Complex surgical treatment of extensive wounds with subsequent dynamic monitoring of patients using computer and remote technologies

Rationale: Wounds that do not progress through normal phases and remain in an unregulated inflammatory state are reclassified from acute to chronic. One of the serious consequences of complicated wound healing is the development of gross pathological scars, which sharply impair the quality of patients life, reduce mobility, and worsen treatment results. Such patients require long-term observation and anti-scar therapy for the entire period of healing and scar formation. Goal: Improving the results of treatment of extensive granulating wounds in patients through the use of a set of intraoperative and postoperative measures to stimulate healing and prevent wound healing disorders, followed by dynamic monitoring using computer, including remote technologies. Materials and methods: Subject of the study: 98 patients aged 30 to 65 years of both sexes. The study group included 50 patients who underwent necrectomy with autodermoplasty and complex intra- and postoperative stimulation of healing. The second group (control) consisted of 48 patients who underwent traditional surgical intervention to a standard extent. The effectiveness analysis was carried out using anauthor’s PC program. Outpatient observation with remote monitoring enabled in the «Scar Diary» application. Results: In the study group, intensive dynamics of subsidence of signs of inflammation was noted, the median of which was 4 days, while in the control group the median was 7 days. The median reduction of the inflammatory process was 5.0 and 10, and epithelization in the groups was 7.0 and 10.0 days, respectively. Conclusion: Carrying out intraoperative complex treatment of wounds and postoperative use of cold plasma flow can reduce the incidence of complications, reduce wound healing time, shorten the length of hospital treatment and the recovery period. The use of remote and modern computer technologies is certainly effective and convenient for assessing the dynamics of healing and improving the quality of patient management in the postoperative and recovery period.