Comparative assesment of efficiency application cold atmospheric plasma and biopolymerous coats evaluation of the effectiveness for the treatment of skin burns of iii degree in experiment

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Abstract

The results of the application of cold atmospheric plasma are discussed in the experimental study. The effectiveness of an experimental wound dressing based on chitosan nanofibers and copolyamide and a commercial wound dressing material based on hyaluronic acid hydrogel in the treatment of third-degree skin burns (ICD-10) is also evaluated. During the first phase of the study, an original method of inflicting thermal burn on the skin of small laboratory animals (rodents) was developed. The temperature of dehaired skin and the temperature of skin heated by resistive electrical element metal plate were obtained through a digital thermometer sensor. The source for the generation of cold atmospheric plasma was made by specialists of St. Petersburg Polytechnic University of Peter the Great. Biopsy material for histological assay was taken 3, 7, 12, 15, 21, and 28 days after treatment. Paraffinic microscopic sectioning was performed with hematoxylin and eosin; after this, microscopic assay was done. The use of cold atmospheric plasma decreases the frequency of purulent complications and also helps reduce the recovery time of the skin by 20% (p < 0.05) but is not sufficient to achieve the result that has been proclaimed after an early escharectomy and replacement of surgical defects by wound dressing materials based on natural polymers. It was demonstrated that the wound dressing based on aliphatic copolyamide and chitosan and hyaluronic acid hydrogel can help significantly accelerate the process of reparative regeneration and histogenesis in the heat-affected zone after escharectomy for up to 14.6%-46% (p < 0.05).

About the authors

Evgeny V. Zinovyev

St Petersburg State Pediatric Medical University

Author for correspondence.
Email: evz@list.ru

MD, PhD, Dr Med Sci Professor, Department of Hospital Surgery with Traumatology and Military Surgery Courses

Russian Federation, Saint Petersburg

Marat S. Asadulaev

St Petersburg State Pediatric Medical University

Email: marat.asadulaev@yandex.ru

Department of Surgical Diseases of Childhood

Russian Federation, Saint Petersburg

Igor A. Komissarov

St Petersburg State Pediatric Medical University

Email: komissarov_i_a@mail.ru

MD, PhD, Dr Med Sci Professor, Head, Department of Surgical Diseases of Childhood

Russian Federation, Saint Petersburg

Mihail V. Shemet

Peter the Great St Petersburg Polytechnic University

Email: mvshemet@gmail.com

PhD, Associate Professor. Department of High Voltage Engineering, Electrical Insulation and Cable Technology

Russian Federation, Saint Petersburg

Vladimir E. Yudin

Peter the Great St Petersburg Polytechnic University

Email: yudinve@gmail.com

Dr Sci Professor, Head. Institute of Physics, Nanotechnology and Telecommunications, Department of Medical Physics, Laboratory of Polymeric Materials for Tissue Engineering and Transplantology

Russian Federation, Saint Petersburg

Anton S. Shabunin

Peter the Great St Petersburg Polytechnic University

Email: anton-shab@yandex.ru

Institute of Physics, Nanotechnology and Telecommunications, Department of Medical Physics, Laboratory of Polymeric Materials for Tissue Engineering and Transplantology

Russian Federation, Saint Petersburg

Natalia V. Smirnova

Peter the Great St Petersburg Polytechnic University

Email: nvsmirnoff@yandex.ru

PhD Researcher. Institute of Physics, Nanotechnology and Telecommunications, Department of Medical Physics, Laboratory of Polymeric Materials for Tissue Engineering and Transplantology

Russian Federation, Saint Petersburg

Artem E. Kryukov

Peter the Great St Petersburg Polytechnic University

Email: kryukov14@gmail.com

Institute of Physics, Nanotechnology and Telecommunications, Department of Medical Physics, Laboratory of Polymeric Materials for Tissue Engineering and Transplantology

Russian Federation, Saint Petersburg

Sergey A. Lukyanov

St Petersburg State Pediatric Medical University

Email: stalker125lu@yandex.ru

Department of Surgical Diseases of Childhood

Russian Federation, Saint Petersburg

Roman G. Stoyanovskiy

St Petersburg State Pediatric Medical University

Email: explabgpmu@gmail.com

Assistant Professor, Department of Human Anatomy

Russian Federation, Saint Petersburg

Tatiana A. Shalonia

St Petersburg State Pediatric Medical University

Email: tanyaiudina@mail.ru

MD, PhD, Assistant Professor, Department of Pathological Anatomy at the Rate of Forensic Medicine

Russian Federation, Saint Petersburg

Ilya V. Artsimovich

St Petersburg State Pediatric Medical University

Email: enerdgezer@yandex.ru

Department of Surgical Diseases of Childhood

Russian Federation, Saint Petersburg

Denis V. Kostyakov

St Petersburg State Pediatric Medical University

Email: kostyakovdv@gmail.com

Department of Pathologic Physiology Courses Immunopathology and Medical Informatics

Russian Federation, Saint Petersburg

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Copyright (c) 2017 Zinovyev E.V., Asadulaev M.S., Komissarov I.A., Shemet M.V., Yudin V.E., Shabunin A.S., Smirnova N.V., Kryukov A.E., Lukyanov S.A., Stoyanovskiy R.G., Shalonia T.A., Artsimovich I.V., Kostyakov D.V.

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