Early surgical treatment using lipid-kolloid technology dressings containing silver ions and primary autografts without perforation on the back of the hand was performed on 157 burn patients aged 5 months to 59 years with dermal burns of the limbs. Necrotic tissue was removed through dermabrasion and necrectomy 2-7 days after injury. Wound surfaces were then covered with silver-containing lipid-kolloid or hydrofiber dressings depending on exudation and location. This approach reduced hospitalization time by 2.1 times compared to traditional methods and decreased pain during dressing changes and number of dressings needed from 6-9 to 1-2.

1. Aim: Improve the treatment of patients with dermal
burns limbsafterearlynecrectomy.
Materials and methods: In 157 patients with dermal
burns limbs used the technique of early surgical treat-
ment using wound coverings on lipid-kolloyd technol-
ogy ( Urgotul Ag) technology gidrofayber (Aquasel)
and with ions of silver (Atrauman Ag) and primary
autoplasty imperforate autografts on the back of the
hand
Patients at 2-7 days after trauma sur-
gery performed: dermabrasion and
necrectomytoremovenov-viableder-
mal layers of skin. Age of patients
ranged from 5 months to 59 years.The
area of ​​operation to 7%. Necrectomy
produced dermatomes with tangential
motion, dermabrasion - brushes and a
spoon, "Volkmann". After the treat-
ment of burn surfaces were used lipid-
kolloyd dressing with silver, on the
basis of technology gidrofayber and
with ions of silver.The choice of dress-
ing depends on the nature of the
wounds of eksudation, localization of
a burn. On the back of the hand pro-
duces primary autoplasty without per-
forationharness.
Results: Reduce treatment time com-
pared with traditional methods is 2.1
times, the number of dressings
decreased from 6-9 to 1-2, decreased
pain during dressings, plastic without
perforations improve the cosmetic and
functional results of the back of the
hand.
Conclu sions: The use of surgical approach using a sil-
ver-containing wound coverings in non-functional areas
and plastics without perforation and in functional areas
(back of the hand, the area of the joints) has reduced the
time spent in hospital for 7-9 days as compared to con-
ventional treatments. The chosen tactic reduces the risk
of nosocomial infection and there is greater comfort for
patients.
Experience of using wound coverings
for early surgical treatment of patients
with dermal burns of the limbs
Sergey Bogdanov,
Stanislav Pyatakov,
Olga Afaunova
Krasnodar city, Russia
Roman Babichev,
3 days after the burn with boiling water Debridement performed to the lower
layers of the dermis
Bandage Aquasel After 10 days of primary dressings
are removed. Complete epithelialization
Flame burn. 4 day. A tourniquet made ​​debridement,
skeletal suspension.
Primary autoplasty without perforation
on back of the hand, with a
perforation in the shoulder, forearm
On the forearm bandage URGO Ag,
elbow wet-drying, shoulder URGO
5 days Вandages are removed,
the best epithelialization of cells
and engraftment under URGO Ag
Flame burn thigh Day 3
Debridement and dermabrasion
Dressings Branolind H and Atrauman
Start epithelialization after 5 days
8 days
Bandage URGO Ag Flame burn, Day 2
7 days epithelialization.
Dressings do not stick to the wound
2 weeks