MODERN APPROACHES TO THE TREATMENT OF LONG NON-HEALING WOUNDS: OUR EXPERIENCE

Abualrub Nemr Amin, Kurbanova Zarema Vakhaevna, Kurbanismailova Meren Gadzhievna, Omarova Khadizhat Zairbegovna

Introduction. Today, it is relevant to introduce into clinical practice more advanced methods of treatment of long-term non-healing wounds. The relevance of the study is due to the fact that in the available literature there are only a few publications devoted to a step-by-step description of the use of wound coverings in the complex therapy of this type of wounds. The aim of the study is to reveal the experience of using new treatment methods that stimulate reparative processes in complicated wounds, taking into account the stages of the wound process. Materials and methods. We have attempted to describe the results of the experience of using a set of treatment methods that stimulate reparative processes based on specialized dressings with the inclusion of wound coverings for long-term non-healing wounds. To determine the effect of wound coatings on the healing of a purulent wound, it was determined based on a decrease in the wound surface in dynamics, as well as improvement, preservation of tissue integrity and complete wound healing. The results of the study. The use of a complex of treatment methods that stimulate reparative processes based on specialized dressings with the inclusion of wound coatings for long-term non-healing wounds has shown the acceptability and expediency of their use in different combinations and at different stages of the course of wound the process. Conclusion. In the course of the research, the experience of using new treatment methods that stimulate reparative processes in the context of complex treatment of long-term non-healing wounds is revealed. The presented complex is promising for its use in clinical practice, which will allow us to get closer to solving the difficult task of treating long–term non-healing wounds.

Keywords:long-term non-healing wound, wound coatings, reparative processes, antibiotic therapy, infection prevention.