The treatment of a severely burned patient with the use of early combined single-stage necrectomy on an area of 28 % of the body surface
https://doi.org/10.24884/0042-4625-2025-184-1-77-81
Abstract
In the treatment of severely burned patients, the most effective prevention of infectious complications is early necrectomy. Currently, according to the clinical recommendations of the All-Russian public Organization “Association of Combustiolo gists “The World without Burns”, the maximum volume of necrectomy in one stage is 1/3 of the surface of deep burn wounds of the patient. In this clinical case, we provide an example of successful treatment of a patient using early combined necrectomy (exarticulation of the lower extremities at the knee joint level and necrectomy in a single block to the fascia in the hip area on an area of 10 % of the body surface) of 1/2 of the surface of deep burn wounds (28 % of the body surface) on the 5th day after injury.
About the Authors
Ya. L. Butrin
Military Medical Academy
Russian Federation
Competing Interests:
Russian Federation
Butrin Yaroslav L., Lieutenant Colonel of the Medical Service, Cand. of Sci. (Med.), Assistant of the Head of the Clinic (Thermal Injuries and Plastic Surgery) for therapeutic work of the Department of Thermal Lesions
6, Academica Lebedeva str., Saint Petersburg, 194044
Competing Interests:
The authors declare no conflict of interest.
I. V. Chmyryov
Military Medical Academy
Russian Federation
Competing Interests:
Russian Federation
Chmyryov Igor V., Dr. of Sci. (Med.), Colonel of the Medical Service, Head of the Department of Thermal Injuries
6, Academica Lebedeva str., Saint Petersburg, 194044
Competing Interests:
The authors declare no conflict of interest.
A. N. Biryukov
Military Medical Academy
Russian Federation
Competing Interests:
Russian Federation
Biryukov Aleksej N., Dr. of Sci. (Med.), Head of the Department of Anesthesiology and Intensive Care of the Clinic of Thermal Injuries and Plastic Surgery, Department of Thermal Injuries
6, Academica Lebedeva str., Saint Petersburg, 194044
Competing Interests:
The authors declare no conflict of interest.
References
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For citations:
Butrin Ya.L., Chmyryov I.V., Biryukov A.N. The treatment of a severely burned patient with the use of early combined single-stage necrectomy on an area of 28 % of the body surface. Grekov's Bulletin of Surgery. 2025;184(1):77-81. (In Russ.) https://doi.org/10.24884/0042-4625-2025-184-1-77-81
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