[Reconstructive methods in the treatment of soft tissue defects below the knee]. / Reconstruktivne metode u zbrinjavanjudefekata mekih tkiva potkolenice.

The specificity of the lower leg is in sparse collateral blood flow of the skin cover in the middle and distal part, reduced subcutaneous tissue and the prominence of the front side of tibia immediately under the skin. These characteristics of the lower leg make the application of the standard plastic reconstructive principles, which have been applied in the other regions of the body to a certain degree impossible. The progress of anatomical knowledge in relation to vascularization of the tissue territories--angiosoma, and the anatomy of the vascular skin system of the lower leg, along with the technological progress represented by the application of the surgical microscope, new surgical instruments and suture materials, provides the reconstructive surgeon, not only with classic but also with the modern surgical methods in this region: microvascular transplantation of the tissue and the application of the fasciocutaneous reversible flaps. The aim of this study was to show the available reconstructive methods in the treatment of the lower leg soft tissue and to analyze its application in the management of war wounds in the injured from the civil war in the former Yugoslavia. On the basis of our experiences in the management of war wounds, especially of the lower leg with the tissue defects, we would like to point on the existence of the clear indications for the application of certain reconstructive methods depending on the size, localization and tissue defect structure, as well as the advantages and disadvantages of the available reconstructive procedures.

[Analysis of bacterial flora in burn patients]. / Analiza bakterijske flore opecenih bolesnika.

Bacterial flora of burn wound smears and hemocultures of 25 patients with burns have been followed up and analysed in the period of one year. Pseudomonas auruginosa have been most commonly isolated from burn wound smears, in 406 (5.6%) and Staphylococcus aureus, in 371 (47.14) samples. The most important hemoculture isolates has been Staphylococcus aureus found in 34 (57.6%) of samples. One multiresistant strain of Staphylococcus aureus represented 91% of all Staphylococcus aureus strains isolated from hemocultures and 84% from burn wound smears. Serologic and pyocin typing of Pseudomonas auruginosa proved the presence of several epidemic strains.

[Morphologic damage in internal organs in miners caused by explosions of methane gas in mines]. / Morfoloska ostecenja unutrasnjih organa rudara izazvana eksplozijom metana u rudniku.

Four cases of blast injuries in miners caused by methane explosion in the mine are described. In all cases besides burns, changes in tissues and organs, according to their microscopic and macroscopic characteristics, corresponded to blast type injuries described in the literature.