Novosti
Khirurgii
This journal is
indexed in Scopus







Year 2015 Vol. 23 No 5

REVIEWS

DOI: http://dx.doi.org/10.18484/2305-0047.2015.5.552   |  

I.S. VINNIK1, N.M. MARKELOVA1, N.S. SOLOV'EVA1, E.I. SHISHATSKAIA3, M.N. KUZNETSOV2, A.P. ZUEV1

THE CURRENT DRESSINGS FOR WOUND CARE IN THE TREATMENT OF PURULENT WOUNDS

SBEE HPE "Krasnoyarsk State Medical University named by prof. V.F. Voyno-Yasenetsky1"
MSH "Road Clinical Hospital on the station Krasnoyarsk "JSC" Russian Railways"2,
FSEI HPE "Siberian Federal University",
Institute of Biophysics of Siberian Branch of the Russian Academy of Sciences, Krasnoyarsk3
The Russian Federation

Currently, the patients with purulent wounds account for about 40% of the patients of surgical profilt. Since the treatment of septic wounds under the bandage remains the main method, as it is the most convenient and economically beneficial, but not effective enough, the development of new advanced coatings possessing simultaneously by multiple properties, is considered to be relevant. In the process of wound healing a physician faces with many problems including the issue of the selection option of a wound dressing, as they differ significantly in their design and properties. A disadvantage of many wound dressings for wound care is the adherence to wound. This results in the regenerating tissue injury and the dressings become sore. Many of the positive properties of dressings reduced as a result of damage caused by daily dressings. In recent years the biocompatible materials for injuries and wounds contribute to more effective healing and regeneration. In this regard, the paper presents the main types of current wound dressings used in the treatment of purulent wounds, their properties, indications and methods of application.

