Monografiya posvyashchena aktual"noy teme - uluchsheniyu rezul"tatov lecheniya bol"nykh s ishemicheskoy gangrenoy nizhnikh konechnostey razrabotkoy i vnedreniem amputatsii na urovne verkhney treti goleni. Analiziruyutsya rezul"taty lecheniya 79 bol"nykh( 45 arterial"naya okklyuziya i 34 diabeticheskaya angiopatiya). S dokazatel"noy tsel"yu avtor primenil sovremennye metody issledovaniya: - ul"trazvukovaya dopplerometriya; ul"trazvukovoe dupleksnoe skanirovanie; lazernaya dopplerovskaya vizualizatsiya; oprosnik MOS SF-36. S tsel"yu opredeleniya zhiznesposobnosti tkaney, vybore urovnya amputatsii i otsenke zhiznesposobnosti kul"ti primenyalas" lazernaya dopplerovskaya vizualizatsiya dlya otsenki mikrotsirkulyatornykh narusheniy. Avtorom sozdana prognosticheskaya tablitsa zazhivleniya kul"ti; dlya korrektsii mikrotsirkulyatornykh rasstroystv v pred- i posleoperatsionnom periodakh primenen metod vakuum-terapii s dinamicheskoy korrektsiey pokazateley perfuzii krovotoka (upravlyaemaya mikrotsirkulyatsiya).Monografiya budet polezna khirurgam, angiokhirurgam zanimayushchimsya problemami lecheniya ishemii nizhney konechnosti.