[Choice of abdominoplasty method depending on abdomen form].

Comparative study of treatment results of abdominoplasty various method depending on abdomen form at 82 patients demonstrates advantages of tense-lateral type over other methods. This type of abdominoplasty was performed at 32 cases including 14 patients with pear-shaped form of abdomen and 18 patients with dome-shaped form. There were no complications.

[Morphological changes in femoral vein wall structure in presence of persistent vertical reflux].

The article contains an analysis of different mechanisms of persistent chronic venous insufficiency formation and its impact on the condition of lower extremity magistral vein wall. The authors studied autopsy samples of femoral vein segments from 86 patients aged 56 to 64 years, who had died of non-cardiovascular diseases. The investigation revealed significant changes in the vein wall structure, associated with persistent overload caused by valvular insufficiency and continuous persistent vertical reflux.

[Pathogenesis and treatment strategies for lymphorrhea and lymphocele after vascular surgeries on the lower extremities].

From 1995 to 2003 lymphatic complications (lymphorrhea and lymphocele) after different vascular surgeries on the lower extremities were seen in 57 (4.6%) patients. All the methods of therapeutic and surgical treatment of lymphorrhea and lymphocele are presented.

Lymphedema of the extremities: prospects of microsurgical treatment.

Presented herein is an experience with the treatment of 60 patients with lymphedema of the extremities, who had undergone transplantation of "lymphatic flaps". The treatment success is analyzed in both free microsurgical autotransplantation of tissue complexes (52 patients) containing intact lymphatic structures and in transposition (8 patients). The authors evaluate the potential of radio-nuclide diagnostic techniques for quantification of the effectiveness of surgical treatment.

Autotransplantation of the greater omentum in the treatment of chronic lymphedema.

We evaluated the use of transplantation of the greater omentum in the management of chronic lymphedema in 21 patients. The omentum provides a large surface with fluid absorbing capability and potentially therefore is useful in management of patients with primary or hypoplastic peripheral lymphatics. Based on the angio- and lymphangio-architecture of the gastroepiploic architecture, we used large segments of greater omentum as a free autotransplant with microrevascularization to the femoral or axillary artery and vein thereby avoiding technical drawbacks of a pedicle graft with the feeding vessels traversing the abdomen.

Evaluation of the greater omentum in the treatment of experimental lymphedema.

Despite advances in microsurgery, the most suitable operation for primary lymphedema remains unclear. A variety of tissue transplants and artificial substances have been used to facilitate drainage of peripheral lymph. The greater omentum, for example, has absorptive lymph draining capability, fights infection, and is expendable for the abdomen.

Enteromesenteric bridge in the treatment o primary lymphedema--a case report.

Technical details and associated problems of enteromesenteric bridging operation for primary lymphedema (proximal obstructive hypoplasia) are discussed. The short term results are encouraging.

[Endolymphatic pressure in the evaluation of the status of peripheral lymph flow in the extremities].

The functional capacity of the lymph vessels in their various pathological conditions was determined from 78 studies of the endolymphatic pressure in patients with lymphatic edema of the extremities. Four types of pressure curves were determined according to the maintenance of the contractility of the wall of the lymph vessels. It was found that marked hypertension develops in the lymphatic channel in obstruction of lymph drainage from the extremity.

[Changes in the lymphatic vessels of the upper extremity following a radical mastectomy (based on lymphographic data)].

The study group included 171 patients suffering from postmastectomy syndrome which had developed either after combined treatment for breast cancer or after radical mastectomy alone. Lymphographic examination of 146 cases carried out long after treatment for primary treatment revealed frequent roentgenologic features characteristic of all patterns of secondary obstructive lymphatic edema. In 20 patients, lymphographically-detectable changes were followed at early stages (until day 40 after radical mastectomy) before edema became clinically apparent.

Reconstructive microsurgery in treatment of lymphoedema in extremities.

A total of 510 cases of primary and secondary lymphoedema in upper and lower extremities have been examined with two thirds of primary lymphoedema cases among them. Radical mastectomy combined with irradiation has led to the development of obstructive lymphoedema of upper limbs in most patients. 230 patients with primary and secondary lymphoedema have been subjected to microlymphatic surgery and lymphaticovenous anastomoses have been carried out with microsurgical techniques.

[Correction of lymph flow disturbance following radical mastectomy].

Results of operations for the lympho-venous anastomosis in 50 patients were analyzed. The operation was shown to correct the lymph flow in patients with secondary lymphatic edemas of upper extremities. Good results were obtained in 15 patients, satisfactory results in 28 patients.

Microlymphatic surgery of secondary lymphoedema of the upper limb.

Out of 79 patients with upper limb lymphoedema 73 developed it following radical mastectomy. The ages of the patients ranged from 32 to 75. Direct upper lymphography and phlebography was carried out in 73 cases.