[Programmed irrigation and drainage in the treatment of patients with suppurative arthritis and intramedullary phlegmons]. / Programmirovannoe oroshenie i drenirovanie v lechenii bol'nykh s gnoinymi artritami i intramedulliarnymi flegmonami.

Programmed irrigation and drainage were used in the process of treatment of 17 patients with purulent arthritis of the knee joint and talocrural articulation and of 13 patients with intramedullary phlegmons of the femoral, tibial and humeral bones. The programmed irrigation and drainage were proved to decrease the microbial dissemination of the wash liquid to 10 colony-forming units per 1 ml during 1-3 days. The method allowed to avoid synovectomy and resection of the joint in patients with purulent gonitis, to decrease the risk of appearance of secondary infections. The programmed irrigation and drainage for intramedullary phlegmons provide complete sanitation of the purulent focus during 7-10 days, create favorable conditions for consolidation of fractures and prevent the development of chronic osteomyelitis.

[Programmed irrigation and drainage in the treatment of patients with a local soft-tissue suppurative infection]. / Programmirovannoe oroshenie i drenirovanie v lechenii bol'nykh s mestnoi gnoinoi infektsiei miagkikh tkanei.

Treatment of 92 patients aged from 18 to 69 years with abscesses and phlegmons of soft tissues included programmed irrigation and drainage. Apparatuses with two-level programs were used. It was shown that programmed irrigation and drainage allowed microbial dissemination by wash liquid to be decreased to 10 colony-forming units per 1 ml during 3 days. This term can be shortened to 1 day when using the program of intensive irrigation and drainage (more than 200 cycles during the first days after operation) and when intraoperative treatment with a beating jet of liquid is used in combination with curettage and vacuuming.

[Controlled opening of wounds with the apparatus of pin cutaneous fixation as a method of treatment in anaerobic infections of the lower limbs]. / Upravliaemoe raskrytie ran apparatom spitsevoi kozhnoi fiksatsii kak metod lecheniia anaérobnoi infektsii nizhnikh konechnostei.

A method of postoperative treatment of the anaerobic infection of the lower extremity soft tissues is proposed which consists in the wide opening of the wounds with a simple device. Fixation of the extremity in the device is provided by the intracutaneously conducted and strained extension wires. Due to the effect of decompression of the tissues, gaping wounds and extension of the skin margins, there appear conditions for subsiding the inflammation, effective control, management of the wounds and closing of them by secondary sutures to form a linear cicatrix. The authors succeeded in shortening the time of preparing the wound for closure and obtaining better results.

[Pulse jet administration of liquid in the treatment of suppurative wounds]. / Primenenie pu'lsiruiushchei strui zhidkosti v lechenii gnoinykh ran.

The work presents data on dynamics of microbial dissemination of purulent wounds in the process of surgical treatment with an additional action of the beating jet of liquid and repeated treatment by the beating jet of antibiotics. An analysis of results of healing the wounds has shown efficiency of the method when finishing the surgical treatment of purulent wounds by putting sutures as well as by plastic closure of the wounds.

[The first experience with crural plastic surgery using island composite skin flaps]. / Pervyi opyt plastiki ostrovkovymi slozhnymi kozhnymi loskutami goleni.

An analysis of literature data, topographo-anatomical studies of 23 lower extremities and an experience with using 18 island fasciocutaneous flaps of the lower leg are presented. The article describes the possibilities of using a new donor area for plasty of limited defects of the lower leg and foot after various traumas and their sequelae.

[Active drainage of a wound]. / Aktivnoe drenirovanie rany.

Experimental investigations of the authors have shown active drainage to be optimal at negative pressure in the wound not higher than 80 mm Hg. The application of active drainage in the treatment of 1369 patients has demonstrated the effectiveness of the method for prevention of local complications of the wound process.

[Evaluation of several immunologic indices in suppurative surgical infections]. / Otsenka nekotorykh immunologicheskikh pokazatelei pri gnoinoi khirurgicheskoi infektsii.

The clinical course of the disease was correlated with the indices characterizing the activity of different components of the immune system in 47 patients with a purulent surgical infection. The investigation has shown the clinical value of immunological tests studied to be not identical. The determination of the concentration of the circulating immune complexes and the migration activity of macrophages is proposed for the prognostic assessment of the course of the disease.