Methodological aspects of measuring healing area
Science Articles / / August 12, 2017
Krivoshchekov EP, Boklin AA Kotikov MV, AV Petinov
Samara State Medical University clinical medical unit number 3, Samara
Area measurementthe wound is relevant for the assessment of wound healing process and its prediction.The term refers to the area of the wound is often only skin defect area.However, it is extremely important to know the true area of the wound given streaks, pockets, slots interstices.
Proportion of patients with extensive suppurative disease is up to 15% of a contingent of purulent surgery department.The prevalence of inflammatory process requires broad, extended cuts at the opening of abscesses, secondary surgical treatment of wounds.
formed further extensive granulating wounds themselves are the problem further surgical treatment, often require plastic closure.The area of wound defect after such interventions is large, it takes a few anatomical limb segments.Therefore, the development of the complex of therapeutic measures, both surgical and conservative is also an u
To assess current processes and forecast data necessary to determine the wound area.In our view it is advisable to allocate the true wound area, with all the streaks, "pockets", cracks and interstices projection ( "skin"), the wound area.The ideal treatment is a simultaneous reduction of the true and the projection area of the wound.For this purpose, there are surgical methods of reducing the true wound area: secondary debridement, removal of all streaks "pockets", the imposition of counteropening, align the bottom of the wound, surgical approach of the shape of its surface to the surface of the hemisphere.
We carried out a study of the true wound area using a thin plastic film, tightly laid in a cavity formed after opening the abscess.The projection area was determined by a "Device for determining the area of the wound" (patent number 35209 dated 22.07.2003)
revealed that extensive wounds of the lower extremities ratio of truth to the projection area of the wound is 3: 1.Radical surgical treatment of secondary, "leveling" the bottom of the wound, as well as the imposition of counteropening allows you to change this ratio to decrease the true wound area by 20-25%.
method that allows to reduce the projection area of the wound (skin wound area) is dermotension methods, skin plasty, secondary joints.
In assessing the effectiveness of local and general treatment of wounds is advisable to use both of these values and their relationship as a universal test control effectiveness of healing.It is also advisable to use all these methods, optimizing the wound process, thereby avoiding prolonged existence of healing of extensive wounds, their chronicity.