[Use of topical haemostatic agents in cardiovascular surgery]. / Ispol'zovanie mestnykh gemostaticheskikh sredstv v serdechno-sosudistoi khirurgii.

The problem of haemostasis in cardiovascular surgery is of current concern. Recent trends are towards increased use of topical haemostatic agents. Tachocomb has been used for more than 30 years in abdominal surgery and oncology. The purpose of the present publication is to analyse the literature data and formulate the indications for the use of Tachocomb in cardiovascular surgery. Multicenter randomized and local studies have demonstrated efficacy of Tachocomb in treatment of surgical haemorrhage in operations on the heart, thoracic aorta, carotid arteries and lower-limb arteries, resulting in significantly decreased time to achieve haemostasis, decreased volume of blood loss and haemotrasfusion, as well as reduced frequency of complications. Also shown was economic efficacy, including a shortened length of patients' hospital stay. This is followed by describing a wide spectrum of examples of alternative use of Tachocomb, including its use for seamless closure of defects of cardiac chamber walls, aero- and lymphostasis, prevention of formation of commissures. Convincing experimental and clinical results make it possible to formulate a series of indications for the use of Tachocomb in cardiovascular surgery.

[Anatomic topographic study of the latissimus dorsi muscle of the spine in relation to cardiomyoplasty]. / Anatomo-topograficheskoe izuchenie shirochaishei myshtsy spiny v aspekte operatsii kardiomioplastiki.

The results of an anatomo-topographical study of the latissimus dorsi muscle in relation to surgery for cardiomyoplasty are discussed. The vascular anatomy of 25 flaps formed from the muscle were studied on the basis of the findings of angiography. The results allowed the conclusion that the latissimus dorsi muscle can be used as a transplant in operation for cardiomyoplasty.