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Biomedical subjects

K V Lipatov

Publications and source records attributed to K V Lipatov.

8 recordsLinked to original sources
PubMed2004

[Choice of surgical approach in the treatment of patients with deep frost bites].

Two main approaches to surgical treatment were studied in 114 patients with deep frost bites of the extremities. First - early necrectomy with subsequent local treatment of wounds and their surgical closure on the final stage. Second - long-term conservative treatment until formation of demarcation line and limitation of necrotic tissues with subsequent surgical treatment including their resection and simultaneous formation of the stump of the extremity. It is demonstrated that active surgical policy has significant advantages over expectant one as evident from reduce time of treatment and less number of postoperative pyonecrotic complications (21,7% vs 78,4%).

Amputation, Surgical↗
PubMed2002

[Ozone-ultrasonic therapy in the treatment of purulent wounds].

Based on planimetric, bacteriologic and histologic study high efficiency of local ozonotherapy of wound in combination with low-frequency ultrasound was demonstrated experimentally on rat model of infected purulent skin wound. This method was used in 45 patients with purulent wounds of soft tissues (postoperative, posttraumatic, burn, sore spot) that led to fast cleaning of wound surface, decrease of bacterial contamination and granulations. It permitted to eliminate inflammation and to create optimum conditions for wound closure.

Abscess↗
PubMed2002

[Use of gas flow with nitrogen oxide (NO-therapy) in combined treatment of purulent wounds].

NO-therapy was used in 40 patients with purulent wounds of soft tissues. Bacteriological, cytological and morphological examinations demonstrated acceleration of wound process compared with control group (40 patients without NO-therapy). Laser doppler flowmetry demonstrated significant improvement of microcirculation in wound zone during NO-therapy. This method shortens by 3-5 days the time of preparation of wound surface for surgical closure.

Adolescent↗
PubMed1998

[Early reconstructive-restorative operations in vast traumatic injuries of shin complicated by purulent infection].

The experience in treatment of 278 patients with extensive traumatic injuries of the shin complicated by purulent infection is represented. Multistage treatment typical for such category of patients in which reconstructive-restorative stage is performed late after elimination of inflammatory process is not optimal. Owing to the complex of treatment measures based on the principles of active surgical treatment of festering wounds primary operations were a success in 24.6% of patients. In 75.4% of patients early dermoplastic and osteoplastic operations were carried out to 1 month after primary surgical treatment. Good and favourable results obtained in 98.6% of patients demonstrate effectiveness of the above policy of treatment.

Follow-Up Studies↗
PubMed1994

[Staged tissue expansion in the surgery of suppurative wounds].

To close extensive infected wounds and to replace long bone defects, along with other methods a method of graded tissue strain (GTS) has been developed and introduced into practice (246 patients). The method differs from all others in that it requires no transfer of elaborate flaps while replacing soft tissue defects; and no graft or foreign body is introduced externally into the wound in replacing long bone defect. Soft tissue defect is gradually replaced by wound-adjacent intrinsic tissues, the wound is closed by related skin and bone defect is filled by an osseous regenerate which is formed during graded transposition of the osteotomized fragment. At the same time good blood supply and tissue innervation retain, which contributes to their resistance to purulent infection. The analysis of the findings has led to the conclusion that GTS is an indispensible contribution to the development of plastic purulent surgery allowing the anatomic and functional integrity of the diseased segment to be restored.

Humans↗