When examining the performance of direct muscle excitability of muscle tissue in vivo there are some difficulties related to the impact of neuro-synaptic intramuscular network. To the aim of apply method stimulating impedance myography to diagnostic of direct muscle excitability after synaptic blocking the research was performed by using volt-omics characteristics of muscle evoked contraction. In result a new measuring method by estimate of changing muscle resistivity was developed. Stimulative impulse parameters for a new method were applied.

The article presents the experience of successful complex treatment by 19th years old patient N. with an anaerobic non-clostridial phlegmon of the right upper limb, chest and anterior abdominal wall that developed after intravenous injection of a narcotic drug into the right cubital vein.

The article presents a clinical case of the successful complex treatment of a patient L., 58 years old, with diabetic neuroosteoarthropathy in the middle part of the foot (Charcot's foot), complicated by a deep plantar phlegmon. The strategy of complex treatment, perioperative management and rehabilitation is described in detail. The long-term relapse-free observation period for a patient is more than 5 years.

18–19 may 2018 RPO “Surgical Society – Wounds and Wound Infections”, State Budgetary Healthcare Institution “Research Institute of Emergency pediatric surgery and traumatology” Moscow  Health  Department,  Federal  Government  Budgetary  Institution “A.V. Vishnevsky  Institute  of Surgery” Ministry  of Health  of Russian Federation, FSAEI “Peoples’ Friendship University of Russia” Ministry of Education and Science of Russian Federation, LLC “Russian Surgery Society”, International Fund of Assistance to Children suffered in Catastrophes and Wars plan  to hold International  scientific and practical conference “Vacuum therapy of children and adults’ wounds. Russian and international experience”.