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Khirurgii

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Year 2011 Vol. 19 No 4

GENERAL AND SPECIAL SURGERY

YU.S. NEBYLITSIN, S.A. SUSHKOV, I.V. SAMSONOVA, I.S. SHEVCHENKO

EFFICACY OF WOUND COVERINGS IN THE COMPLEX TREATMENT OF THE VENOUS GENESIS TROPHIC ULCERS

Objectives. To evaluate the efficacy of the modern wound coverings in the complex treatment of patients with trophic ulcers of venous etiology.
Methods. 55 patients (30 males, 25 females) with chronic venous insufficiency (CVI) were included into the investigation. According to the applied treatment they were divided into 2 groups. 30 patients to whom a standard treatment scheme was applied composed the 1st group. 25 patients in whom wound coverings were used composed the second group.
Results. Wound coverings application promoted the microbial contamination decrease in comparison with the parameters of the control group. Efficacy of wound coverings application was proved by cytology investigations, smear-fingerprint from the ulcerous surface. There was a significant reduction in the intensity of clinical manifestations. In evaluating the clinical efficacy of wound coverings by point scoring of symptoms.
Conclusions. The use of wound coverings promotes more rapid regression of clinical symptoms and closure of venous trophic ulcers in comparison with a standard treatment.

Keywords: wound coverings, chronic venous insufficiency, trophic ulcer
p. 63 – 70 of the original issue
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