Comprehensive treatment of limb injures in victims of road and industrial accidents using vacuum and oxygenobarotherapy

Relevance. Unfortunately, the number of victims in emergency situations, road and industrial accidents in Russia remains quite high. The number of serious injuries of the limbs with soft tissue damage increases, including those with skin and subcutaneous tissue detachment. Intention. Assessment of the effectiveness of comprehensive treatment of extensive wounds of limbs in victims of road and industrial accidents using the vacuum and oxygen therapy in addition to conventional treatment. Methods. In the Department of Traumatology and Orthopedics of the A.M. Nikiforov Russian Center for Emergency and Radiation Medicine. EMERCOM of Russia (St. Petersburg), the methods generally accepted in traumatological hospitals were used (group 3, n = 22), with additional negative pressure wound therapy (NPWT) (group 1, n = 22) and NPWT with oxygen barotherapy (OBT) (2nd group, n = 47). The groups were randomized by gender, age, severity of injuries, general health. Indices of disorders severity and recovery were assessed using the scale of clinical and laboratory parameters. Results and Discussion. The results of the monitoring revealed a significant improvement in the estimated indices in all patient groups, however, their better recovery was in the 1st and, especially, in the 2nd group. Compared with the third group of patients, their wounds also tended to demonstrate less suppuration, more frequent preservation of detached soft tissues and faster average recovery. Conclusion. The introduction of NPWT and, especially, NPWT in combination with OBT into the conventional treatment of extensive wounds of the extremities contributed to statistically significant changes in the compared clinical parameters and the restoration of limb functions.

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