Use of the local negative pressure method at the reconstructive-plastic stage of management of extensive purulent-necrotic wounds
https://doi.org/10.17238/2072-3180-2025-2-184-191
Abstract
Introduction. Extensive purulent-necrotic wounds remain an urgent problem of modern medicine, despite advances in surgery and therapy. They can occur due to complications of diabetes mellitus, surgical interventions, limb ischemia or infectious processes such as necrotizing fasciitis. The main difficulties in the treatment of these wounds are abundant plasma loss, slow growth of granulation, lack of plastic material for closing defects and a high risk of secondary complications.
The purpose of the study. Analysis of the effectiveness of the local negative pressure (LNP) method at the reconstructive-plastic stage of treating extensive purulent-necrotic wounds in combination with other plastic methods.
Materials and methods of research. The article summarizes the data of clinical observations, meta-analyses and studies considering options for using local negative pressure in combination with different types of autodermoplasty.
Conclusion. The local negative pressure method has proven itself as an effective means of stimulating wound healing, improving conditions for plastic surgeries and reducing the risk of complications. LNP promotes the growth of granulation tissue, revascularization of grafts and a decrease in bacterial load. However, its use requires consideration of wound characteristics, possible limitations and complications, as well as further research to optimize therapy parameters.
About the Authors
V. A. Kislyakov
GBUZ GKB named after A.K. Yeramishantsev DZM;
RUDN University named after Patrice Lumumba
Russian Federation
Russian Federation
Kislyakov Valery Aleksandrovich – Doctor of Medical Sciences, Professor of the Department of Hospital Surgery with the course of Pediatric Surgery of the Medical Institute; Head of the Department of Purulent Surgery
117198, Miklukho-Maklaj str., 6, Moscow;
129327, st. Lenskaya 15, Moscow
E. M. Gorshunova
GBUZ GKB named after A.K. Yeramishantsev DZM
Russian Federation
Russian Federation
Gorshunova Elena Mikhailovna – surgeon of the State Budgetary Healthcare Institution
129327, st. Lenskaya 15, Moscow
M.K.M. Al-Ariki
RUDN University named after Patrice Lumumba
Russian Federation
Russian Federation
Al-Ariki Malik Kiaed Mohammed – Candidate of Medical Sciences, assistant at the Department of Hospital Surgery with the course of Pediatric Surgery of the Medical Institute
117198, Miklukho-Maklaj str., 6, Moscow
L. K. Misharina
GBUZ GKB named after A.K. Yeramishantsev DZM
Russian Federation
Russian Federation
Misharina Liya Konstantinovna – surgeon of the State Budgetary Healthcare Institution
129327, st. Lenskaya 15, Moscow
A.A.L. Mohareb
RUDN University named after Patrice Lumumba
Russian Federation
Russian Federation
Mohareb Abanoub Antone Lamey – PhD student at the Department of Hospital Surgery with the course of Pediatric Surgery of the Medical Institute
117198, Miklukho-Maklaj str., 6, Moscow
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Review
For citations:
Kislyakov V.A., Gorshunova E.M., Al-Ariki M., Misharina L.K., Mohareb A. Use of the local negative pressure method at the reconstructive-plastic stage of management of extensive purulent-necrotic wounds. Moscow Surgical Journal. 2025;(2):184-191. (In Russ.) https://doi.org/10.17238/2072-3180-2025-2-184-191
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