Ivan Stepanovich Kolesnikov (1901–1985) – an outstanding Soviet surgeon, Doctor of Medical Sciences, Professor, Academician of the USSR Academy of Medical Sciences, Major-General of Medical Service (1953), Honored Scientist of RSFSR (1964), Hero of Socialist Labor (1976), Lenin Prize Laureate (1961) and USSR State Prize Laureate USSR (1985). Ivan S. Kolesnikov had a glittering life from a junior medical staff to an academician. He participated in 6 wars. Academician Kolesnikov was a talented organizer. He supported and developed thoracic and cardiovascular surgery, anesthesiology-resuscitation, combustiology, transfusiology. His monographs have become handbooks for surgeons in our country: “Resection of the lungs: indications, surgical techniques, postoperative care” (1960), “Organ-sparing resections of the lungs in tuberculosis” (1965), “Autotransfusion of blood and its components in surgery” (1979). Ten volumes of the “Atlas of Gunshot Wounds” prepared by him and his collaborator Academician P. A. Kupriyanov were published in 1946–1955.

The article presents a literature review on the problem of surgical debridement for treatment osteomyelitis of long bones, discusses the issues of the modern protocol for complex surgical treatment for osteomyelitis of long bones of various etiology and localization.

The article substantiates the relevance of computer planimetry as an integral indicator in assessing the course of wound process. The authors have concluded that currently, there is no any “off-line” computer program that not only measure wound area, but also determine its structural elements. An original author’s work is presented in the article – AnalyRan program (Russia, 2022). This program is designed for medical specialists involved in the treatment of simple and complex clean, conditionally infected and infected acute and chronic wounds of various etiology. The discussed program can quickly and accurately measure the wound area and provide the information on wound structural elements, such as necrosis, fibrin, granulation and epithelium. The information obtained contributes to a differentiated approach to the choice of curative tactics and allows to make an objective comparison of various local agents, namely, their effectiveness at the wound process. The flexibility of the program allows to have fine-tuned settings for a specific camera, smartphone, video camera with frame captures, with flash or its lack, natural or artificial lighting conditions. Potentials of the presented program contribute to its widespread routine use.

Objective. To increase the effectiveness of postoperative multimodal analgesia using contact LED exposure with Russian BASI bracelets emitting in blue range 470 ± 10 nm and including magnesium sulfate in the multimodal postoperative analgesia protocol.

Material and methods. To achieve the goal set in the work, the effectiveness of contact LED blood irradiation in blue range of 470 ± 10 nm at the microcirculation state was analyzed in patients of the main group (n = 46) in the immediate postoperative period. We studied the percentage of oxygen, as well as the acid-base state of venous blood before and after contact LED exposure. In the comparison group (n = 42), patients did not have contact LED blood irradiation in the immediate postoperative period.

To study the effectiveness of contact LED blood irradiation at blood coagulation parameters, a series of coagulograms of blood samples taken from patients of both groups was done: once (before surgery) in the preoperative period and once in the immediate postoperative period up to 6 hours, because after 6 hours, anticoagulant therapy was administered according to the protocol. Coagulological testing was performed using Sysmex CA-560 apparatus (Japan). The acid-base state of venous blood was evaluated using Gem Premier 3000 apparatus manufactured by Instrumentation Laboratory.

Research results. Coagulation tests revealed a positive effect of contact LED blood irradiation in patients of the main group. This effect was manifested in the stable trend of shifts towards moderate hypocoagulation in postoperative hemostatic parameters in all studied stages, what indicates the prevention of possible complications like thromboembolism in the postoperative period.

Conclusion. Contact LED blood irradiation in blue range 470 ± 10 nm prevents thromboembolism in the postoperative period and allows to achieve pain relief without narcotic analgesics on the first day after the surgery.

The authors present a successful treatment of a 29-year-old patient with idiopathic Weber – Christian – Pfeiffer panniculitis. after the lumbotomy access for a malignant neoplasm of the right kidney that had provoked the onset of the disease. Edema and hyperemia, aseptic necrotic process at wound edges, hyperthermia, arthralgia, respiratory and cardiovascular insufficiency were initially regarded as a periwound phlegmon and sepsis. In the course of treatment, the diagnosis of idiopathic panniculitis was put pathohistologically. After patient’s stabilization, an extensive wound on the abdominal wall was treated surgically plus physical techniques. A defect in the muscular aponeurotic skeleton of the abdominal wall was replaced with a polypropylene mesh prosthesis. After preparing the wound with negative pressure therapy, the skin grafting was made. Satisfactory immediate and long-term outcomes were achieved.