Khirurgiia
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An experimental study on 90 Wistar rats has been carried out. A split skin transplant about 2.25 cm(2) in size was taken from the back of the animal with scalpel and fixed on the neck's muscles with: 1) 8 sutures; 2) pressure dressing of "Pelot" type; 3) 0.2 ml of "Tissukol" fibrin glue. ⋯ Histological study demonstrated acceleration of reparative processes and decreased inflammation in autotransplant and muscular bed due to improvement of revascularization, a decrease of fibrous transformation of the skin graft and muscular tissue when fibrin glue (to a greater extent) and pressure dressing (to a lesser extent) were used for fixation of skin graft. But it is preferable to use fibrin glue due to acceleration of complete skin retention compared with pressure dressing of "Pelot" type.
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Importance of laparoscopy (LS) in diagnosis of intraabdominal catastrophe in patients with combined trauma (CT) is determined. Based on analysis of treatment results in 1,118 patients with CT it was revealed that real LS requirement does not exceed 10%, and it may influence negatively trauma outcome. Low diagnostic value of this method was revealed: sensitivity 98.4%, specificity 51%, accuracy 69.2%. It is concluded that LS is not a method of choice in diagnosis of intraabdominal injuries in patients with CT.
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Results of treatment of 263 children with surgical sepsis aged from 3 to 14 years were analyzed. Diagnosis of sepsis was based on recommendations of ACCP/SCCM (1991). For diagnosis of sepsis in children it is recommended to use criteria of syndrome of systemic inflammatory response (SSIR) in M. ⋯ Doughty et al. Diagnosis of sepsis may be regarded as timely when 3 and more symptoms of SSIR persist in a child with pyoinflammatory disease during 24 hours of intensive care and in PRISM scale severity corresponding to experted lethality > or = 1,0%. When syndromes of multiorgan insufficiency are revealed, diagnosis of sepsis must be regarded as delayed.