[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.

[Diagnosis and surgical treatment results in neurovascular thoracic outlet compression syndrome]. / Diagnostika i rezul'taty khirurgicheskogo lecheniia neirososudistogo kompressionnogo sindroma grudnogo vykhoda.

A detailed study of 44 patients with the neuro-vascular compression syndrome of thoracic exit has established the diagnostic value of clinical and special methods of diagnosing the disease. The most frequent symptoms were pain in the anterior scalene muscle (ASM) during palpation (96%) and paresthesia in fingers (93%). Rheography, arteriography and phlebography of the upper extremities combined with the positional tests should be resorted to. In case of marked neurological symptoms the data on the nerve block of the ASM are informative. Surgical treatment was undertaken in 35 patients: resection of the I rib in 14 cases (in 4 resection combined with upper thoracic sympathectomy), resection of the ASM in 12, removal of the accessory cervical rib with scalenotomy in 5, decompressive vascular reconstructive operations in 10 patients with vascular complications. Good results were obtained in 32 patients. It is stressed that detailed examinations of patients with vaso-neurological symptoms in the upper extremity are important for timely diagnosis and surgery before the complications supervene.