ABSTRACT
Rehabilitation of patients suffering from consequences of burn injury is actual problem in plastic surgery. There is no unified strategy defining optimal terms and stages of treatment, possibility and advisability of simultaneous interventions on different anatomical areas, combination of surgical and conservative treatment while it is necessary for decrease of rehabilitation terms in victims. On basis of twelve-year experience of 1246 patients with consequences of burn injury the authors developed universal algorithm for optimization of surgical treatment, improvement of results and reduction of treatment time.
Subject(s)
Burns , Cicatrix , Plastic Surgery Procedures/methods , Adult , Algorithms , Burns/complications , Burns/physiopathology , Burns/surgery , Cicatrix/etiology , Cicatrix/rehabilitation , Female , Humans , Male , Middle Aged , Trauma Severity Indices , Treatment Outcome , Wound HealingABSTRACT
Some immunological parameters (levels of serum complement, content of circulating immune complexes, and serum concentrations of immunoglobulins) were examined in patients after excretory urography by using triombrast and after X-ray studies without applying any contrast substance. Some changes were found in the activity of complement and in the concentration of immunoglobulins following intravenous triombrast injection. In addition, the above parameters were evaluated in patients with adverse reactions during the contrast study. The findings are discussed in terms of the immunotropic effects of triombrast.
Subject(s)
Antigen-Antibody Complex/analysis , Complement System Proteins/analysis , Immunoglobulins/analysis , Radiography , Urography , Adolescent , Adult , Aged , Antigen-Antibody Complex/drug effects , Complement System Proteins/drug effects , Contrast Media/administration & dosage , Contrast Media/pharmacology , Diatrizoate Meglumine/administration & dosage , Diatrizoate Meglumine/pharmacology , Female , Humans , Immunodiffusion , Immunoglobulins/drug effects , Injections, Intravenous , Male , Middle Aged , RadioimmunoassayABSTRACT
The aim of the study was further investigation of immune mechanism underlying side effects of radiocontrast examinations. Various immunoglobulins were measured in the serum of 54 patients exposed to excretory urography. 13 of them had side effects. They exhibited elevated levels of serum IgM and IgE. The findings are discussed in terms of suggested allergic origin of negative triombrast effects.
Subject(s)
Contrast Media/adverse effects , Diatrizoate Meglumine/adverse effects , Immunoglobulins/blood , Adolescent , Adult , Contrast Media/administration & dosage , Diatrizoate Meglumine/administration & dosage , Female , Humans , Immunoglobulins/drug effects , Male , Middle Aged , Time Factors , Urography/statistics & numerical dataSubject(s)
Osteomyelitis/diagnosis , Spinal Diseases/diagnosis , Adult , Bone Neoplasms/complications , Bone Neoplasms/diagnosis , Diagnosis, Differential , Humans , Laminectomy , Lumbar Vertebrae/diagnostic imaging , Lumbar Vertebrae/pathology , Lumbar Vertebrae/surgery , Magnetic Resonance Imaging , Male , Myelography , Osteoma, Osteoid/complications , Osteoma, Osteoid/diagnosis , Osteomyelitis/complications , Osteomyelitis/surgery , Spinal Diseases/complications , Spinal Diseases/surgery , Thoracic Vertebrae/diagnostic imaging , Thoracic Vertebrae/pathology , Thoracic Vertebrae/surgery , Tomography, X-Ray ComputedSubject(s)
Fractures, Open/diagnostic imaging , Radiography/instrumentation , Calibration , Equipment Design , Humans , USSRABSTRACT
102 patients with scoliosis at stages II, III and IV aged from 7 to 18 years have been operated making use of Rodnianski'i-Gupalov endocorrector. Half of the patients had scoliosis at stage IV. The best results have been observed in the patients aged from 7 to 12 years at stage 11 and beginning of stage III of scoliosis (to 35 degrees). On the basis of the authors' surgical modifications used in 60 patients with scoliosis it is reported that in the children with scoliosis at stages III and IV it is advisable to use a one-plate endocorrector simultaneously combining mobilizing and stabilizing operations, which allows to spread and effectively use Rodnianski'i-Gupalov endocorrector in the patients aged below 18 years. The complications connected with disorders in the endocorrector construction as well as those due to general surgery have been pointed out. In most patients the complications have had no effect on the results of the treatment.
