Among the common surgical diseases, a special place is occupied by the so-called chronic wounds. Foreign authors use this term to unite a group of complicated wounds of surgical origin (with spontaneous dehiscence of the edges or suppurated), as well as bedsores, fistulas, leg and foot ulcers. In Russian literature, this term is associated with long-term non-healing wounds and trophic ulcers. The prolonged nature of the healing of such defects makes it possible to resort to such a generalizing systematization. The aim of our study was to improve the results of treatment of patients with chronic wounds by using vacuum therapy in a set of measures aimed at positive correction of the prolongedly developing wound process. It has been established that in the treatment of chronic wounds under the influence of a low-dose vacuum on the vulnar zone, local tissue detoxification is observed, which is evidenced by an increase in the level of general toxicity of wound exudate obtained during vacuum therapy of a chronic wound.

Long-term non-healing wounds, necrobiotic processes, vacuum therapy

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