Comparative Assessment of Conventional and Laser Treatment for Suppurative Wounds
Modern principles in the treatment of suppurative wounds are the following: (1) incision of devitalized tissues; (2) the primary or postponded suture; (3) utilization of a pulsed jet and a system of active aspiration. These methods are efficient in 85–90%. It satisfies the majority of surgeons. But thre are two things worth attention. First, the described scheme cannot be used in case of extensive flegmons, marked inflammatory changes around the purulent focus and when it has deep location near large vessels and nerves; when there is an extensive tissue necrosis and anaerobic flora. Secondly, the period of invalidity -with traditional methods being used — is unjustified in many cases. More effective therapy in extensive suppurative processes could be possibly reached with better management of a purulent focus and with the ameliorated influence on purufication and regeneration. For the latter one many surgeons are using enzymatic necrolysis. But natural proteinases turned to be not effective enough because of their rapid inactivation and withdrawing from the wound.