The article presents a brief biography of an outstanding surgeon and a scientist of the Kuban region in 20th and 21st centuries Dr. Vladimir Bensman (11/18/1927). It is dedicated to his 95th anniversary. 72 years of his professional life were dedicated to medical science and national health care!

To cover a post-surgical bone defect is an essential part of successful treatment of osteomyelitis of long bones in addition to radical surgical treatment and osteonecrectomy. Autologic vascularized tissues is the best option to fill the infected bone defect. However, if a pathological focus is localized in the distal part of tibia, the deficit of surrounding soft tissues makes the replacement of infected tibial defect a difficult task. One of the ways to solve the discussed problem is application of de-epithelized part of fasciocutaneous sural flap with a distal feeding pedicle. The article describes specific features of this surgical technique and outcomes of treatment in three patients with post-traumatic osteomyelitis (type III by Czerny – Mader classification). Our experience allows us to recommend this technique for treating an infected cavity in the medullary canal of the distal part of tibia.

Modern management of wounds of various etiologies is a comprehensive approach which includes correction of patient's general somatic state and adequate local treatment strictly corresponding to the stage of wound healing process. In the outpatient unit, it is a local gentle management of wound defects with proper wound coatings that meet various tasks at various stages of wound healing process. One of the problems of modern wound management is stimulation of epithelialization, namely the restoration of subdermal, dermal and epithelial layers. One of the most promising directions in solving this problem is application of collagen, due to its optimal manipulation characteristics, biocompatibility, controlled biodegradation, ability to form complexes with pharmaceuticals as well as to stimulate regeneration. Collagen coatings may be used both independently and in the complex of local treatment when collagen dressings alternate with other interactive dressings. Such an approach ensures high-quality regeneration of wound defects and prevents complications.

The authors describe their experience in a successful treatment of a patient with necrotizing infection of lower limb soft tissues complicated by sepsis. Their comprehensive approach included two-stage surgical intervention and medicamentous therapy. As a result, the patient has completely recovered.

Myelodysplastic syndromes are clonal stem cell diseases characterized by hematopoietic dysplasia taking place in one or more myeloid cell lines, as well as by a high risk of progression to acute myeloid leukemia. This systemic disease is often accompanied by the violated microcirculation in the skin due to thrombosis of the terminal arteries leading to the formation of necrotic zones. The multicomponent nature of the disease requires a multidisciplinary approach to the treatment and staged surgical intervention. In this article, we present an example of a successful complex treatment of a 16-year-old girl with soft tissue necrosis of the perineum which developed because of the myelodysplastic syndrome.

The authors describe a successful complex surgical treatment of a patient with chronic postoperative osteomyelitis of the sternum and ribs. It included surgical treatment of a purulent focus, local treatment with negative pressure, and plastic reconstruction of the anterior chest wall with autografts when the wound process transformed into the reparative stage.

The 5th International Scientific and Practical Congress “Diabetes mellitus, its complications and surgical infections” will be held on November 21-23, 2022, in Moscow at A.V. Vishnevsky National Medical Research Center of Surgery in Moscow.