[Vascular pedicle assessment during microsurgical autotransplantation of tissue complexes].

The paper describes vascular pedicle patency assessment after autotransplantation of 107 free soft tissue complexes to neck, upper and lower limb areas. In early postoperative period pedicles were patent in 82 (76.6%) patients; in 25 cases thrombosis has developed in 36 hours after surgery.

[Local plastic surgeries in the treatment of total burn cicatrical contractures of the neck].

Results of treatment of 44 patients with total burn cicatrical contractures of the neck were analyzed. In all the cases deformation of the neck was corrected by plasty with contradirectional myofascial flaps from cicatrical tissues. Clinical characteristics of burn cicatrices helped determine criteria for their using in plastic surgery.

[Surgical treatment of sequelae of burns of the anterior abdominal wall and lumbosacral region].

The proposed method of surgical treatment of patients with scar deformations and defects of soft tissues of the anterior abdominal wall and lumbosacral zone was used in 30 patients. The method is based on large mobilization and acute distention of undamaged dermal flaps in neighboring with the scar defects zones. Acute dermotension permits to remove large scar defects and restore natural integument in patients with burn trauma.

[Microsurgical elimination of foot soft tissue defects with free vascularized flaps].

The results of 40 microsurgical transplantations of complex flaps in 37 patients with cicatricial-ulcerous foot deformations are analysed. The surgery was indicated in cicatricial soft tissues defects, unhealing trophic ulcers, inability to use local tissues for plastic surgery. The scapular flap was used in 34 cases, thoraco-dorsal flap in 5 cases, deltoid flap in 1 case.

[Microsurgical tissue autotransplantation in the treatment of postburn deformations, neck and limb contractures].

Microsurgical tissue autotransplantation was used in 133 patients with postburn neck and extremities deformation and contractures. The free nonstretched vascularized scapular, deltoid and thoracodorsal flaps were used in 93 patients with scarring deformations and contractures of the neck. The free stretched scapular flaps on the microvascular anastomoses were used in 30 patients.

[Prevention of complications in reconstructive surgery of burn injuries].

On the basis of treatment of more than 5,000 patients with postburn cicatricial contractures of the joints, deformities and defects of the soft tissues the authors studied the complications and their causes. Suppuration of the operative wounds, necrosis of grafts and the edges of the wound, and hematomas are the main complications. The character of the complications and their sequelae are connected directly with the specific features of the surgical intervention and type of plastics (free, flap, microsurgical, dermatotensia), as well as with the anatomical features of the tissues and vessels damaged by the burn, which reduce the resistance to infection and facilitate the appearance of circulatory disorders.

[Use of cutaneo-fascial flaps in reconstructive surgery of the lower extremities].

Defects in the soft tissues of the lower extremities after burns and traumas in 10 patients were managed by plastic surgery using ++cutaneo-fascial grafts formed from the leg of the same or contralateral side. The operation was performed in two or three stages. ++Cutaneo-fascial grafts formed on the posteromedial or posterolateral surface of the leg may have a width:length ratio of 1:3.

[Surgical treatment of post-burn deformities of the neck].

Surgical treatment of 205 patients is analysed. It is shown that the traditional methods of correcting post-burn deformities fail to produce good results, either functional or cosmetic. The authors correct post-burn deformities and contractures of the neck by plasty with a graft of uninjured skin taken from the anterior surface of the chest.

[Treatment of postburn cicatricial deformations and contractures of the neck].

Postburn cicatrices and contractures of the neck have been corrected in 130 patients by the routine methods (Z plasty, free transplantation of the skin, combined methods). Analysis of the late results has shown that contractures have been eliminated or reduced in 70% of the patients, but a good cosmetic effect has been achieved in only 30%. In 75 patients plasty of the postburn cicatricial deformations of the neck has been made with the use of dermo-fascial flaps of the intact skin of the thoracic wall.