[Use of autovenous tissue for treatment of patients with venous-aetiology lower-limb trophic ulcers].

The authors analyse herein the results of using removed dilated autologous veins simultaneously with operations aimed at correcting venous blood circulation in a total of fifty patients presenting with lower-limb trophic ulcers caused by varicose and postthrombotic diseases. The comparison group was composed of forty-four patients subjected to autodermoplasty. In the postoperative period all the patients used mechanical stimulation of angiogenesis for bettering and speeding up the process of healing and regeneration of trophic ulcers. The use of autovenous plastic material appeared to significantly increase the efficacy of treatment of patients. The time of epithelisation averagely amounted to 10 days for varicose and 14 days for postthrombotic ulcers. In the control group healing of varicose trophic ulcers occurred in 91% and in postthrombotic ulcers in 85% of patients. The terms of healing averaged 22 and 29 days, respectively. Autovenous plasty of trophic ulcers in comprehensive treatment with correcting operations is a method turning out to be superior in its efficacy and healing terms to the currently existing wound covers.

[Characteristics of postoperative period in children with funnel chest deformity after thoracoplasty].

The efficiency of postoperative analgesia using the epidural infusion of bupivacaine (0.2 mg/kg/hr) in 42 children and with opioid analgesics (1 mg per year of life) was studied in 17 children after Paltia thoracoplasty for funnel chest deformity. Analysis of hemodynamic and external respiratory parameters and visual pain scores demonstrated the high postoperative efficiency of analgesia using the epidural infusion of bupivacaine. By causing respiratory depression, opioid analgesics did not deteriorate alveolar ventilation during active postoperative management.