METHOD OF TREATMENT OF TRAUMATIC SKIN UNDERMINING

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely, surgery and traumatology, and can be used in the treatment of traumatic skin undermining. To do this, wipe wound by washing it, under general anesthesia, by soap solution, dry it subsequently and wash with a solution of antiseptics. Then perform the protection of exfoliated skin by mesh materials without cutting off the peeled skin and removing subcutaneous tissue with the formation of contraperature incisions in the most remote pockets of the wound. In addition, if necessary, install an external fixation rod device. In the presence of open bone injuries, bring the cement beads with an antibiotic to the bone defects. When closing the pockets, perform the elastic dermatotension of the wound edges. Thereafter, apply a vacuum drainage system to the peeled skin by installing at least one port of the vacuum drainage system in the area of skin damage. In this case, put the first layer of spongy material which penetrates between the fascia and the skin, install the aspiration tube of the vacuum drainage system on said first layer and put a second layer of sponge coating on top of the layer lapping the peeled skin. Vacuuming is carried out in a constant mode up to a pressure of 100–120 mm Hg.;EFFECT: method provides an effective treatment of these lesions while maintaining the cosmetic and functional properties of the skin, reducing the amount of necrotic skin, reducing the recovery time by using the full skin of the patient.;7 cl, 10 dwg