Keywords: purulent wound, wound covering, wound dressing, biocompatible materials, treatment of wounds, wound process, healing and regeneration
p. 552-558 of the original issue
References
  1. Kuzin MI, Kostiuchenok BM, Kolker I. Obshchie printsipy lecheniia gnoinykh ran [General principles of treatment of purulent wounds]. Vestn AMN USSR.1983;(8):45-49.
  2. Falanga V. The chronic wound: Failure to heal. In: Falanga. Vincent, editor. Cutaneous wound healing. London: Martin Dunitz. Publishers; 2001. p 155-64.
  3. Schultz G, Mozingo D, Romanelli M, Claxton K. Wound healing and time; new concepts and scientific applications. Wound Repair and Regeneration. 2005;13(Suppl s4): S1S11. doi: 10.1111/j.1067-1927.2005.1304S1.x.
  4. Leaper D. Evidence-based wound care in the UK. Int Wound J. 2009 Apr;6(2):89-91. doi: 10.1111/j.1742-481X.2009.00581.x.
  5. Fedorov BD, Chizha IM./ red. Biologicheski aktivnye pereviazochnye sredstva v kompleksnom lechenii gnoino-nekroticheskikh ran [Biologically active dressings in treatment of necrotic wounds]. Moscow, RF: 2000. 36 p.
  6. Kostiuchenok BM, Karlov VA, Medetbekov IM. Aktivnoe khirurgicheskoe lechenie gnoinoi rany [Active surgical treatment of purulent wound]. Nukus: Karakalpakstan; 1981. 207 p.
  7. Lutsevich OE, Tamrazova OB, Shikunova AI, Pleshkov AS, Ismailov GO, Vorotilov IV, Tolstykh PI. Sovremennye vzgliady na patofiziologiiu i lechenie gnoinykh ran [Modern views on the pathophysiology and treatment of purulent wounds]. Khirurgiia. Zhurn im NI Pirogova 2011;(5):72-77.
  8. Minchenko AN. Rany. Lechenie i profilaktika oslozhnenii: uch posobie [Treatment and prevention of complications]. Saint-Petersburg, RF: SpetsLit; 2003. 207 p.
  9. Nechaev EA./red. Khirurgicheskaia infektsiia - klinika, diagnostika, lechenie [Surgical infection - clinical picture, diagnosis, treatment]. Ruk dlia voen vrachei. Moscow, RF. 1993. 296 p.
  10. Tumanov VP, German GS. Metodicheskoe rukovodstvo po lecheniiu ran [Methodological guidelines for the treatment of wounds]. Moscow, RF: Paul Khartmann; 2000. 123 p.
  11. Shablin DV, Pavlenko SG, Evglevskii AA, Bondarenko PP, Khuranov AA. Sovremennye ranevye pokrytiia v mestnom lechenii ran razlichnogo geneza [Modern wound dressings in local treatment of wounds of various origins]. Fund Issledovaniia. 2013;(12)2:361-65.
  12. Privol'nev VV, Karakulina EV. Osnovnye printsipy mestnogo lecheniia ran i ranevoi infektsii [The basic principles of local treatment of wounds and wound infections]. Klin Mikrobiol Antimikrob Khimioter. 2011;13(3):214-22.
  13. Nazarenko GI, Sugurova IIu, Gliantsev SP. Rana. Poviazka. Bol'noi [A wound. A bandage. A patient.]. Ruk-vo dlia vrachei i medsester. Moscow, RF: Meditsina; 2002. 472 p.
  14. Abaev IuK. Pereviazochnye materialy i sredstva v khirurgii [Dressings and means in surgery]. Vestn Khirurgii im II Grekova. 2004;(163)3:83-87.
  15. Frykberg RG, Driver VR, Carman D, Lucero B, Borris-Hale C, Fylling CP, Rappl LM, Clausen PA. Chronic wounds treated with a physiologically relevant concentration of platelet-rich plasma gel: a prospective case series. Ostomy Wound Manage. 2010 Jun;56(6):36-44.
  16. Andreev DIu, Paramonov BA, Mukhtarova AM. Sovremennye ranevye pokrytiia Ch. I. [Current wound dressings]. Vestn Khirurgii im II Grekova. 2009;(168)3:98-102.
  17. Dronov AM./red. Gnoino-vospalitel'nye zabolevaniia miagkikh tkanei i kostei [Purulent-inflammatory diseases of soft tissues and bones]: Atlas. Moscow, RF: GOETAR-Media; 2008. 257 p.
  18. Kaskaev AV, Cherdantsev DV, Bol'shakov IN. Perspektivy primeneniia sovremennykh ranevykh pokrytii u ozhogovykh bol'nykh [Prospects for the use of modern wound dressings in burn patients]. Sib Med Obozrenie. 2011;(68)2:3-6.
  19. Efimenko NA, Shin FE, Tolstykh MP, Tepliashin A.S. Sovremennye tendentsii v sozdanii biologicheski aktivnykh materialov dlia lecheniia gnoinykh ran [Current trends in the creation of biologically active materials for the treatment of purulent wounds]. Voen Med Zhurn. 2002;(323)1:48-52.
