[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.

[Free transplantation of skin flaps with axial blood supply in IV degree burns].

The article analyses the results of free transplantation of skin grafts with axial blood supply in 45 patients with IV degree burns and their sequelae. Bearing in mind the peculiarities of damage to the tissues and vessels in a thermal trauma, it is advisable to anastomose the vein grafts with the large subcutaneous veins. Skin grafts with a long vascular pedicle are preferable.

[Various aspects of organization of microsurgical autologous transplantation of composite skin flaps].

An experience with 137 microsurgical transplantations enabled the authors to consider questions of rational organization of these complex, and severe operations. Different variants of work of the second team of surgeons are analyzed aimed at shortening the duration of the operation and getting less load by its participants.

[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.