Baranovskiy Y. Operative treatment of hypertrophic and keloid scars, their early clinic and morphology differential diagnosis and propfylaxis.

Українська версія

Thesis for the degree of Candidate of Sciences (CSc)

State registration number

0412U000082

Applicant for

Specialization

  • 14.01.03 - Хірургія

21-12-2011

Specialized Academic Board

Д 52.600.02

Essay

Thesis offers clinic and morphology algorithm of prophylaxis and treatment of keloid and hypertrophic scars of anterior abdominal wall developed after the delete of such scars, appearing as a result of previous operation. An algorithm is offered by application of complex guy-sutures or skin plaster of Steri-Strip for closing of a skin wound, 1-3 courses of phototherapy by the device of «Bioptron» depending on the type of the formed scar and intrafocal introduction of kenalog preparation. For rough tightening of hypertrophic scars the Z-plastic on L.A. Limbergu are used. Within the offered algorithm on 7-10 day from the beginning of scarring scar bioptat exposed to morphological, immuno- and lectinohistochemical research on purpose define character of the formed scar. It is discovered that diagnostic value in differential diagnostics of young keloid and hypertrophic scars within 91,4% have lectins of Solanum tuberosum, Sumbucus nigra, Caragana, Laburnum anagyroides and Lens culinaris and with exactness 95,1% is expression of gene Bcl-2 and protein р53 in cells.

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