[Use of carbon dioxide laser in the complex treatment of patients with trophic ulcers and non-healing wounds].

Examination of 307 patients with trophic and sluggish wounds showed that the use of a focussed carbohydrate laser beam with an energy density of 800-1000 J/cm2 makes it possible to remove pyonecrotic masses and microbial flora from the wound surface in one-stage, rapidly, without bleeding and without injury to the underlying healthy tissues and, in most cases, to make it sterile. A defocused beam of this laser applied locally with an energy density of radiation ranging from 0.5 to 2.5 J/cm2 produces a marked stimulating effect on processes of reparative regeneration in the irradiated tissues and allows one in this way to reduce the term of wound healing and the term of the patient's hospital stay by 1.4 times.