  20. Novikova NF, Mordovtsev VN, Paren'kova TV. Novye vozmozhnosti lecheniia troficheskikh iazv, ran kozhi i miagkikh tkanei, prolezhnei i svishchei [New possibilities of treatment of venous ulcers, wounds, skin and soft tissues, bedsores and fistula]. Retsept. 2005;(2):51-54.
  21. Nakabaiasi N. Polimery meditsinskogo naznacheniia, ispol'zuemye dlia razdeleniia i diffuzii veshchestv [Polymers of medical devices used for the separation and diffusion of substances]. Polimery Med Naznacheniia: per s iap. Moscow, USSR: Meditsina; 1981. 67 p.
  22. Adamian AA, Dobysh SV, Kilimchuk LE. Biologicheski aktivnye pereviazochnye sredstva v kompleksnom lechenii gnoino-nekroticheskikh ran [Biologically active dressings in treatment of purulent necrotic wounds]: metod rekomend. Moscow, RF: 2000. 40 p.
  23. Marissa JC, Fylling CP, Parnell LK Use of platelet rich plasma gel on wound healing: a systematic review and meta-analysis. Eplasty. 2011;(11):e38.
  24. Pham C, Greenwood J, Clelandc H, Woodruff P, Maddern G. Bioengineered skin substitutes for the management of burns: A systematic review. Burns 2007;(33)8:946-57. DOI:10.1016/j.burns.2007.03.020.
  25. Adamson R. Role of macrophages in normal wound healing: an overview. J. Wound Care.2009;18(8):349-51.
  26. Shamova EC, Bol'shakov IN, Gorbunov NS, Nasibov SM. Zazhivlenie kozhi pri ispol'zovanii ranevykh pokrytii na osnove kollagen-khitozanovogo kompleksa [The healing of skin wound using coatings based on collagen-chitosan complex]. Sib Med Obozrenie. 2003;4(29):25-27.
  27. Kong M, Chen XG, Xing K, Park HJ. Antimicrobial properties of chitosan and mode of action: a state of the art review. Int J Food Microbiol. 2010;(144)1:51-63.
  28. Jayakumar R, Prabaharan M, Kumar PT, Nair SV, Tamura H. Biomaterials based on chitin and chitosan in wound dressing applications. Biotechnology Advances. 2011;(29)3:322-37.
  29. Beliakov NA, Korol'kova SV. Adsorbenty. Katalog-spravochnik [Adsorbents. Catalogue]. Saint-Petersburg, USSR: SPbMAPO; 1997. 80 p.
  30. Vinnik IS, Markelova NM, Tiuriumin VS, Baranov SA, Per'ianova OV, Konovalenko AN. Primenenie sorbtsionnogo transmembrannogo dializa v lechenii poverkhnostnykh gnoinykh ran [Application of sorption transmembrane dialysis in the treatment of superficial wounds festering]. Krasnoiarsk, RF: Verso; 2011. 24 p.
  31. Efimenko NA, Nuzhdin OI. Primenenie sorbtsionnykh materialov v lechenii gnoinykh ran [The use of sorption materials in the treatment of purulent wounds]. Voen Med Zhurn. 1998;(7):28-32.
  32. Larichev AB, Shishlo VK, Lisovskii AV, Chistiakov AL, Vasil'ev AA. Profilaktika ranevoi infektsii i morfologicheskie aspekty zazhivleniia asepticheskoi rany [Prevention of wound infection and morphological aspects of wound healing aseptic]. Vestn Eksperim i Klin Khirurgii. 2011;(4):72833.
  33. Griaznov VN, Cheredniakov EF, Chernykh AV. Ispol'zovanie gelevykh sorbentov v eksperimental'noi i klinicheskoi khirurgii [Using gel sorbents in experimental and clinical surgery ]. Voronezh, RF: 1990. 88 p.
  34. Meylan G, Tschantz P. Pansement ou absence de pansement sur les plaies opératoires. étude prospective comparative. Ann de Chirurgie. 2001;(5)126:459-62.
  35. Lacci KM, Dardik A. Platelet-Rich Plasma: Support for Its Use in Wound Healing. J Biol Med. 2010 Mar; 83(1):1-9.
  36. Hanna JR, Giacopelli JA. A review of wound healing and wound dressing products. J Foot Ankle Surg. 1997;(36):2-14. DOI: 10.1016/S1067-2516(97)80003-8.
  37. Vuorisalo S, Venermo M, Lepantalo M. Treatment of diabetic foot ulcers. J Cardiovasc Surg. (Torino). 2009;(3)50:275-91.
  38. Leahy PJ, Lawrence WT. Biologic enhancement of wound healing. Clin Plast Surg. 2007 Oct;34(4):659-71. DOI: 10.1016/j.cps.2007.07.001.
