Prospects for the use of laser therapy in the treatment of gunshot wounds of extremities

In recent years, much attention has been paid to the treatment of wounds of various etiologies. In the modern world, we are faced with an increasing number of gunshot wounds (up to 68% in the structure of modern combat surgical injuries), with the largest percentage (53%) being limb injuries. Against the background of massive tissue destruction and large blood loss, high risk of general and local infectious complications, primary surgical treatment becomes the key point of treatment. Compliance with the correctness of all its stages (dissection of the wound, removal of foreign bodies, excision of non-viable tissues, wound drainage, wound closure) allows you to prevent the development of complications and create favorable conditions for wound healing. But often in our work, after cleansing the wound, we are faced with the problem of the duration of wound healing and lengthening of all phases of the wound process. One of the available and effective methods that stimulate the reparative process, in our opinion, is laser therapy. In this review article, we reviewed the literature on the mechanisms of biological action and the use of laser technologies in the treatment of wounds of various etiologies, including gunshot wounds.