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Pavlenko O. V., Boyko M. A. COMPARATIVE EVALUATION OF HEALING EFFICIENCY AND HEMOSTASIS OF POSTEXTRACTION WOUNDS AFTER USE OF HEMOSTATIC SPONGE AND CONVECTION-INFRARED THERMOSURGICAL TECHNOLOGY. ВІСНИК МОРСЬКОЇ МЕДИЦИНИ. 2020;3(88): 91-98. ISSN 0049-6804. DOI http://dx.doi.org/10.5281/zenodo.4118674 http://www.herald.com.ua УДК 616.311-07-089.22-089.27:612.014.421.8:611-018 DOI http://dx.doi.org/10.5281/zenodo.4118674 ПОРІВНЯЛЬНА ОЦІНКА ЕФЕКТИВНОСТІ ЗАГОЄННЯ ТА ЗДІЙСНЕННЯ ГЕМОСТАЗУ ПОСТЕКСТРАКЦІЙНИХ РАН ПІСЛЯ ВИКОРИСТАННЯ ГЕМОСТАТИЧНОЇ ГУБКИ ТАКОНВЕКЦІЙНО-ІНФРАЧЕРВОНОЇ ТЕРМОХІРУРГІЧНОЇ ТЕХНОЛОГІЇ О. В. Павленко, М. А. Бойко Національна медична академія післядипломної освіти ім. П. Л. Шупика, Київ, Україна COMPARATIVE EVALUATION OF HEALING EFFICIENCY AND HEMOSTASIS OF POSTEXTRACTION WOUNDS AFTER USE OF HEMOSTATIC SPONGE AND CONVECTION-INFRARED THERMOSURGICAL TECHNOLOGY Pavlenko O. V., Boyko M. A. P. L. Shchupik National medical academy of postgraduate education, Kiev, Ukraine mikola.boiko.stom@gmail.com Summary Introduction. Due to the large number of methods of hemostasis, the search for the most optimal. Due to the active push in the chemical and technical spheres, the development and introduction of new and modified methods of hemostasis in the surgical field is observed. Due to the lack of a single view on the problem of hemostasis of post-extraction wounds in the oral cavity, it is important to conduct a dynamic assessment of wound healing in the early postoperative period. Objective: to compare the effect of local passive hemostatic agent (hemostatic sponge) and convection-infrared thermosurgical technology (CITT) hemostasis on post-extraction wound healing, to explore the advantages and disadvantages of each method. Materials and methods. We examined and treated 28 patients of different sexes aged 19-45 years who required elective dental surgery in the form of a typical removal of the lower wisdom tooth. Patients were divided into 2 groups of 14 people each. Depending on the method of hemostasis, the control group (hemostatic sponge "Alvanes") and the main (CITT) were distinguished. To determine the intensity of pain, a visual analog scale (VAS) was chosen. The intensity of wound healing was assessed according to the scale of edema, bleeding and local thermometry. Statistical data processing was performed using the program STATISTICA 13, the difference was considered significant with a probability of statistical error p ≤ 0.05. Conclusions. The use of convection-infrared thermosurgical technology eliminates postextraction bleeding for 15 s, accelerates the formation of a stable blood clot, ensures the absence of foreign bodies in the wound, has better performance in the early postoperative period compared to hemostatic sponge. Key words: postextraction wound, hemostasis, hemostatic sponge, convection-infrared thermosurgical technology.
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