Zavhorodnii S. M., Kotenko O. I.

EVALUATION OF THE EFFICIENCY OF COMBINED TREATMENT OF ISOLATED GUNSHOT INJURIES OF SOFT TISSUES

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About the author:

Zavhorodnii S. M., Kotenko O. I.

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CLINICAL AND EXPERIMENTAL MEDICINE

Type of article:

Scientific article

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An analysis of 120 patients with gunshot shrapnel blind wounds of soft tissues was carried out. Patients were divided into two groups depending on the timing of suturing. The treatment methods of the main group were modified by combining suturing with the introduction of platelet-rich autoplasma into the wound. The results showed that the incidence of postoperative complications in patients of the main group was significantly reduced (subgroup C), wound suppuration was detected in 2 (3.33%) patients (U=120.00, p=0.000001). And in subgroup D, seroma formation was detected in one patient (1.67%) (U=220.00, p=0.0385), while in the comparison group 24 (40.00%) patients were diagnosed. The duration of inpatient treatment of the wounded in the comparison group (subgroup A) was 21±2.3 days, while in the main group (subgroup C) this indicator was 16±3.1 days (U=290.00, p=0.0354). In the comparison group (subgroup B), the duration of inpatient treatment was 27±3.5 days, while in the main group (subgroup D) it was 22±2.1 days. The modification method of treatment of gunshot shrapnel blind wounds of soft tissues significantly reduced the number of postoperative complications and accelerated the duration of inpatient treatment, which indicates the antibacterial, fungicidal and regenerative capabilities of platelet-rich autoplasma.

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Publication of the article:

«Bulletin of problems biology and medicine», 2024 Issue 2, 173, 218-230 pages, index UDC 616-001.45-089-036.8

DOI:

10.29254/2077-4214-2024-2-173-218-230