[Reconstructive and restorative operations in surgical treatment of suppurative diseases].

The principles of active surgical treatment of purulent wounds made it possible to perform reconstructive operations on 5,422 patients with large purulent wounds and tissue defects. In 3,887 patients the wounds were closed with sutures and drained, in 1,535 patients the wound surfaces were closed and tissue defects repaired by various methods of cutaneo- and osteoplasty, in 1,261 of these patients free skin graft was carried out. In 274 patients wounds in the region of important anatomical structures and functionally active surfaces were closed by transposed vascularized tissues with good cosmetic and functional results. Defects in long tubular bones were repaired in 107 patients in the early stages by variants of compression--distraction osteosynthesis. Healing by first intention occurred in 89.8% of cases in which the wounds were closed with sutures and in 91.9% in plastics with local tissues and transposed grafts. After free skin graft plastics had to be repeated until complete healing in 11.1% of patients. The defects in bones were replaced in all cases, osteomyelitis developed at the site of pin introduction in 4% of cases.