[Restorative microsurgery in severe injury and traumatic amputation of the distal portions of the extremities]. / Vosstanovitel'naia mikrokhirurgiia pri tiazhelom povrezhdenii i travmaticheskoi amputatsii distal'nykh otdelov konechnostei.

Application of microsurgical methods and free grafting of the compound complexes of tissues with the vessels and nerves in particular with microanastomoses permitted to achieve high functional results in traumatic amputation of extremities in contiguity, severe destroying traumas and their consequences. Experience of 1000 urgent microsurgical operations, including 638 replantations of digits and their blocks for various kinds of amputation on the palm level was summarized. Classification of amputation, taking into account the injury mechanism and character, promoting the choice of optimal tactic and technique of restoration operation was elaborated. Indication for replantation are substantiated, the results of restoration operation, complications occurring after large segments of extremities replantation and measures for their treatment are analysed. Definite success of operation is determined by the extent of first operation and by subsequent rehabilitation measures conduction including the correcting operations and various conservative methods.

[Use of vazaprostan in the treatment of multifocal peripheral obliterating lesions of arteries of the lower limbs]. / Primenenie vazaprostana pri lechenii mul'tifokal'nykh i perifericheskikh obliteriruiushchikh porazhenii arterii nizhnikh konechnostei.

Vazaprostan was prescribed to 13 patients with the lower limbs obliterating atherosclerosis and the coronary arteries atherosclerotic lesion (first group) and in 17--with obliterating atherosclerosis and endarteritis of the lower limbs vessels (second group). The treatment was found to be effective one in all of the patients of the first group and in 13--of the second. The authors consider vazaprostan application to be expedient in patients with the lower limbs obliterating lesions as a supplement to operative intervention and also in coincidence of this pathology with the ischemic heart disease.

[New aspects of the surgical treatment of occlusive diseases of the arteries of the distal portion of the legs]. / Novye aspekty khirurgicheskogo lecheniia okkliuzionnykh zabolevanii arterii distal'nykh otdelov nizhnikh konechnostei.

On the basis of the evaluation of a clinico-roentgenologic picture, the classification of occlusive-stenotic lesion of the vessels of the lower extremities is suggested. Transplantation for the crus and foot vascularization of the omental flap in 28 cases, and musculocutaneous flap--in 14 permitted to save an extremity more than in 70% of patients with the terminal stage of ischemia.