RESUMEN
The authors have developed a technique of disconnection of soft tissues using an ultrasound dissector for ablation of the changed by scar skin covering. The ultrasound dissector splits the subcutaneous adipose tissue and loose connective tissue without injuring the vascular-nervous bundles. This method substantially reduces the intraoperative blood loss. The complex treatment combining the little traumatic ultrasound dissector with conservative and physiotherapeutic methods of treatment and prophylactics allows considerable reduction of probability of recurrent pathological scars.
Asunto(s)
Cicatriz Hipertrófica/cirugía , Procedimientos Quirúrgicos Dermatologicos , Disección/métodos , Queloide/cirugía , Procedimientos de Cirugía Plástica/métodos , Procedimientos Quirúrgicos Ultrasónicos/métodos , Adulto , Pérdida de Sangre Quirúrgica/prevención & control , Cicatriz Hipertrófica/patología , Cicatriz Hipertrófica/fisiopatología , Femenino , Humanos , Queloide/patología , Queloide/fisiopatología , Masculino , Persona de Mediana Edad , Prevención Secundaria , Piel/patología , Piel/fisiopatología , Resultado del TratamientoRESUMEN
In clause the analysis of the rendering medical help military is reflected in article with frostbites in military conflict on North Caucasus (1994-1996, 1999-2001). Efficient rendering medical help military with frostbites possible only under simultaneous observance united principle on terminological glances and provision to receivership approach to organizations of the rendering medical help damaged military. It is generalised and analysed own experience of the rendering medical help military with frostbites during military conflict on territory of the Chechen Republic (2003-2005).
Asunto(s)
Congelación de Extremidades/clasificación , Congelación de Extremidades/terapia , Hospitales Militares , Personal Militar , Transporte de Pacientes , Primeros Auxilios , Congelación de Extremidades/diagnóstico , Humanos , Masculino , Medicina Militar , Federación de Rusia , Terrorismo , GuerraRESUMEN
The article is devoted to the experience of airmedical evacuation struck during operations in territory of the Chechen Republic of 1999-2002. We consider, that optimal medical-evacuation system in local wars, local fight actions and battles consists only two stages, then victim after first physician aid is evacuated to specialized medical unit. Own experience of preflight preparation and support is generalized and analysed at carrying out of airmedical evacuation of 928 critically wounded patients and the struck on tactical, operative and strategic levels during a confrontation in territory of the Chechen Republic (1999-2002).
Asunto(s)
Ambulancias Aéreas/estadística & datos numéricos , Personal Militar , Transporte de Pacientes/métodos , Guerra , Heridas por Arma de Fuego , Humanos , Medicina Militar , Federación de RusiaRESUMEN
The article presents an analytical review of modern possibilities of the complex pathogenic treatment for severe traumas and injuries at the expense of systemic use of infusion drugs with antihypoxic and antioxidant effects. It is shown that hypoxia and oxidative stress is the typical; pathologic process that accompanies the development of traumatic disease during severe surgical pathology. One of the effective ways to correct the developing disorders is to use the regulatory or substrate antihypoxants as well as the drugs with antioxidant effect.
