RESUMO
The work describes the application of 4 kinds of skin-muscle flaps in 22 patients with wound defects of various localizations. In 13 patients the flap was cut out in immediate proximity to the wound, in 9 patients free skin-muscle transplants with micro-vascular anastomoses were used. Quite satisfactory results obtained demonstrate good prospects for the new method of plasty of wound defects.
Assuntos
Retalhos Cirúrgicos , Ferimentos e Lesões/cirurgia , Adolescente , Adulto , Idoso , Humanos , Microcirurgia , Pessoa de Meia-IdadeRESUMO
The level of serum leptin was studied in 20 patients before and after liposuction carried out for excessive subcutaneous fatty tissue. The dynamics of indices depending on the volume of the ablated fatty tissue was analyzed. It was found that in most patients the level of blood serum leptin correlated with the body mass and fatty tissue index. A removal of limited volumes of fatty tissue results in the elevated level of blood serum leptin. The aspiration of great volume of fatty tissue is followed by the primary decrease of the leptin level which further reaches the initial level and even surpasses it.
Assuntos
Leptina/sangue , Lipectomia , Adulto , Comportamento Alimentar , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Resultado do TratamentoRESUMO
The authors propose a classification of methods of skin plasty. It is based on two main features: the anatomical structure of the autoplasty material and the state of its blood circulation.
Assuntos
Transplante de Pele , Classificação , Humanos , Métodos , Retalhos Cirúrgicos , Transplante AutólogoRESUMO
An experience with 137 microsurgical transplantations enabled the authors to consider questions of rational organization of these complex, and severe operations. Different variants of work of the second team of surgeons are analyzed aimed at shortening the duration of the operation and getting less load by its participants.