[Possibilities of using plasma flow in lung surgery]. / Perspektivy primeneniia plazmennogo potoka v legochnoi khirurgii.

Experiments on 10 mongrel dogs demonstrated the efficacy and reliability of argon plasma flux in achieving hemo- and aerostasis in surgical debridement of gunshot wounds of the chest "Fakel" plasma surgical complexes were used as a source of plasma. A total of 43 operations were performed on patients whose ages ranged from 16 to 68 years: pulmonectomy 3, lobectomy 24, bilobectomy 4, atypical resection of the lung 4, pleurectomy with lung decortication 5, diagnostic thoracotomy 2, rib resection 1. Argon plasma flux was used in thoracotomy, treatment of wound surfaces of the lungs and pleura, separation of the interlobar fissures, and division of the main and lobar bronchi. The plasma flux produced an analgesic effect; as a result much less narcotics and analgesics were needed and physical activity was permitted earlier. The amount of discharge from the pleural cavity along the drain was 1.5-2 times less (200 +/- 40 ml) as compared to that in the traditional methods for conducting similar operations. No complications associated with application of plasma flux were noted. Incompetence of the bronchial stump, rethoracotomy for bleeding or suppuration were not encountered.

[Coagulation of experimental gunshot wounds of the liver and spleen using plasma argon flow]. / Koaguliatsiia ognestrel'nykh ran pecheni i selezenki plazmennym potokom argona v éksperimente.

Experiments were conducted on 26 dogs to study the possibility of debridement of gunshot wounds of the liver and spleen with plasma argon flow. The method was found to be highly effective in providing final hemo- and cholestasis. The elaborated ++plasma coagulation method allows organ-preserving operations to be undertaken and may be recommended for use in field surgery. Analysis of morphological changes in the tissues showed that the wounds of the liver and spleen heal in the usual period of time without coarse cicatricial deformity of the tissues.

[Experimental and clinical studies and prospects of using plasma flows]. / Eksperimenta'lnoe i klinicheskoe izuchenie i perspektivy primeneniia plazmennykh potokov.

The article deals with experimental studies in the choice of a plasma-forming gas and optimization of the operating regimen of a plasma surgical device to be used in surgical practice. On the basis of these studies, methods of operations on the liver were developed. Clinical experience in practical removal of a malignant tumor of the anterior abdominal wall with the use of a plasma device is discussed. The developed methods of hemostasis by means of a plasma flow of argon may be used in urology, thoracic surgery, gynecology, and military surgery.

[Use of plasma surgical devices for hemostasis during operations on the liver and spleen]. / Ispol'zovanie plazmennykh khirurgicheskikh ustanovok dlia gemostaza pri operatsiiakh na pecheni i selezenke.

A comparative analysis of the efficiency of coagulation of the wound surfaces of the liver and spleen by plasma jet of argon, neon and helium was made. The coagulation rate was shown to increase with the elevation of temperature and power of the plasma jet. Results of the experimental studies have shown that using argon is most expedient for achieving reliable and rapid hemostasis.