Prevention of Hypertrophic Scars in Patients With Puropental-Inflammatory Diseases of Soft Tissue
https://doi.org/10.17238/2072-3180-2024-1-78-84
Abstract
Introduction. The formation of pathological scar tissue and contractures in patients operated on for phlegmon of the upper limb often leads to a significant decrease in the quality of life, and sometimes a change in work activity. Finding a solution to this problem is urgent. Purpose of work: to improve the quality of surgical treatment of patients with phlegmon of the upper limb by optimizing treatment tactics to prevent pathological formation of scar tissue.
Materials and methods of research. To carry out complex treatment aimed at preventing pathological scar formation in patients with phlegmon of the upper limb (shoulder and forearm), an individual algorithm was developed, depending on the type of acetylation to determine treatment tactics. The study involved 134 patients with deep intermuscular phlegmon of the shoulder and forearm, divided into two groups: the first group included 62 patients, who were treated using known technologies. In group II (72 patients), a developed method for the prevention of hypertrophic scars was used, which significantly improved the results of complex treatment and improved the quality of life.
Conclusion. During the study, it was found that the use of an original method of preventing pathological scar formation in the treatment process is pathogenetically justified. It has proven its effectiveness clinicall, good treatment results were obtained in 94,4 %.
About the Authors
Yu. V. Krasenkov
Department of Operative Surgery, Clinical Anatomy and Pathological Anatomy, Rostov State Medical University, Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Krasenkov Yury Viktorovich – Candidate of Medical Sciences, Associate Professor of the Department of Operative Surgery, Clinical Anatomy and Pathological Anatomy
344010, trans. Nakhichevansky, 29, Rostov-on-Don
V. K. Tatyanchenko
Department of Operative Surgery, Clinical Anatomy and Pathological Anatomy, Rostov State Medical University, Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Tatyanchenko Vladimir Konstantinovich – Doctor of Medical Sciences, Professor, Honored Inventor of the Russian Federation, Honored Doctor of the Russian Federation, Head of the Department of Operative Surgery, Clinical Anatomy and Pathological Anatomy
344010, trans. Nakhichevansky, 29, Rostov-on-Don
N. A. Manulik
Department of Operative Surgery, Clinical Anatomy and Pathological Anatomy, Rostov State Medical University, Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Manulik Natalya Andreevna – laboratory assistant at the Department of Operative Surgery, Clinical Anatomy and Pathological Anatomy
344010, trans. Nakhichevansky, 29, Rostov-on-Don
A. V. Edilov
Department of Operative Surgery, Clinical Anatomy and Pathological Anatomy, Rostov State Medical University, Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Edilov Aslanbek Visaitovich – Candidate of Medical Sciences, assistant at the Department of Operative Surgery, Clinical Anatomy and Pathological Anatomy
344010, trans. Nakhichevansky, 29, Rostov-on-Don
A. V. Davydenko
Department of Operative Surgery, Clinical Anatomy and Pathological Anatomy, Rostov State Medical University, Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Davydenko Andrey Viktorovich – Candidate of Medical Sciences, Assistant of the Department of Operative Surgery, Clinical Anatomy and Pathological Anatomy
344010, trans. Nakhichevansky, 29, Rostov-on-Don
V. L. Bogdanov
Department of Operative Surgery, Clinical Anatomy and Pathological Anatomy, Rostov State Medical University, Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Bogdanov Valery Leonidovich – Candidate of Medical Sciences, Associate Professor, Associate Professor of the Department of Operative Surgery, Clinical Anatomy and Pathological Anatomy
344010, trans. Nakhichevansky, 29, Rostov-on-Don
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Review
For citations:
Krasenkov Yu.V., Tatyanchenko V.K., Manulik N.A., Edilov A.V., Davydenko A.V., Bogdanov V.L. Prevention of Hypertrophic Scars in Patients With Puropental-Inflammatory Diseases of Soft Tissue. Moscow Surgical Journal. 2024;(1):78-84. (In Russ.) https://doi.org/10.17238/2072-3180-2024-1-78-84
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