[Covering skin defects in the area of achilles tendon.].

The authors refer to the possibilities of the treatment of skin defects in the area of Achilles tendon in case of complication after an injury or operation. They discuss advantages and disadvantages, achievements and techniques of treatment with the application of Thiersch skin grafts, cross leg flap, tubulized Filatov flap and free microsurgical transfer. The authors emphasize the advantages of free flap transfer and present three most frequently used types of flaps in this location: forearm flap, the flap of the dorsum of foot and scapular flap.

Reconstruction of the penis in transsexual patients.

In the article, the authors offer a review of the modalities available for phalloplasty in transsexual patients. The classic methods for multi-stage transplantation of tubulized flaps in the lumbar and inguinal regions, in mid-thigh as well as current methods for one-stage reconstruction are discussed. The paper contains the case report of a transsexual patient undergoing one-stage reconstruction of the penis using m.

[Spastic complications in free flap transfers].

The authors follow up spastic reactions in free flap transplantations. In experiments on rats groin flaps were transplanted and during their preparation models of four types of spasms were made--segmental spasms of the afferent artery of the flap, spasms of the whole artery, spasms in the flap and tissue shock of the flap. The authors discuss possibilities of influencing and preventing spasms under experimental conditions and in clinical practice.

[Replantation of traumatically amputated parts of extremities-- indications and nomenclature].

The authors submit a brief report on replantation activities during the past five years and discuss the problem of indications and terminology of traumatic amputations. The paper contains instruction regarding communication by telephone between the attending surgeon and a specialized microsurgical department. There are also instruction how to handle the amputated portion of the limb and how to transport the patient and the amputated portion of the limb.

[Tissue shock in free flaps in the experiment on the rat. Significance, classification and effect].

In free transfers of groin flaps in neurotized rats, spasms of the pedicle and of the vessels of the flap itself were observed. These spasms were in many cases the cause of complications. Four kinds of spasms were distinguished: 1.