  39. Jones V, Grey JE, Harding KG Wound dressings. BMJ. 2006 Apr 1;332(7544):777-80. doi: 10.1136/bmj.332.7544.777.
  40. Thomas S. Alginate dressings in surgery and wound management: Part 1. J Wound. 2000;(9):2:56-60. doi: 10.12968/jowc.2000.9.2.26338.
  41. Thomas S. Alginate dressings in surgery and wound management: Part 2. J Wound. 2000;(9)3:115-19. doi: 10.12968/jowc.2000.9.2.26338.42.
  42. Ajay VS, Aditi AS, Gade NW. Nanomaterials: New generation therapeutics in wound healing and tissue repair. Current Nanoscience. 2010;(6)6:577-86. doi: 10.2174/157341310793348632.
  43. Han T, Wang H, Zhang YQ. Combining platelet-rich plasma and tissue-engineered skin in the treatment of large skin wound. J Craniofac Surg. 23(2):439-447, March 2012. DOI: 10.1097/SCS.0b013e318231964a.
  44. Mi FL, Shyu SS, Wu YB, Lee ST, Shyong JY, Huang RN. Fabrication and characterization of a sponge-like asymmetric chitosan membrane as a wound dressing. Biomaterials. 2001 Jan;22(2):165-73. DOI: 10.1016/S0142-9612(00)00167-8.
  45. Fonseca AP. Biofilms in wounds: An unsolved problem? EWMA Journal. 2011;(11)2:10-23.
  46. Chen GQ, Wu Q (2005). The application of polyhydroxyalkanoates as tissue engineering materials. Biomaterials 26 (33): 6565-78. doi: 10.1016/J.BIOMATERIALS.2005.04.036.47.
  47. Bugnicourt1 E, Cinelli P, Lazzeri A, Alvarez1 V. Polyhydroxyalkanoate (PHA): Review of synthesis, characteristics, processing and potential applications in packaging. eXPRESS Polymer Letters. 2014;(8)11:791-808. doi: 10.3144/expresspolymlett.2014.82.
  48. Christopher JB, Sinskey AJ. Applications of polyhydroxyalkanoates in the medical industry. International Journal of Biotechnology for Wellness Industries, 2012;(1)1:53-60.
  49. Shishatskaya EI, Volova TG. Poligidroksialkanoaty kak matriks v kletochnykh tekhnologiiakh [Polyhydroxyalkanoates as a matrix in cell technology]. Klet Transplantol i Tkan Inzhen. 2010;(5)3:55-56.
  50. Shyshatskaya IS, Kamendovc IV, Starosvetskyc SI, Vinnikd YS, Markelovad NN, Shageevd AA, Khorzhevskyd VA, Peryanovad OV, Shumilova AA. An in vivo study of osteoplastic properties of resorbable poly-3-hydroxybutyrate in models of segmental osteotomy and chronic osteomyelitis. An International Journ Artificial Cells, Nanomedicine, and Biotechnology. 2014;(42)5:344-55. DOI: 10.3109/21691401.2013.816312.
Address for correspondence:
660022, Rossiiskaia Federatsiia,
g. Krasnoiarsk, ulitsa Partizana Zhelezniaka, dom 1,
GBOU VPO "Krasnoiarskii gosudarstvennyi meditsinskii universitet im. prof. V.F. Voino-Iasenetskogo",
kafedra obshchei khirurgii,
tel: +7 913 538-38-36,
e-mail: markelova_nadya@mail.ru,
Markelova Nadezhda Mikhailovna
Information about the authors:
Winnick Y.S., MD, professor, a head of a chair of general surgery named after prof. M.I. Gulman Medical University "Krasnoyarsk State Medical University named by prof. V.F. Voyno-Yasenetsky."
Markelov N.M., MD., an assistant professor of a chair of general surgery named prof. M.I. Gulman Medical University "Krasnoyarsk State Medical University named after prof. V.F. Voyno-Yasenetsky".
Shishatskaya E.I., MD (B), professor, a researcher FSEIHPE "Siberian Federal University", the Institute of Biophysics, Siberian Branch of the Russian Academy of Sciences, a head of the department of medical biology in Krasnoyarsk.
Kuznetsov M.N., PhD, a physician of second surgical department MSH "Road Clinical Hospital on the station Krasnoyarsk "JSC" Russian Railways".
Soloviev N.S., a graduate student of the chair of general surgery named prof. M.I. Gulman Medical University "Krasnoyarsk State Medical University named after prof. V.F. Voyno-Yasenetsky".
Zuev A.P., a graduate student of the chair of general surgery named prof. M.I. Gulman Medical University "Krasnoyarsk State Medical University named after prof. V.F. Voyno-Yasenetsky".
Contacts | ©Vitebsk State Medical University, 2007