[Active surgical management of critically burned patients (40 years of the method)]

The system of active surgical management of the critically burned is based (besides the desire to begin the operative management as early as possible) on the complex of interrelated medical measures giving the greatest total gain of time having the decisive role for the successful recovery of the skin on the vast surface of the granulating wounds in the utmost concise terms before the development of irreversible changes in organism leading to death. The system was successfully used since 1960 in the Russian Nizhni Novgorod Burn Center and since 1973 in the Mordovian Republic Burn Center where 3000 patients with deep burns were treated. The system was used against the background of intensive infusion therapy during all the stages of burn disease and its complex treatment. When using this highly effective method, the possibility of recovery of these critically ill patients with deep burns previously thought to be doomed was shown. Results of the treatment were considerably better, the period of treatment at the hospital 2-3 times shorter and so the expenditure of the transfusion media and medicines became less. Lethality and invalidization of the recovered patients were much less which is of great social and economic importance.