METHOD OF TREATING A DONOR BELLY WOUND Russian patent published in 2019 - IPC A61B17/04 A61K35/33 A61K35/36 A61P17/02 A61F13/00 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to surgery, combustiology, plastic surgery, and can be used for treating a donor's abdominal wound. Full-thickness skin transplant with subcutaneous fat is sampled to abdominal surface fascia, hemostasis, plastic closure of donor wound. After the transplant is taken with separate interrupted sutures, the edges of the donor wound are contracted from the periphery to the center, reducing the area of the wound defect. Performing application of dermal autofibroblasts or allofybroblasts in concentration of 1 million cells in 1 ml to bottom of donor's wound with exposure of 30 minutes. That is followed by simultaneous closure of the wound with a perforated splitter with a perforation factor of 1:2 of skin autografts 0.25 mm thick, which are closed with a meshy atraumatic coating. A vacuum bandage is applied on the donor belly for 5 days at constant pressure of 110 mm Hg with apparatus for vacuum therapy of wounds VivanoTec. On 7th postoperative day, the wound coating is removed.

EFFECT: method enables reducing the traumatism of the operation by reducing the area of the donor wound, reducing the area of the split transplant to close the donor wound, reduced volume of blood loss from soft tissues in the area of full-thickness skin transplant, faster adaptation and engraftment of split perforated skin transplants, improved functional and aesthetic results of surgical treatment.

1 cl, 26 dwg, 2 ex