Collagen bandage in the treatment of long-term non-healing wounds in patients with diseases of the anorectal region
https://doi.org/10.17238/2072-3180-2023-4-38-43
Abstract
Introduction. To evaluate the effectiveness of the use of collagen bandage in the complex treatment of long-term non-healing skin wounds in patients after proctological operations.
Materials and methods. The study included 34 patients after minor proctological operations with uncomplicated wound defects of the perianal, coccygeal, gluteal and perineal regions. All patients received complex treatment with the use of collagen bandage, provided that there was a wound defect with an area of more than 2 cm2 and a depth of more than 3 mm with a history of more than 1.5 months after the operation with no signs of active healing.
Results. Complex therapy of long-term non-healing postoperative wounds with the use of collagen bandage allows to achieve complete epithelization of chronic wounds in more than 75% of cases within 2 months. The use of collagen bandage did not reveal any cases of intolerance or complications in our study. In our study, we found no contraindications to their use, with the exception of complicated wounds. They have simplicity and ease of use according to patients and doctors.
Conclusion. Complex therapy of long-term non-healing wounds with collagen bandage is characterized by high efficiency and safety. Collagen bandage have no restrictions on use. They are convenient to use, including at home.
About the Authors
M. Yu. Cherepenin
Elena Malysheva Medical Center
Russian Federation
Russian Federation
Cherepenin Mikhail Yuryevich – Candidate of Medical Sciences, Head of the Laser Surgery Center
105082, Perevedenovsky l., 8, Moscow
I. V. Lutkov
Elena Malysheva Medical Center
Russian Federation
Russian Federation
Lutkov Ivan Viktorovich – Candidate of Medical Sciences, Head of Laser Proctology at Best Clinic
105082 Spartakovsky l., 2. s. 7, Moscow
V. A. Gorsky
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Gorsky Viktor Aleksandrovich – Doctor of Medical Sciences, Professor of the Department of Experimental and Clinical Surgery of the Faculty of Medicine and Biology of the Federal State Autonomous Educational Institution of Higher Education
Ostrovityanova str., 1. s. 7, Moscow
References
1. Shomita Mathew-Steiner, Sashwati Roy, Chandan K Sen. Collagen in Wound Healing. Bioengineering, 2021, № 8(5), рр. 63. https://doi.org/10.3390/bioengineering8050063
2. Novikova I.S. Storublevtsev S.A. The use of collagen for medical purposes. Successes of modern natural science, 2012, № 6, рр. 136–136. (In Russ.)
3. Engebretson S. Wound Healing. In book: Practical Techniques in Periodontics and Implant Dentistry, 2022, pp.14–17. https://doi.org/10.1002/9781119793588.ch2
4. Glukhov A.A., Aralova M.V. Pathophysiology of long-term nonhealing wounds and modern methods of wound stimulation. Surgery News, 2015, v. 23, № 6, рр. 673–679. (In Russ.)
5. Rangaraj A., Harding K., Leaper D. Role of collagen in wound management Biology, Medicine, 2011.
6. Pallaske F., Pallaske A., Kurt Herklotz, Joachim Boese-Landgraf. The significance of collagen dressings in wound management: A review. Journal of Wound Care, 2018, № 27(10), рр. 692–702. https://doi.org/10.12968/jowc.2018.27.10.692
7. Brett David W. A Review of Collagen and Collagen-based Wound Dressings. Wounds: a Compendium of Clinical Research and Practice, 2015, № 20(12), рр. 347–356.
8. Anne C. B., Richard Simman. Modern Collagen Wound Dressings: Function and Purpose. The Journal of the American College of Certified Wound Specialists, 2010, № 2(3), рр. 50–54. https://doi.org/10.1016/j.jcws.2010.12.003
9. Tabuika A.V., Shchitova E.N., Trufanova M.V. The first experience of using Russian collagen coatings. Wounds and wound infections. Journal named after prof. B.M. Kostyuchenka, 2022, № 9(2), рр. 18–24. https://doi.org/10.25199/2408-9613-2022-9-2-18-24 (in Russ.)
10. Tronci G. The application of collagen in advanced wound dressings. In book: Advanced Textiles for Wound Care, 2019, pp. 363–389. https://doi.org/10.1016/B978-0-08-102192-7.00013-8
11. Liberek I., Podyplomowego K., Galus R., Owczarek W., Włodarsk K.. Collagen based dressings in the treatment of wound healing. Polski Merkuriusz Lekarski, 2013, № 35(205), рр. 51–54.
12. Saravanan R., S. Ram Prakash. Study of collagen dressing and conventional dressing in the treatment of diabetic foot ulcer. International Surgery Journal, 2022, № 9(6), рр. 1159. https://doi.org/10.18203/2349-2902.isj20221404
13. Melnik S.I., Torikashvili V.D., Yakuta K.D., Lebedeva S.A. Wound dressings and soft dosage forms based on collagen for the treatment of wounds of various etiologies. Pharmaceutical business and drug technology, 2020, № 6. https://doi.org/10.10.33920/med-13-2006-01 (in Russ.)
Review
For citations:
Cherepenin M.Yu., Lutkov I.V., Gorsky V.A. Collagen bandage in the treatment of long-term non-healing wounds in patients with diseases of the anorectal region. Moscow Surgical Journal. 2023;(4):38-43. (In Russ.) https://doi.org/10.17238/2072-3180-2023-4-38-43
Views:
360
Email this article 