Comparative analysis of the healing dynamics in gunshot versus domestic purulent-infected wounds

Aim. To conduct a comparative analysis of the dynamics of healing of gunshot and domestic wounds in the purulent-infected stage, depending on the wound coating used. Methods. The study examined the treatment outcomes of 30 patients with gunshot and household purulent-infected soft tissue wounds, treated during a special operation in the Donetsk region of Donbass. Among these patients, those with gunshot wounds were military personnel involved in active combat. The gender distribution was 7 women (23 %) and 23 men (77 %), with a mean age of 42.5 years [range: 33.59 to 75 years]. The average Body Mass Index (BMI) of the patients was 27 kg/ m² [range: 25.35 to 28.15 kg/m²]. Results. When comparing the patient groups, notable differences in wound healing rates were observed. The group with the highest healing rate showed significant progress, with wounds healing by 80.7 % by day 15 and 95.8 % by day 30. Another group, which underwent a similar treatment method, also demonstrated a high healing rate, albeit slightly lower: by day 15, wounds had healed by 71.6 % (3.1 % lower than the first group), and by day 30, the healing rate was 93.7 % (2.1 % lower). The groups with the lowest healing rates showed significantly slower progress, with healing rates of 52 % and 47.9 % on day 15, and 87 % and 81.5 % on day 30, respectively