Current state of treating patients with extensive degloving injuries of integumentary soft tissues (literature review)

The authors analyzed the scientific publications that deal with the problems of treating injured persons with extensive degloving injuries to integumentary tissues. The majority of literature sources available for the last 10 years were published abroad. They particularly discuss the use of not only anamnesis and clinical methods for the diagnosis of open and closed degloving injuries of integumentary tissues but also a great variety of instrumental and radiological techniques. Their treatment is optimized by participation of different specialists, including plastic surgeons. It enables not only to avoid pyo-septic complications but also to achieve the best possible aesthetic outcomes in most cases. The Russian literature on the problems of diagnosis, treatment and rehabilitation of injured persons with extensive degloving injuries of integumentary tissues is extremely scarce. Upon summarizing the data of foreign and Russian literature, we conclude that there is no consensus on an optimal choice of the terminology, no classification and, as a consequence, there are no unified approaches to treatment. The above points prove the fact that management of extensive degloving injuries to integumentary tissues remains the topic of further studies.