[Surgical debridement of wounds in children using CO2 laser]

Experience in the use of the CO2 laser beam in complex surgical debridement of primary traumatic wounds in 77 children showed that in a power density range of 15 to the Wt/cm2 it led to a sharp decrease of microbial dissemination in the wound and in 81.3% of cases to sterility of the wound surface. Carbon-dioxide laser radiation has an effect on the surface leucocytic-necrotic layer, replacing it with a narrow zone of thermal coagulation necrosis, and on the polymorphonuclear leucocytes lying in the thickness of the tissue of the wound wall at different depths. As compared to the control group of patients (86 children with 91 wounds), the incidence of suppurations reduced from 14.2 to 2.6%.