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...

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Bibliographic Details
Main Authors: Ya. L. Butrin, I. V. Chmyryov, A. N. Biryukov
Format: Article
Language:Russian
Published: Pavlov First Saint Petersburg State Medical University 2025-04-01
Series:Вестник хирургии имени И.И. Грекова
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Online Access:https://www.vestnik-grekova.ru/jour/article/view/2504
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Summary: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.
ISSN:0042-4625