Current aspects of medical care for children with extensive soft tissue injuries (Description of three clinical observations with an analysis of mistakes)
- Authors: Bogdanov S.B.1,2, Blazhenko A.N.1,2, Kurinniy S.N.1,2, Mukhanov M.L.2, Boyko A.A.2, Karakulev A.V.1,2, Aladina V.A.1,2
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Affiliations:
- Scientific Research Institution — Regional Clinical Hospital No. 1 named by professor S.V. Ochapovsky
- Kuban State Medical University
- Issue: Vol 9, No 1 (2021)
- Pages: 107-114
- Section: Clinical cases
- Submitted: 22.10.2020
- Accepted: 04.02.2021
- Published: 15.03.2021
- URL: https://journals.eco-vector.com/turner/article/view/48471
- DOI: https://doi.org/10.17816/PTORS48471
- ID: 48471
Cite item
Abstract
BACKGROUND: Injury is an epidemic of the 21st century. It is associated with the increasing high-speed transportation, natural and man-made emergencies, and local wars. All this leads to the appearance of patients with complex, multiple, and not rarely combined injuries. Traumatic skin detachment is the result of high-energy trauma. The treatment of this patient group presents certain difficulties due to the provisional peculiarities of medical care because of the severity of these patients’ condition of such patients and the underlying muscle tissue destruction.
CLINICAL CASES: This paper presents several clinical examples of successfully treated patients with traumatic skin detachments as a part of polytrauma. The timely correction of the improper treatment procedures enabled avoiding unfavorable results.
DISCUSSION: Treatment of victims with traumatic skin detachment who are in a relatively stable state and the absence of destruction of the underlying muscle tissues should be performed using traditional full layer free skin grafting, according to Krasovitov. In contrast, the treatment of victims with traumatic full-thickness skin detachment in an unstable (decompensated) state and the destruction of the underlying muscle tissues, it is necessary to perform it using the technology of staged full layer free skin grafting with the possible use of a biological coating based on chitosan.
CONCLUSION: The presented clinical examples reflect the importance of developing a unified method of treating injuries at all stages of organizing medical assistance to the victim.
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About the authors
Sergei B. Bogdanov
Scientific Research Institution — Regional Clinical Hospital No. 1 named by professor S.V. Ochapovsky; Kuban State Medical University
Author for correspondence.
Email: bogdanovsb@mail.ru
ORCID iD: 0000-0001-9573-4776
SPIN-code: 2465-5462
MD, PhD, D.Sc.
Russian Federation, 167 1st May str., Krasnodar, 350086; KrasnodarAleksandr N. Blazhenko
Scientific Research Institution — Regional Clinical Hospital No. 1 named by professor S.V. Ochapovsky; Kuban State Medical University
Email: vertebr58@mail.ru
ORCID iD: 0000-0002-9957-1422
SPIN-code: 5819-1988
MD, PhD, D.Sc., Associate Professor
Russian Federation, 167 1st May str., Krasnodar, 350086; KrasnodarSergei N. Kurinniy
Scientific Research Institution — Regional Clinical Hospital No. 1 named by professor S.V. Ochapovsky; Kuban State Medical University
Email: way_doc@mail.ru
ORCID iD: 0000-0002-8780-5308
PhD student
Russian Federation, 167 1st May str., Krasnodar, 350086; KrasnodarMikhail L. Mukhanov
Kuban State Medical University
Email: pputinn@yandex.ru
ORCID iD: 0000-0002-9061-6014
SPIN-code: 3684-9725
MD, PhD, Associate Professor
Russian Federation, KrasnodarAndrey A. Boyko
Kuban State Medical University
Email: andreyboyko2511@yandex.ru
ORCID iD: 0000-0003-0796-4526
SPIN-code: 6932-9491
MD, clinical resident
Russian Federation, KrasnodarAnton V. Karakulev
Scientific Research Institution — Regional Clinical Hospital No. 1 named by professor S.V. Ochapovsky; Kuban State Medical University
Email: karakulev797@gmail.com
ORCID iD: 0000-0002-5477-5755
SPIN-code: 9687-7717
MD, PhD student
Russian Federation, 167 1st May str., Krasnodar, 350086; KrasnodarValeriya A. Aladina
Scientific Research Institution — Regional Clinical Hospital No. 1 named by professor S.V. Ochapovsky; Kuban State Medical University
Email: lerka309@mail.ru
ORCID iD: 0000-0002-4580-6839
SPIN-code: 5218-7831
MD
Russian Federation, 167 1st May str., Krasnodar, 350086; KrasnodarReferences
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