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Biomedical subjects

A Iu Kochish

Publications and source records attributed to A Iu Kochish.

18 recordsLinked to original sources
PubMed1998

[A method of phalloplasty using a non-free skin-fat flap from the thigh].

The authors propose a method of phalloplasty with a full-thickness flap on the vasculo-nervous pedicle taken from the femur. The method of raising such a flap and the technique of its displacement to the area of the pubic articulation if described. This method of phalloplasty was used in 10 patients aged 19-36 years. In all of them full taking of the transplant was noted. Good cosmetic and functional results were obtained.

Adult↗
PubMed1998

[The current possibilities for plastic repair with axial skin flaps on the lower extremity].

Based on results of complex topographo-anatomical investigations in 187 lower extremities and experiences with performing 220 operations of free and non-free plasty with axial skin flaps formed in the femur, shin and foot, the authors consider the lower extremity as a donor site and a recipient field for such operations. Eight donor zones are selected on the lower extremity and 39 different flaps can be formed within their limits, 27 of them being tested in the clinic. Comparative characteristics of all donor zones are given. The present-day possibilities of the substitution of different wound defects using the axial skin flaps from the femur, shin and foot are shown.

Humans↗
PubMed1991

[Topographic-anatomical substantiation and clinical use of anterior- lateral composite thigh skin flaps].

Possibility of the formation of anterio-lateral composite femoral cutaneous flaps on three different vascular pedicles was proved by topographic-+-anatomical studies on 53 lower extremities. A method of determination of zones of localization of the corresponding cutaneous vessels is proposed. An experience with 12 operations has confirmed that anterio-lateral femoral flaps may be used for autotransplantation independently and in combination with lateral cutaneous femoral flaps as well as for transposition of a permanent vascular pedicle.

Adult↗
PubMed1990

[Current prospects of plastic surgery for skin and tendon defects].

Under analysis was an experience with microsurgical autotransplantation of tendino-cutaneous complexes from the back of the foot, forearm, lateral surface of the femur as well as plasty with not-blood-supplied tendinous transplants associated with free transplantation of composite skin flaps performed in 21 patients with mechanical traumas and deep burns. The criteria of choice of the optimum variant of reconstructive operations are described for patients with defects of the skin and tendons.

Dermatologic Surgical Procedures↗
PubMed1990

[Skin grafts with axial blood supply in correcting post-traumatic defect of the foot].

The analysis of the results of the surgical treatment and the orthopaedic provision of 117 patients with extensive wound defects of the feet has allowed the authors to consider the most important factors to be as follows: the determination of the limits of the saving approach to the preservation of the bone matrix, the choice of the optimal method of dermatoplasty (the method of plasty, the type of the graft) and the rational prosthetic and orthopaedic provision. Such approach has allowed to work out the possible versions of the surgical treatment using the grafts with axial blood supply in 6 main types of the injuries of various segments of the foot.

Foot Deformities, Acquired↗
PubMed1990

[Free transplantation of skin flaps with axial blood supply in IV degree burns].

The article analyses the results of free transplantation of skin grafts with axial blood supply in 45 patients with IV degree burns and their sequelae. Bearing in mind the peculiarities of damage to the tissues and vessels in a thermal trauma, it is advisable to anastomose the vein grafts with the large subcutaneous veins. Skin grafts with a long vascular pedicle are preferable. The difficulties which are encountered in the choice of the surgical tactics and in planning the operative intervention in patients with multiple areas with IV degree damage or their combination with extensive III degree burns insistently dictate the need for stricter indications for microsurgical transplantations, and rational and substantiated combination of plasty by free grafts and skin flaps with an axial blood supply type.

Adolescent↗
PubMed1990

[Comparative characteristics of the forearm and crus as donor sites for obtaining composite skin flaps on vascular pedicles].

The ++topographo-anatomical investigations on 67 forearms and 58 crura permitted to establish the possibility for formation of the free similar types of island composite cutaneous flaps on the large vascular bundles. On the crus, the possibility to elevate two more types of the island cutaneous flaps without transection of the major vessels is substantiated. The variants of microsurgical autotransplantation and trasplantation+ of the composite cutaneous flaps of the forearm and crus on the vascular pedicles are discussed.

Arm Injuries↗
PubMed1989

[Changes in oxygen and carbon dioxide tension in skin capillaries as an indicator of the status of blood supply of compound skin flaps].

The authors consider that the transcutaneous determination of the level of pO2 and pCO2 at early terms after operation in free and pedicled skin flaps allows to actively estimate the state their blood supply and to detect the alterations before the appearance of distinct clinical symptoms of arterial or venous thrombosis.

Blood Gas Monitoring, Transcutaneous↗
PubMed1989

[New principles in classifying vascularized tissue complexes used in plastic and reconstructive surgery].

Based on their personal experience of transplantation of 152 free and 367 non-free++ blood-supplied tissue complexes the authors propose to divide them into three main groups in relation to their specific formation and transplantation: mono-, poly- and megacomplexes of tissue (flaps). Distinctions of these three groups of tissue complexes, their general properties as well as indications for their application are discussed.

Humans↗
PubMed1988

[The first experience with crural plastic surgery using island composite skin flaps].

An analysis of literature data, topographo-anatomical studies of 23 lower extremities and an experience with using 18 island fasciocutaneous flaps of the lower leg are presented. The article describes the possibilities of using a new donor area for plasty of limited defects of the lower leg and foot after various traumas and their sequelae.

Amputation Stumps↗
PubMed1987

[Variants of microsurgical autologous transplantation of composite skin flaps from the external surface of the hip].

Topographic anatomical investigations have established the possibility to make a new complex skin flap on the lateral surface of the femur on the branches of the second perforating artery and vein. The authors propose methods of making a transplant in this field on two vascular pedicles with anastomoses in one of them--a larger one and two separate flaps: a skin-fat and a muscular flaps on a single feeding pedicle. The experimental findings were confirmed by successful clinical observations.

Adipose Tissue↗