The effectiveness of laser therapy in the complex treatment of gunshot wounds of the extremities with extensive damage to soft tissues

Résumé fourni par la source

The article presents comparative results of vacuum-assisted closure (VAC) and its combination with laser irradiation of the wound surface in the complex treatment of gunshot wounds of the extremities. The treatment results of 40 wounded patients with gunshot fractures of long bones of limbs were analyzed and divided into 2 groups: the 1st group (control group) included 20 (50%) wounded patients in whom VAC-therapy was administered alone; the 2nd group (comparison group) included 20 (50%) wounded patients who underwent VAC-therapy combined with narrow-band light irradiation with a wavelength of 980 nm. According to the results of the analysis of wound healing indicators and the number of complications, no statistically significant differences were found between the two groups. Based on the histologic examination, the 2nd group showed an accelerated onset of the regeneration phase in the form of more pronounced angiogenesis with the formation of granulation tissue and reduced inflammation. The duration of preparation of the gunshot wound for reconstructive-plastic defect replacement in Group 2 was by 7.1% shorter than in Group 1. Thus, the use of VAC-therapy in combination with laser irradiation allows to reduce the period of wound preparation for reconstructive-restorative surgery.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.