EARLY SURGICAL TREATMENT OF DEEP BURNS IN ELDERLY PATIENTS
Keywords:
deep burns, autologous skin grafting, surgical necrectomy, autologous skin transplantAbstract
The article is dedicated to the results of surgical treatment of elderly and senile patients with deep burns. The available data indicates that the best results can be achieved with a single-stage autologous skin grafting to close all wounds in one step for limited deep burns. For extensive burns, the best results are achieved using delayed autologous skin grafting performed in 1-2 stages. It has been reported that the use of early surgical intervention methods for deep burns in elderly and senile patients significantly reduces the recovery time of skin integrity, the frequency of burn disease complications, and mortality.
References
Alekseyev A.A., Bobrovnikov A.E. Analiz rezultatov vnedreniya v klinicheskuyu praktiku innovatsionnix texnologiy lecheniya postradavshix s ojogami // Kombustiologiya. Elektronniy nauchno-prakticheskiy jurnal. 2019. № 63-64. (in Russ.)
Alekseev AA, Bobrovnikov AE, Malyutina NB, Filimonov KA. Analiz i osobennosti raboty ozhogovykh statsionarov v Rossii v 2022 godu. Materialy vserossiiskoi nauchno-prakticheskoi konferentsii «Ozhogi: diagnostika, lechenie, reabilitatsiya» - Kombustiologiya. 2021;69–70. Dostupno po: http://combustiolog.ru/journal/2-chasttezisy-vserossijskoj-nauchno-prakticheskoj-konferentsii-ozhogidiagnostika-lechenie-reabilitatsiya (in Russ.)
Atyasova M.L. Osobennosti lecheniya glubokix ojogov u pojilix //Aktualniye voprosi xirurgii, travmatologii i intensivnoy terapii: materiali region, nauch.- prakt. konf.- Saransk, 2011.- С. 149-151. (in Russ.)
Malaxov S. F. Osnovniye napravleniya ispolzovaniya sovremennix ranevix pokritiy v lechenii obshirnix glubokix ojogov //Voprosi nauki i obrazovaniya. – 2017. – №. 7 (8). – С. 83-85. (in Russ.)
Fayazov A. D., Ajiniyazov R. S. Osobennosti techeniya ojogovoy bolezni u lits pojilogo i starcheskogo vozrasta //Skoraya meditsinskaya pomosh. – 2020. – Т. 21. – №. 3. – С. 54-57. (in Russ.)
Xadjibayev A. M., Fayazov A. D., Sultanov B. K. Effektivnost ranney nekrektomii u bolnix pojilogo i starcheskogo vozrasta //Skoraya meditsinskaya pomosh. – 2006. – Т. 7. – №. 3. – С. 162-163. (in Russ.)
Thompson A., Gida S., Nassif Y., Hope C., Brooks A. The impact of frailty on trauma outcomes using the Clinical Frailty Scale // Eur J Trauma Emerg Surg. (2021), P. 1-6
Farinas A.F., Bamba R., Pollins A.C., Cardwell N.L., Nanney L.B., Thayer W.P. Burn wounds in the young versus the aged patient display differential immunological responses // Burns., 44 (6) (2018), P. 1475-1481
Tian J., Cheng L.H, Cui X, Lei X.X, Tang J.B, Cheng B. Application of standardized platelet-rich plasma in elderly patients with complex wounds. Wound Repair Regen. 2019;27:3: 268–276
Maxwell D., Rhee P., Drake M., Hodge J., Ingram W., Williams R. Development of the Burn Frailty Index: A prognostication index for elderly patients sustaining burn injuries// Am J Surg., 218 (2019), pp. 87-94,
Romanowski K. , Curtis E. , Barsun A., Palmieri T., Greenhalgh D. , Sen S. The frailty tipping point: determining which patients are targets for intervention in a burn population// Burns., 45 (2019), pp. 1051-1056
S. Church, E. Rogers, K. Rockwood, O. Theou. A scoping review of the Clinical Frailty Scale// BMC Geriatrics., 20 (2020), p. 393