Experience in the use of collagen dressings in surgical practice
Introduction . Trophic ulcers of the lower extremities represent one of the serious problems in modern medicine, especially among patients with diabetic foot syndrome (DFS). Despite significant advances in developing new treatment methods, this pathology remains difficult to cure due to prolonged wound healing periods and a high risk of amputations. Aim . To evaluate the effectiveness, safety, and convenience of using collagen dressings for treating chronic wounds with long healing times at various stages of the wound process. Materials and methods . The study was conducted based on the surgical department of Dr. Begma’s Medical Center. The results of treating 37 patients with trophic ulcers caused by DFS, who were treated with the collagen dressing Digestol, were analyzed. Dynamics of wound healing, changes in surrounding tissues, reduction of pain syndrome, and other indicators were assessed. The article also includes a clinical case of applying a collagen wound dressing. Results . As a result of using the collagen dressing, there was a significant reduction in the time required for ulcer defects to heal, an improvement in the condition of surrounding tissues, and a decrease in pain and edema. The average full-healing period was 12 weeks, which is significantly shorter than that achieved through traditional treatment methods. Discussion . The obtained results confirm the high efficacy of collagen dressings in treating trophic ulcers, particularly under conditions of long-term chronic disease progression. They demonstrated the ability to maintain optimal moisture levels, provide non-traumatic effects, and facilitate rapid tissue repair. Conclusions . Biological collagen dressing is an effective tool for treating trophic ulcers. Using the biological dressing as part of complex therapy allows for faster wound cleansing, accelerates the healing process of ulcerative lesions of the lower limbs, improves patient quality of life, and reduces the risk of amputations.
Authors
- P. B. Ustaalieva (ORCID: https://orcid.org/0009-0001-2644-924X)
- A. N. Begma
- H. M. De (ORCID: https://orcid.org/0009-0005-7510-2823)
Institutions
- Pirogov Russian National Research Medical University (RU)
- City Clinical Hospital No. 2 (RU)
- City Clinical Hospital No15 named. O. M. Filatova (RU)
Publication Details
- Journal
- Ambulatornaya khirurgiya = Ambulatory Surgery (Russia)
- Published
- 2025-06-09
- DOI
- https://doi.org/10.21518/akh2025-012
- Primary Topic
- Wound Healing and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00