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Plastic Surgery Pirogov Consider how important plastic surgery Pirogov. In Russia in the XIX century, plastic surgery involved EM Pelican (father), PA Dubovitsky, VA Karavaev, NI Pirogov and YK Szymanowski. work of the great Russian surgeon Nikolai Pirogov (1810 - 1881) was laid anatomical basis for the development of surgery in Russia.NI Pirogov was an innovator in the field of reconstructive surgery, as well as the founder of Trauma and Reconstructive Surgery of the foot. Nikolai Pirogov Portrait (1810 - 1881) works by Ilya Repin (1881) Plastic Surgery Pirogov. Origin and development of Russia's skin facial plastics, especially plastic nose, are also associated with the name of II. Pirogov. Depending on the nature and location of the defects of the nose NI Pirogov produced 5 rhinoplasty options: podshivanie accidentally cut off the nose, the recovery of its individual parts (wings, partitions), correction of the form, As a professor of the Medical Academy in St. Petersburg, his trial lecture he devoted little-known then on "About plastic surgery in general, and rhinoplasty in particular" (1835). In a lecture in detail the history of plastic surgery, rhinoplasty in particular, generalized his own experience in rhinoplasty Indian way. The lecture was followed by a demonstration of the basic stages of the operation on a mannequin of gutta-percha. According to PA Belogorodskaya, contemporary Pirogov, only for the period from 1836 to 1856, he made more than 35 complete and partial operations rhinoplasty. For those times, this figure is indicative of a large surgical activity.theoretical foundations were given plastic surgery, certain provisions of which are in tune with modern ideas. According to Nikolai Pirogov, with all plastic surgery to avoid tissue tension, sew not only skin, but also deeply lying tissue and subcutaneous fat. In the case of soft tissue injuries on his head and on his face he achieved the primary healing of the wound, pulling the edges of the wound sticky tape. Recycled plastic Nikolai recommended making after healing of the wound granulation. Matching wounds, NI Pirogov used Carlsbad pins and interrupted sutures. He developed a series of rules of their application during surgery. After removing the pins and stitches bandage with silver nitrate solution. This allowed us to avoid doasepticheskuyu era of inflammatory complications. NI Pirogov often presented reports showing patients before surgery. At a meeting of the society of physicians in Petersburg Pirogov made, for example, the report "Fifteenth rhinoplasty surgery in 18-year-old scrofulous young man." He demonstrated to doctors and patients with nasal defect operated on the Indian way, and later reported the results of re-rhinoplasty in this patient due to imperforate nostrils, thus confirming the special complexity of rhinoplasty in such patients. NI Pirogov made a certain contribution to the oncology maxillofacial region, producing surgical treatment of congenital facial defects. Already in his first works, "Annals of the surgical department of the University Hospital" in Dorpat (1837 - 1839) he described the individual operations, for example, about the cancer of the upper jaw, after excision of the primary of which was made of plastic skin, taken from the neck and forehead. It was also reported they produced extensive surgery for hemangioma neck and neck in an infant. Especially a lot of NI Pirogov operated patients with cancer of the lower lip, depending on the prevalence of the process using different variants of the primary cheiloplasty. For example, in cancer, exciting the entire lip, he used plastic skin flaps pedicled on the neck. They described the original plastic surgery lip chin skin with 2 semilunar incisions. In cancer of the lower lip for primary plastics, he also used the cheek tissue. It is in operation on the primary plastic after removing facial tumors NI Pirogov first used general anesthesia with ether as intrarectal anesthetic. NI Pirogov produced and surgical treatment of congenital malformations of the face, giving preference to operations in early childhood (4 weeks). Through experiments, the anatomical study and rich practical activities Pirogov facial plastic surgery has been put on a scientific basis. noteworthy that his first plastic surgery NI Pirogov performed, returning from a long-term training in Germany, where he worked with the founders of modern plastic surgery C. F. von Graefe, J. F. Dieffenbach and B. Langenbeck. One of the followers Pirogov should name another founder of the Russian Plastic Surgery Yulia Karlovic Szymanowski (1829 - 1868), author of the famous book-atlas "The operations on the surface of the human body", published in 1867, where he summed up the experience of different surgeonscountries for recovery operations on the face. In 1865, K. Yu Szymanowski first attempt to restore the skin of the nasal septum, using for this purpose the central department of the skin of the upper lip. Yuliy Karlovich Szymanowski (1829 - 1868) Scraps described YK Szymanowski for the reconstruction of the chin in his book "Operations on the surface of the human body»
