Email this article Comparative Evaluation of the Effectiveness of Atraumatic Dressings for the Treatment of Patients with Burns
- Authors: Bobrovnikov A.E.1,2, Alekseev A.A.1,2, Malyutina N.B.1,2
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Affiliations:
- A.V.Vishnevsky National Medical Research Center of Surgery
- Russian Medical Academy of continuous Postgraduate Education
- Issue: Vol 16, No 1 (2023)
- Pages: 60-69
- Section: Experience
- URL: https://journal-vniispk.ru/2070-478X/article/view/146913
- DOI: https://doi.org/10.18499/2070-478X-2023-16-1-60-69
- ID: 146913
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Abstract
Rationale. Atraumatic «mesh» bandages are most commonly used bandages for treatment of wounds and burns. To date, considerable experience has been gained in the use of Branolind N bandages in clinical practice in treatment of burn wounds.
Aim. Comparative evaluation of the results of the use of various atraumatic dressings and evaluation of the effectiveness of the Branolind N bandage in treatment of patients with burns.
Materials and Methods. In 222 patients with burns, the comparative clinical and laboratory evaluation of effectiveness of various atraumatic dressings (180 patients) and cotton-gauze dressings with hydrophilic-based ointment Levomekol (42 patients), in various clinical situations, was carried out.
Results. All types of atraumatic dressings had similar clinical effectiveness and were most effective for treatment of superficial and borderline burns of I-II degree, as well as for limited burns of II-III degree after surgical necrectomy at the stage preparation of granulating wounds for skin grafting, starting from the second, and especially in the third stage of wound process. The best results were obtained with the use of Branolind N bandages.
Conclusions. The use of atraumatic "mesh" bandages Branolind N allows to improve the results of medical care for patients with burns. Their use contributes to a favorable course of wound process, provides comfort to patients and convenience for work of medical staff in treatment of patients in hospital, and on outpatient basis.
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##article.viewOnOriginalSite##About the authors
Alexandr Eduardovich Bobrovnikov
A.V.Vishnevsky National Medical Research Center of Surgery; Russian Medical Academy of continuous Postgraduate Education
Email: doctorbobr@mail.ru
ORCID iD: 0000-0003-0926-6115
SPIN-code: 4203-1718
MD, Associate Professor, MD, Associate Professor, Head of the Burn Department; Professor of the Department of Thermal Lesions, Wounds and Wound Infection
Russian Federation, 27, Bolshaya Serpukhovskay st., Moscow, 115093; Russia; Barrikadnaya st., Moscow, 125993, RussiaAndrey Anatolievich Alekseev
A.V.Vishnevsky National Medical Research Center of Surgery; Russian Medical Academy of continuous Postgraduate Education
Email: alexseev@ixv.ru
ORCID iD: 0000-0001-6675-4794
Doctor of Medical Sciences, Professor, Deputy Director, Head of the Burn Center; Head of the Department of Thermal Lesions, Wounds and Wound Infection
Russian Federation, 27, Bolshaya Serpukhovskay st., Moscow, 115093, Russia; 2, Barrikadnaya st., Moscow, 125993, RussiaNatalia Borisovna Malyutina
A.V.Vishnevsky National Medical Research Center of Surgery; Russian Medical Academy of continuous Postgraduate Education
Author for correspondence.
Email: malutinanb@yandex.ru
ORCID iD: 0000-0001-8013-1913
Candidate of Medical Sciences, specialist of the Organizational and Methodological Department; Associate Professor of the Department of Thermal Lesions, Wounds and Wound Infection
Russian Federation, 27, Bolshaya Serpukhovskay st., Moscow, 115093; Russia; Barrikadnaya st., Moscow, 125993, RussiaReferences
- Queen D, Evans JH, Gaylor JDS, Courtney JM, Reid WH. Burn wound dressings - a review.Burns Incl Therm Inj. 1987; 3: 3: 218-228. https://doi.org/10.1016/0305-4179(87)90170-7
- Bishop WJ. A history of surgical dressings. Chesterfield: Robinson & Sons Ltd. 1959.
