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Розходження рани - Хірургія - Форум лікарів
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Розходження рани

[phpBB Debug] PHP Warning: in file [ROOT]/vendor/twig/twig/lib/Twig/Extension/Core.php on line 1107: count(): Parameter must be an array or an object that implements Countable
BatBat
Повідомлень: 3
З нами з: 24 лютого 2019, 23:07
Спеціальність: Хірургія
Звідки: Луцьк
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Розходження рани

Повідомлення#1 » 24 лютого 2019, 23:15

Добрий вечір, хворий з цукровим діабетом на 20й день після ампутації вдома впав. Рана практично повністю розійшлася. Фото зроблене через два дні після падіння. Краї не зводяться. Що робити?
1. Не зашивати це не варіант, культя не підійде для протезування.
2. Висікти лишніх грануляції і зашити?
3. Висікти лишніх грануляції, освіжити шкіру і зашити?
4. Зробити послаблюючі розрізи на шкірі і стягнути?
5. Псіханути і стягнути як є? Це все одно що перший варіант, вийде грубий рубець, можливо краї некротизуються.


Полиграф Полиграфыч
Повідомлень: 748
З нами з: 05 червня 2015, 20:17
Спеціальність: не врач
Звідки: фортеця Калаур
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Re: Розходження рани

Повідомлення#2 » 25 лютого 2019, 10:09


Аватар користувача
BISON
Повідомлень: 31
З нами з: 11 лютого 2017, 12:02
Спеціальність: хірург, онколог, проктолог, флеболог...
Звідки: центр госпітального округу
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Re: Розходження рани

Повідомлення#3 » 26 лютого 2019, 16:31

Однозначно варіант 3, ці гіпергрануляції там ні до чого.

BatBat
Повідомлень: 3
З нами з: 24 лютого 2019, 23:07
Спеціальність: Хірургія
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Re: Розходження рани

Повідомлення#4 » 03 березня 2019, 11:23

Вдалося зробити по варіанту 3.

Полиграф Полиграфыч
Повідомлень: 748
З нами з: 05 червня 2015, 20:17
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Re: Розходження рани

Повідомлення#5 » 03 березня 2019, 16:50


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