[Perspectives of surgical treatment of vitiligo]

The absence of causal and poor results of conservative treatment of vitiligo in many cases leads to the search for different treatment possibilities such as surgical treatment. All techniques of surgical treatment of vitiligo are based on autologous melanocytes grafting into the achromatic skin lesions. Individual surgical methods for such treatment differ in the preparation of recipient skin site, in harvesting and processing of autologous melanocytes before their grafting. The surgical treatment is useful for patients with stabile achromatic skin lesions up to 30% of total body surface area in cases in which medical treatment has failed. This article is a review of different surgical techniques in surgical treatment of vitiligo.

Simultaneous coverage of ipsilateral ischial and trochanteric pressure sores--a case report

Multiple pressure sores represent recurrent problem in immobilized, mostly paretic patients. A lot of them undergo repeated surgeries and thus the positions of scars, directions of rotation or transposition of flaps limit other operations in the region. Then usually the length of hospital stay grows proportionally with the number of necessary operations and often exceeds 6 weeks. The authors present, in form of a case study, the simultaneous coverage of ipsilateral ischial and trochanteric pressure sores with V-Y advancement fasciocutaneous dorsal thigh flap supplied by perforators from the deep femoral artery, in a patient with multiple repeated decubiti.

[Intramedullary nailing using the Medin tibial nails]

In a prospectively followed up group of 163 nailed tibiae in 157 casualties after 4-48 months, on average after 15 months following implantation 20 patients (12.5%) developed complications. In two instances the nail broke or was bent (1.25%), the remaining complications were not associated with the implant or instruments. Subsequent tests however did not prove defective material of the damaged nails. Medin nails are a reliable, readily available and cheap implant.