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Biomedical subjects

Iu R Skvortsov

Publications and source records attributed to Iu R Skvortsov.

At least 19 recordsLinked to original sources

[Frostbite in modern fighting pathology].

In modern war 1-2% in the structure of fighting surgical pathology constitute the frostbites. In cold time of year their frequency increases up to 10%. Late admission of the injured to the stages of medical evacuation, their different and often limited diagnostic and therapeutic potentials influence on the outcomes of frostbites' treatment. The role of rational operative treatment with the use of surgical dermato-plastic methods rises. The analysis of periods, outcomes of treatment, restoration of working capacity and fitness for military service after the frostbites of different degrees and levels of injury permits to propose the military-and-medical classification of this trauma type. Slight, moderate and severe frostbites were selected. The places of final treatment of the injured with reference to the classical scheme of treatment- and evacuation support under conditions of the local armed conflict were determined.

Frostbite↗

[Frostbite as a problem for dermatoplastic surgery].

An analysis of the 35-years experiences with treatment of 621 patients with the IV-degree frostbite of hands and feet is presented. The surgical strategy of treatment of frostbite has undergone considerable evolution for these years. In addition to classical surgical treatment, the surgeons began to widely use methods of dermo-plastic surgery which allowed not only to save the maximum possible length of the extremity segment stump, but also to reduce the frequency of purulent complications and reamputations and thus to shorten the duration of hospital treatment.

Adolescent↗

[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↗

[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↗

[Accelerated plastic surgery using inguinal flap on temporary feeding pedicle].

The method of accelerated plasty with an inguinal flap was used for treatment of 13 patients with electric burns and frostbites of the IV degree. The 2nd step of the non-free skin plasty was performed 5 days (120 hours) after the first operation which was possible following a special training--a periodical, with increasing duration of the compression of the flap feeding pedicle which was started next day after the first step of the plasty.

Burns, Electric↗

[Plastic surgery using cutaneo-fascial flaps in the treatment of burns].

Results of 67 plasties with fasciocutaneous flaps in 59 patients operated upon for burns and their sequellae are described. The correlation of length and width of the flaps was from 1.5:1 and 3:1. Good results were obtained in 90% of the patients. Causes of unfavorable outcomes are analyzed. The method is recommended for the introduction into practice of treatment of burns and their sequellae.

Adolescent↗

[Surgical treatment of 4th degree frostbite of the extremities].

The aim of the operative treatment of IV degree frostbite is not only to save the bone stump, but also to achieve its functional fitness after primary surgery or in future due to creation of favourable conditions for the following reconstructive operations. Dermo-plastic operations, both well-known and modified ones were used. The experience of the authors includes 347 patients.

Extremities↗