Mechanotransduction use in gunshot wounds complex treatment

I. P. Khomenkо, S. V. Tertyshny, O. S. Gerasimenko


New effective methods of extremities gunshot wounds treatment development has acquired a great importance because of military operations on theterritoryofDonetskand Lugansk regions ofUkraine. The development of the technological process in medical practice and personal experience allowed to develop an original approach in such patients treatment. The simultaneous use of different physical factors in extremities gunshot wounds treatment allowed us to obtain good results. The principle of mechanotransduction was used as a basis for our method: simultaneous application on the wound surface with inflammation after wound injury of debridement (primary and in some cases secondary wound surgical treatment), ultrasound (cavitation - preparation period), negative pressure (use of VAK system) and hyperbaric oxygenation. An individual algorithm of actions is developed. The efficacy of the extremities gunshot wounds treatment original method is confirmed by faster wound surface healing and the absence of complications.

Application of the integrated approach in the treatment of gunshot wounds of the limbs allowed to reduce the risk of complications due to the reduction of bacterial contamination, to limit, "stop" the process of suppuration and gave a powerful increase in granulation tissue. The obtained data convincingly testify in favor of the method of autodermoplastics, which we used.


gunshot wounds, physical factors, granulation tissue, angiogenesis, efficacy of treatment

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