The specialized medical aid improvement for treating the wounded and patients of microsurgical profile

: 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).