pirogovestnikВестник Национального медико-хирургического центра им. Н.И. ПироговаBulletin of Pirogov National Medical & Surgical Center2072-82552782-3628Национальный медико-хирургический Центр им. Н.И. Пирогова10.25881/20728255_2024_19_2_123pirogovestnik-123Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWSПЕРСПЕКТИВЫ ПРИМЕНЕНИЯ ЛАЗЕРНОЙ ТЕРАПИИ ПРИ ЛЕЧЕНИИ ОГНЕСТРЕЛЬНЫХ РАН КОНЕЧНОСТЕЙPROSPECTS FOR THE USE OF LASER THERAPY IN THE TREATMENT OF GUNSHOT WOUNDS OF EXTREMITIESДавыдовД. В.DavydovD. V.КеримовА. А.KerimovA. A.kerartur@yandex.ruБесединВ. Д.BesedinV. D.ПиманчевО. В.PimanchevO. V.ЗемлянойА. Б.ZemlyanojA. B.ФГБУ «Главный военный клинический госпиталь им. академика Н.Н. БурденкоРоссияChief military clinical hospital named after academic N.N. BurdenkoRussian FederationФГБУ «Национальный медико-хирургический Центр им. Н.И. Пирогова»РоссияPirogov National Medical and Surgical CenterRussian FederationФГБОУ ВО «Российский биотехнологический университет (РОСБИОТЕХ)»РоссияRussian Biotechnological University (ROSBIOTECH)Russian Federation202414082024192123127Copyright © Давыдов Д.В., Керимов А.А., Беседин В.Д., Пиманчев О.В., Земляной А.Б., 20242024Давыдов Д.В., Керимов А.А., Беседин В.Д., Пиманчев О.В., Земляной А.Б.Davydov D.V., Kerimov A.A., Besedin V.D., Pimanchev O.V., Zemlyanoj A.B.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://submit.pirogov-vestnik.ru/jour/article/view/123

В последние годы проблематике лечения ран различной этиологии уделяется много внимания. В современном мире мы сталкиваемся с возрастающим количеством огнестрельных ранений (до 68% в структуре современной боевой хирургической травм), при этом наибольший процент (53%) составляют ранения конечностей. На фоне массивного разрушения тканей и большой кровопотери, высокого риска развития общих и местных инфекционных осложнений ключевой точкой лечения становится первичная хирургическая обработки. Соблюдение правильности выполнения всех ее этапов (рассечение раны, удаление инородных тел, иссечение нежизнеспособных тканей, дренирование раны, закрытие раны) позволяет предупреждать развитие осложнений и создать благоприятные условия для заживления раны. Но нередко в нашей работе, после очищения раны мы сталкиваемся с проблемой длительности заживления раны и удлинения всех фаз раневого процесса. Одним из доступных и эффективных методов, стимулирующих репаративный процесс, на наш взгляд, является лазерная терапия. Проведен обзор литературы о механизмах биологического действия и о применении лазерных технологий в лечении ран различной этиологии, включая огнестрельные ранения

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

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The authors declare that there are no conflicts of interest present.