RESUMEN
The experimental data on studying surgical anatomy of the popliteal vein and its branches are presented. On the basis of the findings obtained, the experimental models of reconstructive operations--transposition of the small saphenous and muscular veins with the functioning valves to the position of a popliteal vein, its bifurcation or one of the sural veins--have been developed. The clinical assessment of the performed reconstructive operations on the veins of the popliteal -sural segment was carried out. The results of reconstructive operations are good. A conclusion about the expediency to use in the clinic of the developed methods of operative interventions on the major veins of the lower extremities was drawn.
Asunto(s)
Vena Femoral/cirugía , Pierna/irrigación sanguínea , Modelos Cardiovasculares , Vena Poplítea/cirugía , Síndrome Posflebítico/cirugía , Vena Safena/trasplante , Adulto , Anastomosis Quirúrgica/métodos , Cadáver , Vena Femoral/fisiopatología , Humanos , Masculino , Vena Poplítea/fisiopatología , Síndrome Posflebítico/fisiopatología , Grado de Desobstrucción Vascular/fisiologíaRESUMEN
Experimental and clinical studies (109 rat and 17 dog experiments and four clinical transplantations of a neonatal testis to children with the postcastration syndrome and postnatal hypoplasia of their own testes) showed that transplantation of an immature testis makes it possible to reduce to maximum its damage on exposure to the effect of unspecific and specific factors of transplantation. The transplantation ensures prolonged viability and function of the allogeneic male sexual gland, which is confirmed by the maintenance of its specific structures (the ultrastructural level among others) in the late-term postoperative period, the ability of immature allogeneic transplants to restore the sexual behaviour of castrated animal recipients, and by the positive results of clinical test of the method.