Surgical tactics in cases with large wounds of soft tissue of limbs and pelvis

Abstract

In modern armed conflicts the incidence of multiple and combined limb wounds with extensive wound defects of the limbs and pelvis remains high and tends to increase [1]. Such wounds are accompanied by prolonged treatment period, high frequency of wound infection development (up to 35–80%), impossibility of early internal osteosynthesis and early rehabilitation, and rather high incidence of disability [2–4]. The closure of extensive defects in combination with the wound management algorithm in the early posttraumatic period reduces blood and plasma loss, the development of endotoxicosis and wound infection, significantly improves the results and outcomes of treatment, increasing the efficiency of wound healing and reducing the duration of patient treatment.