Abstract:
The research includes a lot consisting of 286 patients with post-burn sequel in the
locomotors system, undergoing various plastic surgery methods in the Clinical Hospital of
Traumatology and Orthopedics. The study of the clinical manifestations of the post-combustion
cicatrix in the locomotors system and of the efficiency of the surgical treatment depending on the
scar localization was done in premiere in the Republic of Moldova. It is for the first time that the
expanded tissues were exposed to additional polarized polychromatic incoherent light treatment,
with histological and electronic microscopic research applied during the treatment. The problem
discussed is the appreciation of the applicability of the surgical treatment of post-burn scars
depending on the localization and the degree of manifestation as well as the benefit of
complimentary phototherapy and its impact on the quality of the tissues expanded. The research
brought sufficient supportive arguments and confirmations of the practical efficiency of the
polarized polychromatic incoherent light therapy in comparison with traditional approach. Different principles of the surgical treatment were implemented in the practical activity thorough
various plastic methods.
Studiul a inclus 286 bolnavi cu sechele postcombustionale la locomotor, trataţi prin
diverse procedee plastice în Spitalul Clinic de Traumatologie şi Ortopedie. Pentru prevenirea
complicaţiilor postoperatorii, a fost elaborată o metodă de pregătire a tegumentelor pentru plastie
ulterioară prin procedeul de dermotensie dirijată. Obiectivul de cercetare: estimarea rezultatelor
tratamentului chirurgical al sechelelor cicatriciale postcombustionale în funcţie de localizare şi
metoda operatorie aplicată. Au fost studiate manifestările cicatriciale postcombustionale la
locomotor şi eficienţa tratamentului chirurgical în dependenţă de localizarea acestora. În
premieră, ţesuturile expandate tradiţional au fost supuse tratamentului adjuvant cu lumină
polarizată policromată incoerentă, apoi examinate histologic și prin microscopie electronică.
Studiul a confirmat utilitatea şi prioritatea terapiei complementare cu lumină polarizată
policromată incoerentă, comparativ cu metoda tradiţională.
