RESUMO
Information about a surgical treatment of the varicose disease, its description, and the results of practical application, specific features, used drugs and technical appliances is reported. The remote results are indicative of a sufficiently high efficacy of the offered method.
Assuntos
Perna (Membro)/irrigação sanguínea , Varizes/tratamento farmacológico , Varizes/cirurgia , Adulto , Estudos de Avaliação como Assunto , Antagonistas dos Receptores Histamínicos H1/uso terapêutico , História do Século XVIII , História do Século XIX , História do Século XX , Humanos , Ligadura/história , Masculino , Fatores de Tempo , Transplante Autólogo , Resultado do Tratamento , Varizes/história , Procedimentos Cirúrgicos Vasculares , Veias/transplanteRESUMO
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.
Assuntos
Varizes/cirurgia , Procedimentos Cirúrgicos Vasculares/instrumentação , Procedimentos Cirúrgicos Vasculares/métodos , Humanos , Extremidade Inferior/irrigação sanguíneaRESUMO
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.
Assuntos
Perna (Membro)/irrigação sanguínea , Perna (Membro)/cirurgia , Veia Safena/cirurgia , Varizes/cirurgia , Procedimentos Cirúrgicos Vasculares/instrumentação , Procedimentos Cirúrgicos Vasculares/métodos , Adulto , Desenho de Equipamento , Feminino , Humanos , Ligadura/métodos , Masculino , Pessoa de Meia-IdadeRESUMO
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.
Assuntos
Adjuvantes Imunológicos/uso terapêutico , Pirimidinas/uso terapêutico , Transplante de Pele/instrumentação , Transplante de Pele/métodos , Adjuvantes Imunológicos/administração & dosagem , Humanos , Pomadas , Pirimidinas/administração & dosagem , Regeneração , Fenômenos Fisiológicos da Pele , Lesões dos Tecidos Moles/cirurgia , Retalhos Cirúrgicos , Instrumentos CirúrgicosRESUMO
The paper proposes a working classification of devices for intra- and extrafocal transtissue vulnosynthesis with the concurrent use of the agents that enhance reparative regeneration. Evaluating wound closure with wound adapters or routine suture has shown the advantages of the techniques by employing the proposed devices: the latter accelerates and facilitates suture application reparative, increases atraumaticity, asepticity, creates conditions for forming a precision suture. The positive results of experimental studies and clinical observations suggest that wound adapters have promises in practical application, transtissue device-aided vulnosynthesis in combination with topical pyrimidine derivatives, such as ximedon, shows great opportunities in soft tissue lesions.