APPLICATION OF IMPROVED AUTODERMOPLASTY TECHNIQUE IN GRANULATING WOUNDS TREATMENT.

Surgical diseases with the occurrence of purulent wounds accounted for 25%, of which after the treatment of phlegmon - 10 (40%) cases, abscesses - 6 (24%), suppuration of postoperative wounds - 9 (36%) cases. Burn wounds of the IIIb degree occurred in 45%, wounds of traumatic origin 18% and frostbite of the III degree in 12%. The bottom of the wounds was represented by muscles and subcutaneous fat tissue. The engraftment rate of autodermal grafts relative to the initial area of the transplanted skin flap for surgical, burn and traumatic wounds in the main group of patients was 97.15±0.28%, 95.35±0.28% and 96.89±0.37%, respectively, which corresponded to the criterion of complete engraftment. For frostbite wounds, it was 81.2±1.14%, which was assessed as partial engraftment. In the comparison group, in surgical, burn and traumatic wounds, the degree of engraftment of autodermal grafts relative to the initial area of the transplanted skin flap was characterized as partial engraftment (78.75±0.41%, 76.0±0.28%, 80.0±0.9%, respectively), and as non-engraftment - in wounds due to frostbite (50.0±0.58%). After autodermoplasty of granulating wounds in 100 patients, wound complications were observed in 14 (14%) patients. Of these, there were 2 (4%) cases in the main group of patients and 12 (24%) in the comparison group (χ2=6.728; p=0.01).