On the base of restorative surgery Center of Vishnevsky Central Military Clinical Hospital the department was developed. The main direction of its work is the treatment of sequelae of extremity gunshot injuries accompanied with defects of soft tissues, bony structures, tendinous-and-ligamentous apparatus, neurovascular fascicles, etc. During the period from January 1990 to December 2003 387 casualties and patients (in whom 423 surgical interventions were performed) were investigated and treated. It was possible to decrease the incidence of complications that influenced on fighting pathology final outcome in 8.5 times, to reduce the treatment period in 1.5 times. The number of cases of patient dismiss underwent the microsurgical interventions was twice less. These values were compared with those obtained in the wounded underwent the conventional plastic operations ("Filatov pedicle", "Italian" plasty, autodermoplasty, etc.) at the stage of rendering the qualified surgical aid during the period of military operation in Afghanistan (1979-1989).
It is estimated that more than 62 million couples base their family planning on female sterilization. In Denmark, just under 7000 women are sterilized annually. It is estimated that between 5-15% of these regret the intervention but that only between 0.6-0.8% of sterilized women undergo a process of reversal. Divorce and remarriage and the wish to have more children with the new husband are the most common reasons for the reverse. The next most common reason given is the loss of a child. Women under age 30 who have an unstable marital relationship and those under age 30 with only 1 or 2 children constitute a risk group insofar as regret of the procedure is concerned. It is recommended that in sterilization of this group, reversible methods such as clips, rings, or a limited tubal resection with retention of the medial part of the tube be used. The results of reversal operations depend particularly on the manner in which patients are selected and the operative technique used. If microsurgery is used, approximately 60% of the patients should be able to achieve intrauterine pregnancies. The risk of an extrauterine pregnancy is approximately 3%. It is concluded that with the liberal attitude towards sterilization in Denmark, some patients will regret the intervention and possibility of refertilization appears better than previously assumed, provided that a microsurgical technique is employed. (author's modified)
Primary trabeculotomy (in five eyes "converted" to trabeculectomy) normalized the tension in all 21 eyes with congenital glaucoma without associated diseases, (mean postoperative tension 12 mmHg, range 8-20 mm). Re-operation was needed for only one eye. Preoperatively glaucomatous cupping was present in 18 of these 21 eyes. Ten of the 18 eyes with glaucomatous cupping were operated upon before the age of 6 months two before 11 months and the appearance of the disc was normalized in these 12 eyes. Repeated trabeculotomy, -ectomy was without success in three of five operated eyes in patients with congenital glaucoma of several years duration previously treated by "macrosurgery". In patients with associated diseases normal tension was achieved by means of trabeculotomy/-ectomy in two eyes in two Sturge-Weber children with unilateral congenital glaucoma and in both eyes in a child with a chromosomal defect with bilateral congenital glaucoma. Repeated trabeculotomy/ectomy was on the other hand without success in a child with bilateral aniridia with congenital glaucoma and hydrocephalus. Presupposing acute or subacute microsurgery, the present operative results of congenital glaucoma without diseases are far better than those obtained in previous decades by "macrosurgery" which, despite frequent re-operations, effected normalization of the tension in only 61% of the eyes (11 of 26 patients (42%) with bilateral congenital glaucoma without associated diseases and treated by macrosurgery in previous decades were under the Care of the Blind).