The patient behind the wound assessment and plan.

Objective: Hard-to-heal wounds are a common problem, worsened by ageing, and the increased prevalence of diabetes and morbid obesity. The provider-patient relationship has undergone a transformation, from a paternalistic to a mutual participation model, in which 'the physician tries to enter the patient's world to see the illness through the patient's eyes'. The indepth assessment of the impact of psychosocial, physical issues and provider-patient dynamics is crucial to wound healing and patient wellbeing.

[Prospective comparative study of remote results of surgical treatment of patients with varicothrombophlebitis].

The authors examined the effect of the presence of undifferentiated connective tissue dysplasia (UCTD) on the clinical course of lower-limb varicose veins (LLVV) and acute varicothrombophlebitis (AVTP) in patients after the Troyanov-Trendelenburg operation. We carried out a prospective comparative study of the remote results during three years after the Troyanov-Trendelenburg operation in a total of 132 patients suffering from AVTP. The Study Group included 67 patients found to have more than four phenotypic traits of UCTD, thus suggesting the presence of UCTD.

A Sling Technique for Laparoscopic Resection of Segment Seven of the Liver.

Introduction: As the incidence of liver cancer continues to increase in the setting of cirrhosis, parenchyma-sparing liver resection is increasingly necessary. A technique is described that involves using a sling made from 1-inch-wide packing gauze to retract and rotate the liver to divide the right triangular and coronary ligaments and mobilize segment 7. The right lobe is rotated anteriorly and counterclockwise, allowing access and parenchymal transection of segment 7 under ultrasonographic guidance.

[Immunological aspects of delayed regeneration of mandibular fractures].

The level of complications in patients with the mandibular fractures does not have a tendency to the decline. A research purposes is a study of the basic laws of immunological reactions and possibility of optimizing processes osteogenesis by drugs-cytokines at patients with the mandibular fractures with delayed consolidation of bone tissue. 46 patients with the mandibular fractures were observed.

[A difference in the mechanisms of the development of periodontitis].

The study based on immunological and epidemiological evaluation of large groups of population has revealed the factors responsible principally for periodontitis pattern. They are: 1) microbial and tissue sensitization, 2) immune defences, 3) disturbed microcirculation in periodontal tissues. In view of various causes underlying periodontitis it is advisable to take them into consideration when evaluating diagnostic data and deciding on indications for immunocorrective therapy.