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V Iu Moroz

Publications and source records attributed to V Iu Moroz.

At least 19 recordsLinked to original sources

[Local plastic surgeries in the treatment of total burn cicatrical contractures of the neck].

Results of treatment of 44 patients with total burn cicatrical contractures of the neck were analyzed. In all the cases deformation of the neck was corrected by plasty with contradirectional myofascial flaps from cicatrical tissues. Clinical characteristics of burn cicatrices helped determine criteria for their using in plastic surgery. The method may be used both as a final variant of neck plastic repair and as a preparatory stage before other methods of surgical reconstructions.

Adolescent↗

[Use of aztreonam for the purpose of preventing postoperative purulent complications].

The efficacy of the prophylactic use of azthreonam, a monocyclic beta lactam antibiotic, was studied in 20 patients operated for liver diseases. The drug was administered intramuscularly in a dose of 1 g 30 minutes prior to the operation. During the postoperative period the drug was administered in a dose of 1 g 4-5 times a day for 4 to 5 days. The clinical effect in all the patients was good: no elevation of the body temperature above 37.5 degrees C and no suppuration of the operation wound. Adverse reaction to the treatment were not observed. 135 clinical isolates were tested for the susceptibility to azthreonam. The most susceptible gram-negative bacteria were the following: E coli (100 per cent), P. mirabilis (100 per cent), M. morganii (100 per cent), P. rettgeri (100 per cent) and Citrobacter sp. (84 per cent). P. aeruginosa, Acinetobacter, P. vulgaris and Enterobacter were less susceptible (64, 50, 50 and 47.5 per cent respectively). All the S. aureus isolates were resistant.

Aztreonam↗

[Surgical treatment of severe postburn flexion contractures of the hand].

The authors discuss the surgical tactics in multiple burn contractures of the palmar surface of the hand from experience in the treatment of 45 patients. The operation is conducted in one stage, with the manipulations performed in a definite order, which makes it much easier. The operation consists in correction of adduction of the thumb and the region of flexion contractures of the metacarpophalangeal articulations, palmar syndactyly, flexion contractures of the fingers, and contractions of the palm. Plastics with trapeziform grafts in combination of the palm. Plastics with trapeziform grafts in combination with free skin grafting makes it possible to correct all contractures in one stage and restore the function of the hand.

Burns↗

[Treatment of chronic non-healing donor sites: transplantation of cultured human fibroblasts].

The authors discuss the first results of the use of cultivated human allofibroblasts in the treatment of persisting wounds of the donor areas in 13 patients with deep burns and cicatricial deformities caused by the burns. Transplantation of cell cultures led to complete epithelialization of the wounds in 6-10 days. Complication, suppuration of the grafted material, was recorded in one case. Reaction of graft rejection was not encountered. The authors believe that the effect of the transplantation is due to stimulation of the epithelialization processes by the cultivated fibroblasts.

Burns↗

[The surgical treatment of postburn cicatricial contractures of the knee joint extensors].

In the recent 3 years operations were carried out in 8 patients with postburn extension contractures of the knee joints, which accounted for 12.9% of all cicatricial contractures of this joint. The anatomical essence of the contracture was ascertained. A method of surgical treatment was developed, which consisted in restoration of the cutaneoadipose layer in the region of the knee with a cutaneofascial graft taken from the contralateral leg and subsequent excision of the scars on the thigh, by freeing of the muscles extending the joint, and restoration of the skin surface with a split nonperforated autodermal graft. The operation restores knee joint movement and removes trophic ulcers of pathological postburn scars.

Adult↗

[Cutaneo-fascial flaps in restorative and reconstructive surgery of burns].

On the basis of experience with the treatment of more than 1,500 patients with post-burn defects, deformities, and trophic ulcers, the authors distinguished types of affection in which the traditional methods are ineffective. These 133 patients were subjected to plasty with ++cutaneo-fascial grafts; the zones of donor areas from which the grafts are taken are determined. Plasty with ++cutaneo-fascial grafts is indicated in defects of the face, deformity of the neck, total adduction contracture of the arm, defect of the breast, and affections of the hand, leg, and foot. Concrete grafts and the site from which they are taken for restoration of certain regions of the body are suggested. ++Cutaneo-fascial grafts make it possible to restore the shape, function, and the skin of the involved region.

Burns↗

[Surgical treatment of extensive and deep defects of crural soft tissues using the gastrocnemius muscle and skin flaps].

The article discusses a method for surgical treatment of extensive and deep defects in the soft tissues of the leg by plasty with a gastrocnemius musculocutaneous graft taken from the contralateral limb. The operation was conducted in two stages. It is emphasized that if all the described technical details are followed, the postoperative period will be uncomplicated and the outcome of the operation will be good.

Body Surface Area↗

[Use of cutaneo-fascial flaps in reconstructive surgery of the lower extremities].

Defects in the soft tissues of the lower extremities after burns and traumas in 10 patients were managed by plastic surgery using ++cutaneo-fascial grafts formed from the leg of the same or contralateral side. The operation was performed in two or three stages. ++Cutaneo-fascial grafts formed on the posteromedial or posterolateral surface of the leg may have a width:length ratio of 1:3. In cross plastics the proximal one third of the graft is folded like a tube. Inclusion of the vena saphena magna in the graft and measures aimed at prevention of separation of the fascia from the layer of fat increase the viability of the graft. Secondary deformity is significantly reduced by modelling the edges of the donor wound and closing it with an unperforated graft of split skin.

Adult↗

[Treatment of cicatricial alopecia by the method of tissue expansion].

The tissue extension method was applied in 13 patients with cicatricial alopecia of the scalp. Eighteen Soviet-made tissue expanders were used. Clinical experience showed that the sequelae of burns of the scalp attended by alopecia should be treated by tissue extension. The growth of hair can be restored on up to half of the scalp surface by expansion of the local tissues by their direct transfer and by additional formation of grafts for contour plastics. Plastics by expanded tissues is indicated for closure of naked bones of the vault of the skull.

Alopecia↗