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PRACTICAL APPLICATION OF THE EXPRESS METHOD OF CYTOLOGICAL EVALUATION OF THE WOUND PROCESS CURRENT IN GUNSHOT INJURIES OF THE LIMBS

The article presents the results of the practical application of the rapid method of cytological assessment of the course of the wound process in case of gunshot injuries of the extremities. 10 wounds were subject to analysis. To establish the phase of the wound process and objectively assess changes in the cellular composition of the wound, the developed express method of cytological diagnostics was used. Express assessment of cytograms on days 1-3 after injury indicated a consistent course of the first phase of the wound process with a predominance of necrotic and degenerative types. The timeliness of the primary surgical treatment and the absence of infectious complications from the side of the wounds made it possible to close them by applying a delayed primary suture. All wounds, in accordance with the identified type of cytogram (inflammatory-regenerative and regenerative-inflammatory) were closed on the fifth or sixth day. It was found that the use of the developed technique is rational in 4-6 days after injury to determine the optimal timing of the possibility of wound closure with a primary delayed suture. The developed method of rapid assessment of the course of the wound process makes it possible to objectively assess the dynamics of wound healing and determine the optimal timing of its closure, which is of great practical importance.