COMBINATION OF THE MULTIMODAL ALGORITHM AND THE RECONSTRUCTIVE-RESTORATIVE LADDER IN THE TREATMENT OF THE WOUNDED WITH FLAMMABLE DEFECTS SOFT FABRIC

Resume. Most wounds formed as a result of gunshot wound require staged, and in some cases, multistage reconstructive restorative operations rehabilitation.
 Materials methods. During treatment at the Military Medical Center Republic Poland for 6 months (from 24.02.22 to 10.09.22), surgical 54 wounded soldiers was carried out using principles plastic surgery. The process based on multimodal approach - dynamic screening with soft tissue defects, which used pre-, intra- postoperative periods.
 Results their discussion. A total people were included study. Methods closure that during recovery process: spontaneous epithelization — 3 (5.6 %) injured, secondary sutures 10 (18.5 %), PHO use split skin flap 12 (22.2 sliding flaps – propeller 17 (31.5 %). When full-layer (sliding, propeller) patients, inflammatory complications not observed period, but phenomena venous stasis, marginal necrosis distal part noted. average number bed days before independent movement or self-care 7.5 days. aesthetic component patients increased by 1.8 times compared RSK technique.The functional restored 35 % further observation.
 Conclusions. As experience VHP previous military conflicts has shown, primary is possible, cases even harmful. Therefore, our opinion, preparation defect tissues, monitoring, can be considered bright addition reconstructive-plastic ladder. Performing an actual method restoring damaged anatomical area, allowed obtain better aesthetic, well results, without additional surfaces (places collection RAS).