The treatment of a severely burned patient with the use of early combined single-stage necrectomy on an area of 28 % of the body surface

In the treatment of severely burned patients, the most effective prevention of infectious complications is early necrectomy. Currently, according to the clinical recommendations of the All-Russian public Organization “Association of Combustiolo gists “The World without Burns”, the maximum volume of necrectomy in one stage is 1 / 3 of the surface of deep burn wounds of the patient. In this clinical case, we provide an example of successful treatment of a patient using early combined necrectomy (exarticulation of the lower extremities at the knee joint level and necrectomy in a single block to the fascia in the hip area on an area of 10 % of the body surface) of 1 / 2 of the surface of deep burn wounds (28 % of the body surface) on the 5th day after injury.