2014г.

2. Improve outcomes in patients with
burns dorsum of the hand using free
skin plastic and advanced wound
dressings.
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3. • In 130 patients with dermal burns dorsum of
the hand applied method of early surgical
treatment using wound coverings on lipid-
kolloydnoy technology, technology gidrofayber
with metallic silver ions on the phalanges of
the fingers and primary autoplasty
unperforated autografts on the dorsum of the
hand.

4. • Patients at 2-7 days after injury operations: debridement on
the phalanges of the fingers and necrectomy on the dorsum
of the hand, aimed at removing dead dermal layers of the
skin. The age of patients ranged from 1 year to 65 years. Plot
operations to 9 %. Necrectomy produced dermatome
tangential movement, dermabrasion - brushes and spoon
"Volkmann". After treatment, burn surfaces used lipid-
kolloydnye dressings with silver -based technology and
gidrofayber ions to metallic silver on the phalanges to prevent
the opening of the joint capsules and loose skin on the back
surface of the plastic brush. Choice of dressings depends on
the nature of the wound , the amount of exudation,
localization burn. On the dorsum of the hand made ​​primary
autoplasty without perforation harness.

5. Reduced treatment time compared to conventional methods by 1.5 times, the number
of dressings decreased from 8-9 to 1-2, decreased pain during dressings thanks to
modern wound dressings, as well as cosmetic and functional results from primary
skingraft without perforation.

6. • Application of surgical approach using a
combination of modern wound dressings (the
region of the phalanges of the fingers), and
non-perforated plastic functional (dorsum of
the hand) has reduced hospital stay for 7-9
days compared to conventional treatments.

7. Спасибо за внимание!!!