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1.
Khirurgiia (Mosk) ; (10): 143-149, 2023.
Article in Russian | MEDLINE | ID: mdl-37916569

ABSTRACT

Modern treatment of wounds of various etiologies is presented as a comprehensive approach, including correction of the general somatic condition and adequate local treatment in strict accordance with the stages of the wound process. In relation to the outpatient link, it is a local gentle management of wound defects with proper treatment of the wound surface and wound management under an adequate wound coating that meets various tasks at various stages of the inflammatory process. The inclusion in the therapy of chronic wounds of electro- and radio-frequency equipment with mandatory treatment with NO-streams has a positive effect on the regeneration processes. The inclusion in the therapy of chronic wounds of plasma torch treatment generated by electrosurgical high-frequency MEDSI devices followed by mandatory treatment with NO- flows by ALFANO device has a positive effect on the regeneration processes.


Subject(s)
Wound Healing , Humans , Debridement
2.
Khirurgiia (Mosk) ; (8): 28-32, 2010.
Article in Russian | MEDLINE | ID: mdl-20823817

ABSTRACT

In vivo experiment involved 95 white breedless male rats of pubertal age. The animals were divided in three groups: 1st group had unilateral hernioplasty with mesh implant; 2nd group had bilateral mesh implantation and 3rd group had animals with hernioplasty with lavsan thread. The results were assessed with the use of morphological method, the state of reproductive organs - with the use of biological method and compared with the control (intact) group. Stable progressive increase of thickness of epithelium and spermatic duct wall during the whole observation time was registered after hernioplasty with mesh implantation. In the group after hernioplasty with lavsan thread the above mentioned changes returned to normal values by the end of the first month after the operation. Disorders of the reproductive system in animals after bilateral mesh implantation turned out to be essential and resulted in sterility within the whole time of the observation. Mildly decreased or average fertility was observed among animals after unilateral mesh implantation and hernioplasty. Notably, that after hernioplasty with lavsan thread, fertility was sufficient. The study demonstrated the negative influence of mesh implant on spermatic duct structure, which may cause infertility.


Subject(s)
Hernia, Inguinal/surgery , Infertility, Male/etiology , Polypropylenes/adverse effects , Prostheses and Implants/adverse effects , Reproduction , Surgical Mesh/adverse effects , Animals , Female , Infertility, Male/pathology , Male , Rats , Plastic Surgery Procedures/adverse effects , Spermatic Cord/pathology
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