NEGATIVE PRESSURE WOUND THERAPY: INDICATIONS AND FEATURES OF TREATMENT IN BURNED PATIENTS

Abstract

The positive effect of vacuum on the wound process in burned patients is due to bacterial decontamination, increased perfusion, neoangiogenesis, preservation of a moist wound environment, reduced pain intensity, and other mechanisms. However, in most cases, the indications for the use of vacuum in burnt patients do not depend on objective reasons, but on personal experience and preferences of the medical staff. The study included 91 patients of the burn department who underwent NPWT from 2017 to 2021. All these patients were divided into four groups: wound treatment, temporary wound closure, granulation formation, fixation of skin grafts. The greatest positive effect from NPWT can be expected in patients with a shortage of skin graft donor sites, in the treatment of deep partial - thickness burn, in preparation for skin graft of “problem” wounds. The number of contraindications to the use of vacuum in burnt patients is minimal, and complications are rare. Thus, the effectiveness of NPWT in burned patients significantly exceeds the possible disadvantages.