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plastične kirurgije Pirogova Razmislite koliko je važno plastičnu kirurgiju Pirogova.U Rusiji u XIX stoljeću, plastična kirurgija uključeni EM pelikan (otac), PA Dubovitsky, VA Karavaev, Ni Pirogova i YK Szymanowskoga. djelo velikog ruskog kirurg Nikolaj Pirogova (1810 - 1881) je postavio anatomsku podlogu za razvoj kirurgije u Rusiji.NI Pirogova bio inovator u oblasti rekonstruktivne kirurgije, kao i osnivač traumatologiju i rekonstruktivnu kirurgiju stopala. Nikolaj Pirogova Portret (1810-1881) djeluje tako Ilya Repin (1881) Estetska kirurgija Pirogova.Nastanak i razvoj kože lica plastike Rusije, posebno plastičnim nosom, također su povezane s nazivom II.Pirogova.Ovisno o prirodi i mjestu nedostataka nosa NI Pirogova proizvedena opcija 5 rinoplastika: podshivanie slučajno odrezati nos, oporavak njegovih pojedinih dijelova (krila, pregrade), korekcija oblika, obnova nedostaje nos, itd Poznato je, na pr Kao profesor Medicinskog akademiji u Petrogradu, njegovo suđenje predavanje posvetio je malo poznata zatim na "O plastične kirurgije u cjelini, te rinoplastika posebno" (1835).U predavanju u detalje povijesti plastične kirurgije, rinoplastika posebno, generalizirati svoje iskustvo u rhinoplasty indijski način.Predavanje je uslijedila demonstracija osnovnih faza rada na lutki od gutaperke.Prema PA Belogorodskaya, suvremeni Pirogova, samo za razdoblje od 1836. do 1856. godine, on je napravio više od 35 potpuna i djelomična operacija rinoplastike.Za to vrijeme, ta brojka je indikativno velikog kirurškog aktivnosti.teorijski temelji su dobili plastične operacije, od kojih su neke odredbe u skladu s modernim idejama.Prema Nikolaj Pirogova, uz sve plastične operacije kako bi se izbjegle napetosti tkiva, šivati ne samo kožu, nego i duboko laže tkiva i potkožnu masnoću.U slučaju ozljede mekog tkiva na glavi i na licu je ostvario primarni zarastanje rana, povlačeći rubove rane ljepljivom trakom.Reciklirana plastika Nikolaj preporuča što nakon ozdravljenja granulacije rane. Matching rane, NI Pirogova koristi Carlsbad igle i prekinuo šavovima.On je razvio niz pravila njihove primjene tijekom operacije.Nakon uklanjanja igle i konci zavoj sa otopine srebrnog nitrata.To nam je omogućilo da se izbjegne doasepticheskuyu eru upalnih komplikacija. NI Pirogova često predstavljena izvješća koja pokazuju pacijenata prije operacije.Na sastanku društva liječnika u Petersburgu Pirogova napravljene, na primjer, u izvješću "Petnaesti rinoplastika kirurgije u 18-godišnjeg škrofulozan mladog čovjeka."On je pokazao da liječnicima i pacijentima s nazalnim mana djelovali na indijski način, a kasnije izvijestio o rezultatima ponovno rhinoplasty u ovom pacijentu zbog imperforate nosnica, što potvrđuje posebnu složenost rinoplastika u tih bolesnika. NI Pirogova su određeni doprinos onkologije maksilofacijalne regije, proizvodnju kirurško liječenje prirođenih defekata lica.Već u svojim prvim radovima ", Anali kirurškom odjelu Sveučilišne bolnice" u Dorpat (1837 - 1839) je opisao pojedine operacije, na primjer, o raka gornje čeljusti, nakon ekscizije primarnog od kojih je napravljen od plastike kože, uzetog iz vratu i čelu.Također je izvijestio da proizvedena opsežne operacije za hemangioma vrata i vrata na dijete. Posebno puno NI Pirogova upravlja bolesnika s rakom donje usne, ovisno o raširenosti procesa koristeći različite varijante primarnog cheiloplasty.Na primjer, kod raka, uzbudljivo je cijela usna, koristio plastične kože zaliske vaskularizirani na vratu.Opisali su originalni plastičnu kirurgiju usne brada kožu s 2 semilunar rezova.U rak donje usne za osnovne plastike, on također koristi u obraz tkiva.To je u radu na primarnoj plastike nakon uklanjanja tumora lica NI Pirogova prvi upotrijebio opću anesteziju s eterom kao intrarektalnim anestetika. NI Pirogova producirao i kirurško liječenje kongenitalnih malformacija lica, dajući prednost operacija u ranom djetinjstvu (4 tjedna).Kroz eksperimentima, anatomske studije i bogate praktične aktivnosti Pirogova plastična kirurgija lica je stavljen na znanstvenoj osnovi. napomenuti da je njegova prva plastična kirurgija NI Pirogova izvedena, po povratku s dugoročnim trening u Njemačkoj, gdje je radio s utemeljitelja moderne plastične kirurgije C. F. von Graefe, J. Dieffenbach i B. Langenbeck. Jedan od sljedbenika Pirogova treba odrediti drugu osnivač ruskog Estetska kirurgija Julija Karlović Szymanowskoga (1829 - 1868), autor poznate knjige-atlas "The operacije na površini ljudskog tijela", objavljen 1867. godine, gdje je sažeo iskustvo različitih kirurgazemlje za oporavak operacija na licu.U 1865, K. Yu Szymanowski prvo pokušati obnoviti kožu nosne pregrade, koristeći u tu svrhu središnji odjel kožu gornje usnice. Yuliy Karlovich Szymanowski (1829-1868) Bilješke opisano YK Szymanowskoga za rekonstrukciju brade u svojoj knjizi "operacije na površini ljudskog tijela»