- Khalid M, Asfandyar M, Gary SR. The use of antiseptic and antibacterial agents on wounds and the skin. Local Wound Care for Dermatologists. Springer.2020; 35-53. https://doi.org/10.1007/978-3-030-28872-3_5
- Lukomskij GI. K voprosu o termicheskikh ozhogakh (opy`t lecheniya ozhogov parafinovoj povyazkoj). Avtoref. dis. kand. med. nauk.– Moscow. 1951. (in Russ.)
- Lukomskij GI. Ten years of experience in the treatment of thermal burns with a paraffin bandage. Khirurgiya. 1957;1: 92. (in Russ.)
- Roslavleva NG. About the treatment of burns in children with paraffin dressings. Sovetskaya medicina 1958;4:131. (in Russ.)
- Bratus` VD. Khirurgicheskoe lechenie termicheskikh ozhogov. Kiev. 1963; 381. (in Russ.)
- Jonkman MF, Bruin P, Permings AJ, Coenen JM, Klasen HJ. Polyetherurethane wound covering with high water vapour permeability compared with conventional tulle gras on split-skin donor sites. Burns. 1989; 15: 2: 211-216. doi: 10.1016/0305-4179(89)90033-8
- Vuola J. Comparison of three donor site dressings. European Burns Association, 7lh international Congress. Leuven, Belgium.1997; 48
- Himel HN, Ratliff CR, Baruch LD, Rodeheaver GT. Pilot study of a unique film dressing for the treatment of donor site wound. J Burn Care Rehabil. 1998; 196 62-65. https://doi.org/10.1097/00004630-199801000-00014
- Thomas S. Atraumatic dressings. World Wide Wounds is an Internet-only electronic woundcare journal. 2003.
- Atyasov IN, Atyasova ML. Novy`e ranevy`e pokry`tiya v mestnom lechenii ozhogov u detej. Sbornik nauchny`kh trudov I s`ezda kombustiologov Rossii. 2005. 162-163. (in Russ.)
- Markovskaya OV, Salisty`j PV. Sovremenny`e sredstva zashhity` ozhogovoj rany`. Sbornik nauchny`kh trudov I s`ezda kombustiologov Rossii. 2005. 199-200. (in Russ.)
- Budkevich LI, Mirzoyan GV. Ispol`zovanie sovremenny`kh ranevy`kh pokry`tij v praktike detskogo ozhogovogo czentra. Sbornik nauchny`kh trudov III s`ezda kombustiologov Rossii. 2005; 123. (in Russ.)
- Evteev AA, Tyurnikov YUI, Malyutina NB, Kal'yanov AV, Suhov TH, Gorelova EG. Traditions and new in the use of topical treatment in patients with deep burns. Kombustiologiya. 2006; 26. (in Russ.) http://combustiolog.ru/journal/traditsii-i-novoe-v-ispol-zovanii-sredstv-mestnogo-lecheniya-u-bol-ny-h-s-glubokimi-ozhogami/
- Gilbert FM, Shevchenko RV, Gulamkhusejnvala N, Bragg T, Bus S. Atraumatic dressings for closing skin grafts - why are they not used all the time? Kombustiologiya. 2007; 30. (in Russ.)
- Fistal` E`Ya, Soloshenko VV. Our experience in the clinical use of hydrophobic mesh wound coatings. Mediczina neotlozhny`kh sostoyanij. 2009; 1(20). (in Russ.)
- Gotschall CS, Morrison MI, Eichelberger MR. Prospective, randomized study of the efficacy of Mepitel on children with partial-thickness scalds. J Burn Care Rehabil. 1998; 19: 279-283.
- Gravante G, Montone A. A retrospective analysis of ambulatory burn patients: focus on wound dressings and healing times. Ann R Coll Surg Engl. 2010; 92: 2: 118-123.
- Nazarenko GI, Sugurova IYu, Glyanczev SP. Rana, povyazka, bol`noj (Rukovodstvo dlya vrachej i medsester). Moscow: Mediczina. 2002; 472. (in Russ.)
- Alekseev AA, Bobrovnikov AE. Modern technologies of local conservative treatment of burn victims. Annaly` khirurgii. 2012; 2: 32-38. (in Russ.)
- Alekseev AA, Bobrovnikov AE`, Khunafin SN. Treatment of superficial and borderline burn wounds with the use of modern wound dressings. Mediczinskij vestnik Bashkortostana. 2013; 3:25-30. (in Russ.)
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