Possibilities of using innovative technologies for treating a victim with thermal injury (case report)
- Authors: Bogdanov S.B.1,2, Karakulev A.V.1,2, Polyakov A.V.1,2, Gilevich I.V.1,2, Petrov A.A.1, Ivaschenko Y.V.1, Karakuleva A.M.3, Filipchenko N.A.1, Titarenko E.A.1
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Affiliations:
- Scientific Research Institution — S.V. Ochapovsky Regional Clinical Hospital No. 1
- Kuban State Medical University
- City Polyclinic Number 12 of the City of Krasnodar
- Issue: Vol 10, No 1 (2022)
- Pages: 71-78
- Section: Clinical cases
- URL: https://journals.eco-vector.com/turner/article/view/70478
- DOI: https://doi.org/10.17816/PTORS70478
- ID: 70478
Cite item
Abstract
BACKGROUND: Victims with severe burn injuries require specialized and high-tech care. The treatment results of such patients, as a rule, depend on the timing of the transfer and the volume of surgical treatment aimed at removing necrotic tissues and restoring the skin in conditions of a shortage of donor resources. In this regard, the development and implementation into clinical practice of innovative techniques for the temporary closure of burn wounds with synthetic coatings and the creation of optimal conditions in the wound for engraftment of skin grafts with a high perforation index.
СLINICAL CASE: This paper demonstrates a clinical case of successfully treating a child with a critical area of deep burn injury by flame (“carriage trauma”) using early surgical treatment, innovative wound dressings, and cellular technologies.
DISCUSSION: We consider the transfer to a specialized department of a multidisciplinary hospital essential in successfully treating a patient with a large burn area. Under burn center conditions, surgical treatment was performed to remove the necrotic tissues in the largest part of the deep lesion before inflammatory reactions developed. Subsequently, active surgical techniques were used to prepare the wounds for delayed plastic closure. The use of wound dressings and the introduction of cell technologies into clinical practice ensured successful patient treatment due to the early adaptation of skin autografts and risk minimization of their regression, and acceleration of epithelialization in the cells.
CONCLUSIONS: The early transfer of a severely burned child to a specialized burn center, active surgical techniques, the use of innovative wound dressings and cellular technologies in the treatment of a patient with a critical area of deep burn lesions made it possible to save a life, successfully restore damaged skin, and create optimal conditions for starting early rehabilitation measures.
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About the authors
Sergey B. Bogdanov
Scientific Research Institution — S.V. Ochapovsky Regional Clinical Hospital No. 1; Kuban State Medical University
Author for correspondence.
Email: bogdanovsb@mail.ru
ORCID iD: 0000-0001-9573-4776
SPIN-code: 2465-5462
Scopus Author ID: 57202018252
MD, PhD, Dr. Sci. (Med.)
Russian Federation, Krasnodar; KrasnodarAnton V. Karakulev
Scientific Research Institution — S.V. Ochapovsky Regional Clinical Hospital No. 1; Kuban State Medical University
Email: karakulev797@gmail.com
ORCID iD: 0000-0002-5477-5755
SPIN-code: 9687-7717
MD, PhD student
Russian Federation, Krasnodar; KrasnodarAndrey V. Polyakov
Scientific Research Institution — S.V. Ochapovsky Regional Clinical Hospital No. 1; Kuban State Medical University
Email: 350000@mail.ru
ORCID iD: 0000-0003-1065-1352
SPIN-code: 5317-8105
MD, PhD, Cand. Sci. (Med.), Associate Professor
Russian Federation, Krasnodar; KrasnodarIrina V. Gilevich
Scientific Research Institution — S.V. Ochapovsky Regional Clinical Hospital No. 1; Kuban State Medical University
Email: giliv@mail.ru
ORCID iD: 0000-0002-9766-1811
SPIN-code: 3911-1488
Scopus Author ID: 55614951400
MD, PhD, Cand. Sci. (Med.)
Russian Federation, Krasnodar; KrasnodarAnatoly A. Petrov
Scientific Research Institution — S.V. Ochapovsky Regional Clinical Hospital No. 1
Email: napetrovaa@gmail.com
ORCID iD: 0000-0002-1234-3399
MD, Surgeon
Russian Federation, KrasnodarYuriy V. Ivaschenko
Scientific Research Institution — S.V. Ochapovsky Regional Clinical Hospital No. 1
Email: yvi85@bk.ru
ORCID iD: 0000-0001-8242-2626
MD, Orthopedic and trauma surgeon
Russian Federation, KrasnodarAlesya M. Karakuleva
City Polyclinic Number 12 of the City of Krasnodar
Email: nazarenkova93@mail.ru
ORCID iD: 0000-0002-2258-206X
MD, Pediatrician
Russian Federation, KrasnodarNatalia A. Filipchenko
Scientific Research Institution — S.V. Ochapovsky Regional Clinical Hospital No. 1
Email: ozhogovycentr@mail.ru
ORCID iD: 0000-0002-0272-4606
MD, Pediatrician
Russian Federation, KrasnodarElena A. Titarenko
Scientific Research Institution — S.V. Ochapovsky Regional Clinical Hospital No. 1
Email: evenasoroka77@gmail.com
ORCID iD: 0000-0003-1425-1698
MD, Pediatrician
Russian Federation, KrasnodarReferences
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