[About Clinical Applicatoin of Local Rotation Plasty].

Introduction: Local rotation plasty is a well-known and well-accepted plastic surgery tool for the body surface defects treatment. Because of some new theoretical streams in the literature, authors performed their own researches among oncological, non-oncological cases in which the method was performed as a part of surgical treatment.

Aim: The aim of this study is a clinical analysis of local plasty application in different anatomical regions of the human body.

Tissue expansion used as a method of reconstructive surgery in childhood.

Tissue expansion has developed as an important routine procedure in plastic and reconstructive surgery in the past two decades. It is used progressively in cases of reconstruction treatment for children and adults who do not have enough adjacent tissue for reconstruction of the skin surface that is defective as a result of a trauma, burns, or congenital deformation. When applied to children, the method of tissue expansion enabled us to achieve aesthetic and functional results that had not been obtained before with traditional procedures of reconstructive surgery.

Effect of early nutritional support on clinical course and septic complications in patients with severe burns.

Retrospective and prospective analyses of methods for nutritional support were carried out to assess their efficiency in covering the calculated caloric and protein needs of patients with severe burns. The energy and protein needs of the patients in Group 1 (study group) with nutritional support started 24 h after the thermal trauma were determined by the Toronto formula or by means of indirect calorimetry. Nutritional support of patients in Group 2 (control group) were initiated on day 4 post-trauma.

Comparison of four drugs for local treatment of burn wounds.

Effective local treatment is very important in preventing wound infection and its generalization and ensuring successful skin grafting. The aim of our study is to compare the activity of four topical agents [deflamol (20 patients), polyvidone-iodine (21 patients), flammazine (silver sulphadiazine--SSD) (28 patients) and flammacerium (SSD with cerium nitrate) (five patients)] for treatment of patients with burns by confirming our clinical observations of their efficacy with comparative bacteriological investigations. The final estimation of our results showed the undoubted priority of flammazine and flammacerium over deflamol and polyvidone-iodine, as the treatment of all the patients with these two drugs gave very good and good results, respectively.

First aid and transportation of burned patients during mass disasters.

Twenty-eight mass burn disasters in Bulgaria with 381 injuries in the last 27 years (1968-1994) were reviewed. Mass burn disasters were classified as follows: industrial accidents, 23, with 273 injured and 103 dead; traffic accidents, 2, with 97 injured and 30 dead; domestic accidents, 2, with 11 injured and 6 dead. Organization of first aid at the disaster site and in the regional hospitals is described, as well as the time of transport of the patients to major hospitals near the site of the accident.