Authors
Vladimirova O.V.1, Korablina S.S.1, Minaev S.V.1, Vergasov M.M.3, Terekhin A.V.4, Vladimirov V.I.5, Gobedzhishvili V.K.1, Karaeva A.A.6
1 Stavropol State Medical University, Stavropol
2 I. M. Sechenov First Moscow State Medical University, Moscow
3 Stavropol Regional clinical hospital, Stavropol
4 Regional clinical hospital 2, Tyumen
5 Pyatigorsk State University, Pyatigorsk
6 Astrakhan State Medical University, Astrakhan
Abstract
Rationale: Wounds that do not progress through normal phases and remain in an unregulated inflammatory state are reclassified from acute to chronic. One of the serious consequences of complicated wound healing is the development of gross pathological scars, which sharply impair the quality of patients life, reduce mobility, and worsen treatment results. Such patients require long-term observation and anti-scar therapy for the entire period of healing and scar formation.
Goal: Improving the results of treatment of extensive granulating wounds in patients through the use of a set of intraoperative and postoperative measures to stimulate healing and prevent wound healing disorders, followed by dynamic monitoring using computer, including remote technologies.
Materials and methods: Subject of the study: 98 patients aged 30 to 65 years of both sexes. The study group included 50 patients who underwent necrectomy with autodermoplasty and complex intra- and postoperative stimulation of healing. The second group (control) consisted of 48 patients who underwent traditional surgical intervention to a standard extent. The effectiveness analysis was carried out using anauthor’s PC program. Outpatient observation with remote monitoring enabled in the «Scar Diary» application.
Results: In the study group, intensive dynamics of subsidence of signs of inflammation was noted, the median of which was 4 days, while in the control group the median was 7 days. The median reduction of the inflammatory process was 5.0 and 10, and epithelization in the groups was 7.0 and 10.0 days, respectively.
Conclusion: Carrying out intraoperative complex treatment of wounds and postoperative use of cold plasma flow can reduce the incidence of complications, reduce wound healing time, shorten the length of hospital treatment and the recovery period. The use of remote and modern computer technologies is certainly effective and convenient for assessing the dynamics of healing and improving the quality of patient management in the postoperative and recovery period.
Keywords: computer technology, remote monitoring, wound treatment, stimulation of healing, autoplasma, cold plasma flow, autodermoplasty of wounds.
References
1. Alekseev AA. Modern biotechnological methods in the complex treatment of thermal injuries. High-techmedicine. 2019; 6(3): 22-33. (In Russ.)
2. Zharova AA, Sharifullina ER. Modern aspects of wound treatment. ModernScience. 2022; 5(2): 83-87. (In Russ.)
3. Wilkinson HN. Wound healing: Cellular mechanisms and pathological outcomes. Open Biol. 2020; 10: 200-223.
4. Jarbrink K, Divakar U, Schmidtchen A, et al. The humanistic and economic burden of chronic wounds: A systematic review Syst. Rev. 2018; 6(1): 15. doi: 10.1186/s13643-016-0400-8.
5. Vladimirova OV, Minaev SV, Zybinsky IA. ScarDiary. Certificate of state registration of a computer program №2019666850 dated December 16. 2019. (In Russ.)
6. Bochkova TV. Application of autoplasma enriched with platelets in various fields of medicine. Medical Bulletin of Bashkortostan. 2019; 14(5): 61-67. (In Russ.)
7. Vladimirova OV, Grigorova AN, Gobedzhishvili VV, Minaev SV, Vladimirov VI, Burkovskaya OG. A method of autodermoplasty using a split skin flap to restore skin from burns. RF patent for invention №2753136 dated 08.11.2021. (In Russ.)
