Treatment of limb combat blast wounds using negative pressure

Blast injury (BI) is a combat multifactorial resulting from the impulse action of complex traumatic factors by mine munition explosion, characterized an interconnected and increasingly severe impact, massive deep tissue damage development general contusion-shock syndrome. For BI with large skin soft defects, it advisable to use negative pressure wound therapy (NPWT). Objective. To analyze effectiveness using NPWT system in patients blast injuries. Methods. Publications were searched electronic systems Google Scholar, PubMed, ScienceDirect, archives specialized journals. The results treatment 134 analyzed: 130 (97 %) men 4 (3 women, average age 36.6 years (22‒64). According types injuries, distributed as follows: — 128 (95.5%), bullet injuries 6 (4.5 %). results. goal improve healing through multiple mechanisms at macroscopic microscopic levels. reduces risk infectious complications, prevents excessive progression necrosis affected tissues, accelerates growth granulation tissues pain result preparation for primary or, case significant damage, creation favorable conditions performing plastic surgeries. In general, times, risks complication level improves functional This current own research coincides majority authors allows us continue work this direction. Conclusions. Treatment wounds vacuum bandages devices creating effective approach that contributes reduction tissue, facilitates further plasticity defect, recovery time wounded his rehabilitation.