FIELD: medicine.
SUBSTANCE: pre-sanitized wound is covered with a bioplastic membrane "Collost", fixing it with separate nodal sutures at a distance of 0.3 mm from each other. Near the upper edge of the wound, a subclavian catheter is installed, the tube of which is up to 1 mm and length is up to 150 mm . This tube is pre-perforated and inserted under the membrane through the upper edge of the wound. The membrane is covered with an antiseptic dressing so that the head with the subclavian catheter plug remains above it for daily single administration of platelet-enriched plasma, which is obtained by taking 20 ml of blood from the peripheral vein, which is centrifuged for 15 minutes at 4000 revolutions. Then, the liquid part of plasma is placed in a sterile tube without a stabiliser and is centrifuged at 3500 rpm for 15 minutes to obtain platelet-enriched plasma with a volume of up to 2 ml, which is injected through the subclavian catheter no later than 10 minutes after its production. The antiseptic bandage on the wound is replaced once in 5-7 days.
EFFECT: method allows to increase the effectiveness of chronic wounds local treatment, reduce trauma, simplify wound treatment and care.
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Authors
Dates
2017-08-11—Published
2016-07-15—Filed