Wound treatment depending on the phase of the wound process 

Elena V. Muromtseva, Student, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: emurom99@mail.ru
Konstantin I. Sergatskiy, Doctor of medical sciences, associate professor, professor of the sub-department of surgery, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia); coloproctologist of the department of coloproctology, Penza Regional Clinical Hospital named after N. N. Burdenko (28 Lermontova street, Penza, Russia), E-mail: sergatsky@bk.ru
Valeriy I. Nikol'skiy, Doctor of medical sciences, professor, professor of the sub-department of surgery, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: pmisurg@gmail.com
Aleksandr V. Shabrov, Candidate of medical sciences, associate professor of the sub-department of surgery, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia); surgeon, Penza Regional Clinical Hospital named after N. N. Burdenko (28 Lermontova street, Penza, Russia), E-mail: pmisurg@gmail.com
Mukhamed Al’dzhabr, Assistant of the sub-department of surgery, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia); surgeon, Penza Regional Clinical Hospital named after N. N. Burdenko (28 Lermontova street, Penza, Russia), E-mail: pmisurg@gmail.com
Artem D. Zakharov, Postgraduate student, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: pmisurg@gmail.com 

Background. Wounds, despite the diversified development of modern medicine, remain one of the main problems in surgery due to their frequent occurrence, as well as due to the high costs of working time and material resources for their treatment. The wound process is a complex set of body responses to damage and is characterized by a certain phase of its course. Materials and methods. Despite the variety of existing means and methods of treatment, generally accepted recommendations for the management of patients with wounds have not yet been developed. However, one should take into account the diversity of types of wounds, which necessitates an individual approach to the choice of therapy for each patient. Thanks to a more detailed study of the pathophysiology and pathogenesis of the wound process, it became possible not only to prescribe more effective and pathogenetically substantiated treatment to patients, but also to search, develop and implement new modern highly effective methods in the process of wound treatment. Results and conclusions. The review discusses in detail the issues of classifications of wounds, the pathogenesis of the wound process, as well as an analytical study regarding the treatment of wounds, depending on the phase of the wound process, based on modern literature data. 

wounds, wound process, course phases, pathogenesis, wound treatment, wound healing 

Muromtseva E.V., Sergatskiy K.I., Nikol'skiy V.I., Shabrov A.V., Al'dzhabr M., Zakharov A.D. Wound treatment depending on the phase of the wound process. Izvestiya vysshikh uchebnykh zavedeniy. Povolzhskiy region. Meditsinskie nauki = University proceedings. Volga region. Medical sciences. 2022;(3):93–109. (In Russ.). doi:10.21685/2072-3032-2022-3-9