Biomedical subjects
Publications and source records attributed to G Zhelev.
The basic properties and characteristic features of a unique therapeutic device--the "Clinitron" fluid bed--are described. Regardless of its comparatively late adoption in the clinic practice of this country, it is successfully used in the management of severe burns at the burn lesion department in the town of Plovdiv. Emphasis is laid on the many-sided qualities of Clinitron-therapy, practicable in the various fields of surgery.
An original operative approach to severe defects of the axilla--periscapular fasciocutaneous flap according to Pontaine--is recommended. It is a matter of a procedure which surgeons dealing with the problems of plastic and reconstructive surgery become acquainted with for the first time. A classification of axillary defects, contributing to the most adequate choice of operative approach, is also suggested. Typical cases where this operative method is used are illustrated.
The treatment of extensive burns using a method recently adopted in this country, namely application of primary biological dressing in patients undergoing treatment under conditions of "Clinitron" fluid bed, is discussed. The ten-year follow-up study covers 1100 patients with extensive burns, distributed in three groups according to the method of local treatment employed: 1) Patients treated by closed method in conventional conditions. 2) Patients treated by closed method under fluid bed conditions. 3) Patients treated on a fluid bed plus primary dressing with the newly obtained biopreparations for local application--Cypocol and skin collagen transplant. The approach outlined is consistent with the traditional treatment procedures. By combining the curative properties of biopreparations, used as primary biological dressing, with those of the fluid bed, a clinical effect considerably superior over the one thus far recorded is attained. Emphasis is laid on the advantages of the therapeutic approach proposed-suppressing endo-and exogenous infections, and substantial reduction of the hospitalization term.
A new method of treating raw donor wounds by biological resurfacing in conjunction with fluid bed is described. The classical method of donor area treatment and the newly developed procedure are comparatively studied. Inferences are reached warranting recommendation of the new approach as a routine method for operative management of patients with extensive burns, and all cases where free skin grafting is used as well.
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