Use of the local negative pressure method at the reconstructive-plastic stage of management of extensive purulent-necrotic wounds

Introduction. Extensive purulent-necrotic wounds remain an urgent problem of modern medicine, despite advances in surgery and therapy. They can occur due to complications of diabetes mellitus, surgical interventions, limb ischemia or infectious processes such as necrotizing fasciitis. The main difficulties in the treatment of these wounds are abundant plasma loss, slow growth of granulation, lack of plastic material for closing defects and a high risk of secondary complications. The purpose of the study. Analysis of the effectiveness of the local negative pressure (LNP) method at the reconstructive-plastic stage of treating extensive purulent-necrotic wounds in combination with other plastic methods. Materials and methods of research. The article summarizes the data of clinical observations, meta-analyses and studies considering options for using local negative pressure in combination with different types of autodermoplasty. Conclusion. The local negative pressure method has proven itself as an effective means of stimulating wound healing, improving conditions for plastic surgeries and reducing the risk of complications. LNP promotes the growth of granulation tissue, revascularization of grafts and a decrease in bacterial load. However, its use requires consideration of wound characteristics, possible limitations and complications, as well as further research to optimize therapy parameters.