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Nikolaev K.N.

Main Military Clinical Hospital Russian National Guard Troops of the Russian Federation, Balashikha, Russia

Kovalev A.S.

Main Military Clinical Hospital Russian National Guard Troops of the Russian Federation, Balashikha, Russia;
Russian University of Biotechnology, Moscow, Russia

Fedorchenko V.E.

Main Military Clinical Hospital Russian National Guard Troops of the Russian Federation, Balashikha, Russia

Melikova I.V.

Main Military Clinical Hospital Russian National Guard Troops of the Russian Federation, Balashikha, Russia

Barkalev M.A.

Main Military Clinical Hospital Russian National Guard Troops of the Russian Federation, Balashikha, Russia

Ivchenko D.R.

Department of Medical Support Russian National Guard Troops of the Russian Federation, Moscow, Russia;
Russian Medical Academy of Continuous Professional Education, Moscow, Russia

Loich I.B.

Main Military Clinical Hospital Russian National Guard Troops of the Russian Federation, Balashikha, Russia

Derkach S.A.

Main Military Clinical Hospital Russian National Guard Troops of the Russian Federation, Balashikha, Russia

Epifanov S.A.

Pirogov National Medical Surgical Center, Moscow, Russia

Results of Menzul’s autologous skin grafting for combat surgical trauma

Authors:

Nikolaev K.N., Kovalev A.S., Fedorchenko V.E., Melikova I.V., Barkalev M.A., Ivchenko D.R., Loich I.B., Derkach S.A., Epifanov S.A.

More about the authors

Journal: Plastic Surgery and Aesthetic Medicine. 2026;(1): 94‑102

DOI: 10.17116/plast.hirurgia202601194

Read: 1102 times

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Table of contents

RESULTS OF MENZUL’S AUTOLOGOUS SKIN GRAFTING FOR COMBAT SURGICAL TRAUMA
RESULTS OF MENZUL’S AUTOLOGOUS SKIN GRAFTING FOR COMBAT SURGICAL TRAUMA

To cite this article:

Nikolaev KN, Kovalev AS, Fedorchenko VE, et al. Results of Menzul’s autologous skin grafting for combat surgical trauma. Plastic Surgery and Aesthetic Medicine. 2026;(1):94‑102. (In Russ., In Engl.)
https://doi.org/10.17116/plast.hirurgia202601194

Подписка 2026 Пластическая хирургия и эстетическая медицина (Plastic Surgery and Aesthetic Medicine)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To analyze the results of Menzul’s autologous skin grafting with split-thickness mesh transplant in combat casualties.

MATERIAL AND METHODS

The study enrolled 80 wounded who underwent autologous skin grafting: group 1 — 38 (47.5%) wounded after Menzul’s autologous skin grafting, group 2 — 42 (52.5%) wounded after Tanner procedure. Both groups were comparable in age, gender, severity of injuries and location of wounds. Special features of Menzul’s autologous skin grafting were innovative mesh autologous skin graft and wound treatment according to original method “in own liquid medium”.

RESULTS

Wound epithelialization time was 13.9±0.9 (95% CI 13.6-14.3) and 20.3±1.3 (95% CI 19.9-20.8) days, respectively (p=0.001). Partial lysis of the graft was detected in 1 and 5 patients, respectively (p<0.001). After 3 months, hypertrophic scars were detected in 2 (5.7%) and 5 (11.9%) patients, respectively (p<0.001). VAS score of dressing-related pain was 2.1±0.3 and 4.5±1.1, respectively (p<0.001). The Dermatology Life Quality Index was 5.1±0.3 and 10.2±0.5, respectively (p<0.001).

CONCLUSIONS

Menzul’s autologous skin grafting provides earlier epithelization (13.9±0.9 and 20.3±1.3 days, respectively, p=0.001), lower incidence of coarse postoperative scars (11.9% and 5.7%, p<0.001) and negative cosmetic effects (p=0.0171). This procedure is preferable for restoration of skin defects after thermal and mechanical damage.

Keywords:

autodermoplasty
skin graft
thermomechanical injury
skin perforator
gunshot wound
Menzul

Authors:

Nikolaev K.N.

Main Military Clinical Hospital Russian National Guard Troops of the Russian Federation, Balashikha, Russia

Kovalev A.S.

Main Military Clinical Hospital Russian National Guard Troops of the Russian Federation, Balashikha, Russia;
Russian University of Biotechnology, Moscow, Russia

Fedorchenko V.E.

Main Military Clinical Hospital Russian National Guard Troops of the Russian Federation, Balashikha, Russia

Melikova I.V.

Main Military Clinical Hospital Russian National Guard Troops of the Russian Federation, Balashikha, Russia

Barkalev M.A.

Main Military Clinical Hospital Russian National Guard Troops of the Russian Federation, Balashikha, Russia

Ivchenko D.R.

Department of Medical Support Russian National Guard Troops of the Russian Federation, Moscow, Russia;
Russian Medical Academy of Continuous Professional Education, Moscow, Russia

Loich I.B.

Main Military Clinical Hospital Russian National Guard Troops of the Russian Federation, Balashikha, Russia

Derkach S.A.

Main Military Clinical Hospital Russian National Guard Troops of the Russian Federation, Balashikha, Russia

Epifanov S.A.

Pirogov National Medical Surgical Center, Moscow, Russia

Received:

29.06.2025

Accepted:

04.09.2025

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