Effectiveness of laser light irradiation for preparing extensive purulent wounds in soft tissues for plastic surgery
https://doi.org/10.37895/2071-8004-2018-22-4-33-39
Abstract
Purpose: To develop techniques and to assess effectiveness of laser light irradiation for preparing extensive purulent wounds in soft tissues for plastic surgery. Material and methods. Four groups of patients were taken into the study depending on the technique selected for the preparation of purulent wounds in soft tissues for plastic surgery. Group 1 – traditional surgical treatment of purulent foci with bandages impregnated with antiseptics and ointments. Group 2 – irradiation of purulent wounds with semiconductor laser light, and postoperatively, with low-level laser light. Group 3 – wound irradiation with semiconductor laser light; after that PDT (photodynamic therapy) sessions. Group 4 – in addition to laser treatment during surgery and PDT sessions, NO-therapy of wound surface was made. Effectiveness of various techniques applied in these wounds was assessed by the number of repeated necroctomies, by the dynamics of wound process, by length of stay in the hospital, time for complete wound healing, and by patients’ satisfaction with functional and cosmetic results. Results. Under traditional surgery and local treatment of purulent wounds, 6 out of 50 patients (12%) on day 2–5 after the primary surgical treatment required repeated necrectomy because of the formation of secondary necrotic foci in soft tissues. In Groups 2, 3 and 4, no repeated necrectomies were required. Conclusions. High-level laser light applied during the surgery and low-level laser light applied postoperatively plus PDT and NO-therapy for purulent wounds have produced an additional curative effect at them which signifcantly reduced hospital stay and led to complete healing with better functional and cosmetic outcomes if to compare with traditional treatment.
About the Authors
V. A. Derbenev
Skobelkin State Scientifc Center of Laser Medicine
Russian Federation
Moscow
Russian Federation
Moscow
A. A. Rajabov
Skobelkin State Scientifc Center of Laser Medicine
Russian Federation
Moscow
Russian Federation
Moscow
A. I. Huseynov
Hospital for War Veterans No 2 of Moscow Healthcare Department
Russian Federation
Moscow
Russian Federation
Moscow
G. I. Ismailov
Skobelkin State Scientifc Center of Laser Medicine
Russian Federation
Moscow
Russian Federation
Moscow
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Review
For citations:
Derbenev V.A., Rajabov A.A., Huseynov A.I., Ismailov G.I. Effectiveness of laser light irradiation for preparing extensive purulent wounds in soft tissues for plastic surgery. Laser Medicine. 2018;22(4):33-39. (In Russ.) https://doi.org/10.37895/2071-8004-2018-22-4-33-39
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