[Venous forms of the inborn vascular malformations of the lower extremities. Diagnosis and surgical treatment].

Pathogenetically substantiated approach, using surgical, laser and echosclerosing methods, was applied for improvement of the treatment results in patients, suffering venous forms of the inborn vascular malformations of the lower extremities. The results of examination and treatment in 2006-2009 period were analyzed in 98 patients. The stem malformations with superficial venous system affection was diagnosed in 59 (60.2%) patients, the same with a deep venous system affection--in 27 (27.6%), the extrastem affections--in 7 (7.1%) and the combined malformations--in 5 (5.1%). There was differential tactics of the surgical treatment used together with combination of original surgical procedures, newest laser methods and sclerotherapy, which have permitted to achieve satisfactory late results in 73 (74.5%) patients. Poor results in 25 (25.5%) patients were caused by the pathological process spread and proliferative activity of malformation, what was confirmed by immunohistochemical and morphological investigations data.

[Specific aspects of regional hemodynamics in patients with ischemic foot contracture based on ultrasonic investigation data]. / Osoblyvosti rehionarnoï hemodynamyky u khvorykh z ishemichnoiu kontrakturoiu stopy za danymy ul'trazvukovoho doslidzhennia.

In 20 patients with ischemic contracture of foot (ICF) the ultrasonic investigation (UI) results of peripheral blood flow of lower extremity were analyzed. The functional test was applied for differentiation of hypoperfusion and functional state of lower extremity vessels. According to UI data the blood flow in peripheral arteries in patients was characterized by an ischemic changes of different degree, most pronounced in patients with inveterate damages of popliteal artery. Increase of humero-malleolar index on the damaged extremity in patients with ICF was revealed for the first time.

[Efficacy of vascular therapy in complex of treatment of purulent necrotic foot ulcers in patients with diabetes mellitus]. / Efektyvnist' sudynnoï terapiï v kompleksi likuvannia hniino-nekrotychnoho urazhennia stopy u khvorykh na tsukrovyi diabet.

The result of treatment of purulent-necrotic affection of foot (PNAF) in 151 patients with diabetes mellitus (DM) was estimated. The conduction of preoperative medicinal therapy is mandatory for the general status of patient stabilization only. After prescribing of heparin, no-spa, papaverin, rheopolyglucinum, solcoseryl, aspirin the foot tissues blood supply is changing nonvitally, the foot tissues blood supply while the alprostan intravenous infusion improves significantly. The alprostan prescription during performance of operative intervention on foot in patients with PNAF, caused by DM, and in the collateral blood flow decompensation of the leg and foot arteries is mandatory.