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Biomedical subjects

V Iu Moroz

Publications and source records attributed to V Iu Moroz.

43 records · Page 3Linked to original sources
PubMedDate not supplied

[Surgical treatment of extensive defects of the tissues and trophic ulcers in the area of the heel tendon using an L-shaped flap].

Operations were conducted on 22 patients with defects in soft tissues and trophic ulcers of cicatrix in the region of the calcaneal tendon. In 16 patients with extensive cicatricial lesions occupying two distal thirds or the whole region, an L-shaped flap of skin and fat was used, it was formed on the postero-lateral distal third of the leg, in the zone of the lateral malleolus and the lateral surface of the foot. The flap measured 20-22 cm in length and 6-7 cm in width. The ratio of the vertical part of the flap to the horizontal part was 3:1, 2:1, or 1:1 depending on the level of the defect and the area of the wound. The flap is mobilized strictly along the fascia so as not to injure the subcutaneous fat. The sural nerve is included in the flap to preserve its sensitivity, the rich venous network of the small saphenous vein provides for drainage, while the perforating arteries of the anterior tibial and fibular arteries, entering the base of the flap, ensure a sufficiently stable collateral circulation. Necrosis of the end of the flap occurred in 2 among 16 patients, in obliteration of the leg arteries (1) and cutting of tissues in the zone of the flap base (1) during previous surgical intervention. Complete healing was achieved in all cases; there were no recurrences in follow-up periods of 6 months to 8 years. The L-shaped flap retained its normal properties, the deformity of the donor site was negligible.

Achilles Tendon↗
PubMedDate not supplied

[Surgical treatment of post-burn cicatricial deformities of the anterior surface of the thorax].

Operations were carried out on 11 patients with postburn keloidal cicatrix of the anterior chest wall the area of which ranged from 27 to 240 cm2. To, correct the deformity, extensive mobilization of the skin-fat layers of the axillae, subclavicular, region' anterior surface of the shoulder joints, and lateral surfaces of the chest is conducted. After excision of the cicatrix the layers are transposed to the wound and the skin covering is restored. Peripheral necrosis occurred in two patients but did not influence the outcome of the plastic procedures. Tailoring flaps from the mobilized layers causes a poorer cosmetic effect. Study of the results in follow-up periods of 2 to 18 months showed a good esthetic outcome in all patients, which allows the method to be recommended for the management of cicatricial deformities of the anterior chest surface.

Adipose Tissue↗
PubMedDate not supplied

[Surgical treatment of postburn cicatricial inversions of the lower eyelids with involvement of the lid edge and conjunctival ectopia].

Examinations of 30 patients with postburn cicatricial inversions of the lower lids have revealed involvement of the median half of the tarsus and ciliary edge in approximately 1/5 of them. Conjunctival growth and creeping of the conjunctiva on the edge and outward surface of the eyelid, manifesting as a red spot, are observed at the site of this involvement, where no eyelashes grow. The treatment of 6 patients with such condition has led the authors to a conclusion that ectopic conjunctiva is subject to tangential resection with plasty of the eyelid, its tarsus and ciliary edge, released from the cicatrices, with a single graft of split skin. The technique of surgery is described.

Ankle↗