International scientific practical conference “Skin and Soft Tissue Surgical Infections of Children and Adults”.

The method of stimulating impedance myography (SIM) is based on analyses electrical signals from muscle during contraction registered by means low frequency conductometria of the muscle stimulating by the rising amplitude electroimpulses. SIM is a simple and comprehensive method of express diagnostic work. The form of electric signal from stimulated muscles is identical to form of mechanogramm, but it changes when muscle is damaged.

It’s found in experiments that inverted (positive) response results from heterotopic excitation of distant muscle regions under conditions of reduced muscle regions excitability muscle fibers adjacent to the active electrode. Besides, during the propagation of contraction along muscle tissue negative phase of myogramm is followed by positive phase, and two passed response is appeared.

Significance of electric conductor spice is also discussed.

The article presents the experience of successful complex treatment in a patient of high anesthetic risk with chronic postoperative sternum and ribs osteomyelitis developed after sternotomy for cardiac tamponade (perforation during radiofrequency ablation of the pulmonary veins mouths and cavotricuspidal isthmus) and retrosternal abscess associated with the presence of foreign bodies.

Fournier’s gangrene (FG) is a rare but rather formidable disease that has been occurring more and more often in surgical hospitals of the country in the last decade. Such situation, in our opinion, is explained by an increase in the number of immunocompromised patients. A number of concomitant diseases is a predisposing factor for the development of FG: diabetes mellitus, obesity, cirrhosis, malignant tumors, alcoholism, drug addiction, glucocorticoids, condition after chemotherapy, nutritional deficiency. The course of the disease is accompanied by a high mortality rate – up to 88.0 %, and among the surviving patients, about 30.0 % need constant care after discharge from the hospital and more than 50.0 % – in repeated reconstructive and plastic surgeries on the genitals and perineum. Annually in our clinic, up to 5–6 people are hospitalized with this diagnosis. In this article, we present a rare clinical observation of the treatment a patient with FG, complicated by the development of peritonitis with a favorable outcome.

The article presents the experience of using in clinic practice the histoequivalent-bioplastic material of hyaluronic acid (G-DERM®, Russia) by the complex treatment of a patient with diabetic foot syndrome. Objectification of the wound healing process and the dynamics of morphological changes in the wound was based on computer planimetry in the Wound Analyzer® program (Lohmann & Rauscher, Austria), photo-documenting and calculating the reduction wound area percentage and it’s healing rate.

International scientific and practical conference “Vacuum therapy of children and adults’ wounds. Russian and international experience”.