Application of the damage control principles and the use of a local negative pressure system for the prevention of infectious complications in a patient with traumatic separation of the upper limb and massive damage to soft tissues
https://doi.org/10.25199/2408-9613-2019-6-4-22-25
Abstract
The article presents a clinical case of the successful treatment of a patient with traumatic separation of the upper limb and massive damage to the soft tissues of the upper shoulder and chest. The effectiveness of applying the damage control principles and the method of local negative pressure for the prevention of local and systemic infectious complications is emphasized.
About the Authors
I. M. Batyrshin
GBU «I. I. Dzhanelidze St. Petersburg Research Institute of Ambulance»
Russian Federation
3 Budapest Str., St. Petersburg, 192242, Russia
Russian Federation
3 Budapest Str., St. Petersburg, 192242, Russia
M. I. Kizyavka
GBU «I. I. Dzhanelidze St. Petersburg Research Institute of Ambulance»
Russian Federation
3 Budapest Str., St. Petersburg, 192242, Russia
Russian Federation
3 Budapest Str., St. Petersburg, 192242, Russia
D. S. Sklizkov
GBU «I. I. Dzhanelidze St. Petersburg Research Institute of Ambulance»
Russian Federation
3 Budapest Str., St. Petersburg, 192242, Russia
Russian Federation
3 Budapest Str., St. Petersburg, 192242, Russia
Yu. S. Ostroumova
GBU «I. I. Dzhanelidze St. Petersburg Research Institute of Ambulance»
Russian Federation
3 Budapest Str., St. Petersburg, 192242, Russia
Russian Federation
3 Budapest Str., St. Petersburg, 192242, Russia
E. P. Mikhelson
GBU «I. I. Dzhanelidze St. Petersburg Research Institute of Ambulance»
Russian Federation
3 Budapest Str., St. Petersburg, 192242, Russia
Russian Federation
3 Budapest Str., St. Petersburg, 192242, Russia
M. A. Borodina
GBU «I. I. Dzhanelidze St. Petersburg Research Institute of Ambulance»
Russian Federation
3 Budapest Str., St. Petersburg, 192242, Russia
Russian Federation
3 Budapest Str., St. Petersburg, 192242, Russia
N. R. Nasser
GBU «I. I. Dzhanelidze St. Petersburg Research Institute of Ambulance»
Russian Federation
3 Budapest Str., St. Petersburg, 192242, Russia
Russian Federation
3 Budapest Str., St. Petersburg, 192242, Russia
A. N. Tulupov
GBU «I. I. Dzhanelidze St. Petersburg Research Institute of Ambulance»
Russian Federation
3 Budapest Str., St. Petersburg, 192242, Russia
Russian Federation
3 Budapest Str., St. Petersburg, 192242, Russia
S. A. Shlyapnikov
GBU «I. I. Dzhanelidze St. Petersburg Research Institute of Ambulance»
Russian Federation
3 Budapest Str., St. Petersburg, 192242, Russia
Russian Federation
3 Budapest Str., St. Petersburg, 192242, Russia
References
1. Ivanov P. A. Tactics and technique for the treatment of traumatic detachments of large segments of limbs in patients with polytrauma = Ivanov P. A. Taktika i tekhnika lecheniya travmaticheskikh otryvov krupnykh segmentov konechnostey u postradavshikh s politravmoy. Vestnik travmatologii i ortopedii im. N.N. Priorova. 2010; 2: 3–8. (In Russ.)
2. Agalaryan A. Kh., Gileva Ya. Kh., Skopintsev D. A., et al. Surgical treatment of massive soft tissue damage during traumatic separation of the lower limb in a victim with polytrauma = Agalaryan A. Kh., Gileva Ya. Kh., Skopintsev D. A. i dr. Khirurgicheskoye lecheniye massivnogo povrezhdeniya myagkikh tkaney pri travmaticheskom otryve nizhney konechnosti u postradavshego s politravmoy. Politravma. 2016; 4: 81–84. 3. Didenko O. A., Byalik Ye. I., Ivanov P. A., i dr. Lecheniye travmaticheskikh otryvov bol'shikh segmentov konechnostey u patsiyentov s politravmoy. Politravma. 2010; 4: 17–23. (In Rus.)
3. Didenko O. A., Bialik E. I., Ivanov P. A., et al. Treatment of traumatic detachments of large limb segments in patients with polytrauma = Didenko O. A., Byalik E. I., Ivanov P. A. i dr. Lecheniye travmaticheskikh otryvov bol'shikh segmentov konechnostey u patsiyentov s politravmoy. Politravma. 2010; 4: 17–23. (In Russ.)
4. Scherzinger A. G., Manukyan G. V., Shaposhnikov R. A. Modern use of tactics of multistage operations and reduced laparotomy in emergency surgery = Shertsinger A. G., Manuk'yan G. V., Shaposhnikov R. A. Sovremennoye primeneniye taktiki mnogoetapnykh operatsiy i sokrashchennoy laparotomii v neotlozhnoy khirurgii. Khirurg. 2009; 1: 55–59. (In Russ.)
5. Sokolov V. A. Damage control – a modern concept for the treatment of victims with critical polytrauma = Sokolov V. A. Damage control – sovremennaya kontseptsiya lecheniya postradavshikh s kriticheskoy politravmoy. Vestnik travmatologii i ortopedii. 2005; 1: 81–84. (In Russ.)
Review
For citations:
Batyrshin I.M., Kizyavka M.I., Sklizkov D.S., Ostroumova Yu.S., Mikhelson E.P., Borodina M.A., Nasser N.R., Tulupov A.N., Shlyapnikov S.A. Application of the damage control principles and the use of a local negative pressure system for the prevention of infectious complications in a patient with traumatic separation of the upper limb and massive damage to soft tissues. Wounds and wound infections. The prof. B.M. Kostyuchenok journal. 2019;6(4):22-25. (In Russ.) https://doi.org/10.25199/2408-9613-2019-6-4-22-25
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