Publications by authors named "Babur M Shakirov"

Introduction: The majority of plastic surgeon specialists note a distinct tendency to increase the number of breasts endoprosthetic surgeries with silicone implants in the Republic of Uzbekistan - the number of such surgeries now reaches 3-4 thousand annually. Breast replacement for aesthetic purposes is widespread throughout the world and has been rapidly spreading in Uzbekistan in recent years. Due to surgical endoprosthetics of mammary gland tissue with silicone implants, both in the early and late postoperative periods, quite often the patient's body experiences typical postoperative pain, which, if subclinical, requires constant dynamic monitoring and preventive rehabilitation procedures.

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Background: Foot burns involve a specialized area of function, and although they involve a small total body surface area (3.5%), they can cause a significant degree of morbidity.

Methods: This study included 104 patients with burn trauma of the foot treated at the burn department of Republican Scientific Centre of Urgent Medical Aid and Inter-Regional Burn Center, Samarkand, Uzbekistan.

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The problem of deep frostbites belongs to one of the most complex in surgery. Treatment of such victims is very prolonged, expensive, requiring crippling operations resulting in disability. The purpose of this present study is of etiological structure of the wound microflora and its tolerance to antibacterial preparations in patients with cold injury in the regions with warm climate of severe degree.

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Cold injury remains one of the most complex and actual problems of emergency medicine. Frosting injuries are also observed in the regions with warm climate particularly in Uzbekistan able - bodies men suffer most often, 85-90% of them are admitted in the condition of alcohol intoxication. A retrospective review was performed of patients admitted to the Burn Department of the Centre of Emergency Medical Care with frostbite injury 92 individuals of 19 to 63 years of age.

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The hands account for less than 5% of total body surface area, but loss of the hand constitutes a 57% loss of function for the whole person. In Central Asia, and particularly in Uzbekistan, many episodes of burns take place at homes because of using sandal heaters. During a 16-year period (1992-2007), 61 patients with severe sandal burns of the hand were treated at the Burn department of RSCUMA and Samarkand Inter-Regional Burn Center, Uzbekistan.

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Burns to children's feet are often due to scalds, from hot tap water, as an infant's skin is thinner and hence more susceptible to a full-thickness injury. In Central Asia, and particularly in Uzbekistan, many episodes of burns take place at homes because of using sandal heaters. In the case of sandal burns of the foot, it usually is not only skin that is injured but also underlying tissues: subcutaneous fat, fasciae, muscles and even bones.

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Burns of the plantar surface of the foot with the subsequent formation of scar is often complicated by unhealing trophic ulcers. Trophic ulcers increase due to constant local irritation, reaching various depth and area, penetrating to the bone and the tendons and covering the area of several centimetres in diameter up to the whole heel area. A total of 21 patients (12 men and nine women) have been under our observation at Samarkand Inter-Regional Burn Center, Uzbekistan, for prolonged trophic ulcers of soft tissues of the plantar surface of the foot.

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Few on the problem of foot burns can be found in the available scientific literature. It is necessary to mention that often deep foot burns occur in Central Asia since many natives still use the ancient means of heating called 'Sandal' during the winter months. Eighty-four patients with severe foot burns were treated in the Burn department of RCSUMA and the Inter-regional Burn Center, Uzbekistan.

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The burn trauma of the posterior surface of calcaneus region and ankle joint followed by cicatrix formation in the Achilles tendon zone is often complicated by unhealing trophic ulcers. Eleven patients (seven men and four women, aged 9-54 years) have been operated on under our observation for prolonged unhealing ulcers and cicatrices located in the Achilles tendon zone. After cicatrices dissection, L-form plastic surgery was performed.

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Only a few papers on the problem of foot burns can be found in the easily accessible scientific literature. In Central Asia foot burns are widespread, because many people, especially children, walk barefoot in summer, and because the heated sandal is still used for keeping warm in winter. In the Samarkand Inter-Regional Burn Center in Uzbekistan, the following method of treatment was developed: initial surgical debridement of the wound, necrectomy with application of chemotherapeutic medications and early necrectomy, the removal of necrotic tissues and preparation the wound for early autodermoplasty.

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Sandal is an ancient, primitive heating device that is still in use by both poor and rich people in mountain areas of Middle Asia. Sandal burn injuries are a serious health problem. Characteristics of sandal burns include not only skin injuries of various depths but also injuries to underlying tissues: subcutaneous fat, fasciae, muscles, and even bones.

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