[APPLICATION OF VACUUM-THERAPY IN COMPLEX OF TREATMENT OF THE LOWER EXTREMITIES CHRONIC WOUNDS].

Experience of treatment of chronic wounds in 11 patients in 2014 – 2016 yrs was analyzed. The impact of negative pressure, using domestically manufactured apparatus «АGАТ- Dnepr», in complex of treatment as a local therapy, was applied. Vacuum-therapy was conducted preoperatively and postoperatively together with autodermoplasty.

[POSSIBILITIES OF VACUUM THERAPY APPLICATION IN DISORDERS OF VENOUS OUTFLOW IN ISLET GRAFTS].

The experience of "distressed" (problematic) flaps application in 33 patients with soft tissue defects over 2010-2014 years were analysed. It was proposed to use the local negative pressure for the prevention and treatment of complications associated with venous insufficiency or trombosis in using of plastics with vascularised complexes of tissues. Vacuum-therapy was conducted with the help of negative pressure apparatus "AGATE-Dnepr" (Ukraine) by attaching silver-containing polyurethane sponge on the operating zone, covering the flap with the surrounding skin netting band "Grassolind".

[The choice of optimal method of the closure of soft tissue defects in the deep injuries of the extremities].

Comparative analysis of the treatment results in 52 patients, suffering deep defects of the coverage tissues of extremities, was done, basing on applying of flaps with temporary and constant nutrent pedicle. The extremity functional state and the patient's quality of life were determined, using SF-36 and EUROQOL-5D questionnaire. The method of plasty, using the flap on a constant nutrient pedicle, have appeared the optimal one for closure of defects in the coverage tissues of the extremities.