[Improvement of surgical methods and techniques in the treatment of varicosities of the lower extremities]. / Optimizatsiia khirurgicheskikh metodov i tekhniki v lechenii varikoznoi bolezni nizhnikh konechnostei.

The authors have devised a technique of consecutive performing the steps of operative interventions for varicose disease of lower extremities. The method includes extirpation after Babcock of the main trunks of the large and, if necessary, the small subcutaneous veins with the help of a spiral-shaped device; preliminary percutaneous-supracutaneous temporary ligation with kapron of sinuous lateral superficial veins; subcutaneous dissection of ligated veins between ligatures with minimal blood loss. For this purpose a phlebotom of simple construction in the shape of a clamp was used. One of its jaws was a cutting element with a point and cutting edge. The instruments proposed allow to make the technique easier, to avoid excessive traumatization of the tissues and to achieve stable obliteration of the injured veins. Recurrence of the disease was noted in 3.5% out of 145 patients with varicose disease within 1-8 years.

[Surgical technologies in the treatment of lower extremity varicose disease]. / Khirurgicheskie tekhnologii v lechenii varikoznogo rasshireniia ven nizhnikh konechnostei.

Rational method of surgery for lower extremities varicosis are developed. Method consists of Babkok's extirpation of greater and minor (if it is necessary) saphenous veins with spiral device; preliminary transcutaneous-supracutaneous temporary caprone ligation of changed superficial veins, subcutaneous dissection of ligated veins with minimal blood loss. Original flexible spiral saphenoextractor, inflatable hemostatic device, phlebotoms of simple construction are used. These devices permit to simplify surgery, to decrease tissues trauma and to achieve good cosmetic effect. Recurrence over 1-8 years was seen in 145 operated patients.

[Optimization of methods and improvement of technical means in combination with the nonspecific reparative regeneration stimulator ximedone in dermatoplasty surgery]. / Optimizatsiia metodov i sovershenstvovanie tekhnicheskikh sredstv v sochetanii s nespetsificheskim stimuliatorom reparativnoi regeneratsii ksimedon v kozhno-plasticheskoi khirurgii.

Treatment of extensive tissue defects should be complex, whose basis is an early free skin plastic repair with obligatory addition of agents that enhance the reparative capacities of tissues. For this, the authors propose a number of original appliances (forceps, variants of dermoperforators, bandage, etc.) and drugs, such as ximedon (tablets, 5-10% aqueous solution, lanolin-vaseline-based ointment, talc-based powder), whose clinical trials in 300 patients have shown their high therapeutical effect. The time of preparation of the wound surface for dermatoplastic interventions became shorter and the frequency of poor outcomes of operations reduced.

[Evaluation of the healing of skin wounds inflicted by steel scalpels with various degrees of sharpness]. / Otsenka zazhivleniia kozhnykh ran, nanesennykh sta'lnymi ska'lpeliami s razlichnoi zatochkoi.

Experiments on 200 animals and clinical use of 300 scalpels differing in the width of the cutting edge showed that operative lineal skin incisions made with a sharp instrument (a ruby knife, razor, scalpel with a 0.8 microns cutting edge) heal better and quicker than those inflicted with a blunt scalpel of serial production with a cutting edge 12.5 microns wide. Such blunting of scapels occurs after two operations and traditional methods of sterilization of the instruments. Mechanical damage of the instruments during cleansing and washing is most important in the clinic.