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Articolul urmator |
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SM ISO690:2012 TARAN, Anatolie. Active-surgical techniques for treatment of electrical injuries. In: Cercetarea în biomedicină și sănătate: calitate, excelență și performanță, Ed. 1, 20-22 octombrie 2021, Chişinău. Chișinău, Republica Moldova: 2021, p. 334. ISBN 978-9975-82-223-7 (PDF).. |
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Cercetarea în biomedicină și sănătate: calitate, excelență și performanță 2021 | ||||||
Conferința "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță" 1, Chişinău, Moldova, 20-22 octombrie 2021 | ||||||
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Pag. 334-334 | ||||||
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Rezumat | ||||||
Background. Active-surgical tehniques are an essential anti-shock element and has a vital importance in the treatment of electrical injury. Its purpose is to remove devitalized tissues, to process the associated burn injuries and to make decompression incisions for prevention of peripheral ischemia syndrome. Objective of the study. To argue the necessity to apply in early terms different surgical tehniques in treatment of electrical injuries and the importance of subsequent daily sessions of surgical debridement in parallel with the evolution of the necrosis process. Material and Methods. The study was performed on a group of 36 patients with electrical injury, hospitalized in the period of 2015-2020.The analyzed characteristics were: the number of necrectomies and fasciotomies performed in the first hours after the accident, the number of daily debridement surgical sessions, the number of amputations etc. Results. In 4 cases of the total number, the tissue destruction was well delimited from the beginning, the viability of the segment was considered without risks, as a result, early necrectomy with covering the defects by plastic surgery was done. In another 30 cases the patients presented extensive necrotic lesions of big surface and depth, that is why was necessary to perform daily surgical sessions of debridation, in parallel with the evolution of the necrosis process. In other 2 cases emergency amputation of the affected segment was performed. Conclusion. The surgical techniques selected correctly and applied at the right time significantly increases the chance of saving an electrocuted segment, with maintaining its functionality at a high level, and at the same time they assure a favorable clinic evolution. |
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Cuvinte-cheie electrical injury, necrectomy, fasciectomy, electrotraumatism, necrectomii, fasciotomii |
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