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The analysis of the scientific literature devoted to organ and tissue changes of oral cavity at the chronic renal insufficiency (CRI)is made. The number of patients in an end-stage of CRI constantly increases and patients receiving renal replacement therapy including hemodialysis, peritoneal dialysis or renal transplantation will comprise an enlarging segment of the dental patient population. Owing to CRI and its treatment there is a set of changes of teeth and oral cavity fabrics which remain even in a end-stage. Renal replacement therapy can affect periodontal tissues including gingival hyperplasia in immune suppressed renal transplantation patients and increased levels of bacterial contamination, gingival inflammation, formation of calculus, and possible increased prevalence and severity of destructive periodontal diseases. Besides, the presence of undiagnosed periodontitis may have significant effects on the medical management of the patients in end-stage of CRI.

Recent literature on the morphological results of the application of polymers produced from lactic acid (polylactides--PLA), contains a plethora of experimental and clinical data on the efficiency and safety of their use for the medico-biological purposes. However, the question on the actual rate of biological disintegration of PLA materials remains unanswered. There are conflicting views on the inflammatory reaction ranging from a complete negation of an inflammatory response to PLA implantation up to the reports describing the expressed aseptic inflammatory reactions caused by presence of this material in tissues. Some researchers report the total absence of the foreign-body reactions to this class of implants, while some others indicate the obligatory formation of the foreign-body giant cells. Further research is necessary to precisely predict degradation processes of and to detect all the potential risks associated with the use of PLA-based materials.

The morphological changes in the fatty tissue of the posterior surface of knee joint were studied in rats (n = 96) using the method of light microscopy 1, 2, 3, 4 and 5 days after a single ultrasonic exposure of various duration (5, 10, 20 min)) in a diagnostic mode. This exposure resulted in hyperemia, lymphostasis and increase of vascular permeability. The degree of changes was found to increase in proportion to the duration of exposure. All the changes detected were reversible, and the majority of them disappeared within 1-2 days. During the practical application, it is necessary to take into account the possibility the induction of cell and tissue damage during the ultrasonographic examinations. Development and application of the measures directed to decrease the edema and to stabilize the vascular wall both during the ultrasonography and immediately after it are expedient. Ultrasonography should be performed only when there are significant medical indications, and to receive the required diagnostic information, the lowest power of the device should be used.

The reactions of rat regional lymph nodes, caused by implantation of the autologous multipotent mesenchymal stromal cells of a bone marrow origin (AMMSCBM) for acceleration of bone defect regeneration in bottom jaw experiment were studied by methods of fluorescent light microscopy. After introduction in an injury site of a bottom jaw bone of polyhydroxyalkanoate with adsorbed AMMSCBM with a transfected GFP gene the numerous large macrophages with a set of oval fluorescent inclusions in cytoplasm appear in lymph nodules of submandibular lymph nodes. The number of such macrophages increases within 2 weeks after operation, and further starts decreasing. Probably, entered via such way the AMMSCBM partially are phagocytized by macrophages. At destruction of the structures created from AMMSCBM, debris also are phagocytized by macrophages. In that and other case these macrophages appear in the germinative centers of lymph nodules in lymph nodes where initiation of immunity reactions against DNA and same GFP isn't excluded.

Light microscopy was used to study connective tissue capsules formed around different silicone breast implants. It has been found that due to the activity of microfibroblasts to minimize the volume of foreign bodies, the capsule gradually shrinks; its inner surface deforms and develops an undulating appearance with a multitude of outgrowths or protrusions inside. With the passage of time, silicone migrates to the capsule tissue and outside where it is absorbed by phagocytes. The inerter to a living organism the implant material is, the less it will stimulate a macrophage response. The task of designing new implants is to search for maximally bioinert materials that are strong enough to be compressed by the capsule and be fragmented and, moreover, elastically similar to normal breast tissue.

The processes developing in various rat tissues after implantation of polymeric polyhydroxyalkanoate (PHA) film fragments with adsorbed autologous multipotent stromal (mesenchymal) cells of bone marrow origin (AMMSCBM), were studied by methods of light microscopy. After the implantation of PHA film with AMMSCBM, the number of blood vessels in the surrounding tissues was found to increase as a result of neoangiogenesis. In this case,AMMSCBM did not migrate and were not destroyed at the place of injection, but differentiated into the cells forming blood vessel structures. The processes of angiogenesis in the tissues around PHA implant, in turn, lead to development of a larger number of blood vessels in the granulations formed around the implanted foreign body, higher volume of granulations proper and subsequent development of a thicker capsule delimiting polymer implant.

The reaction of the surrounding tissues to the implantation of biodegradable suture materials (plain catgut threads, DemeTECH polyglactin 910, Surgilactin--polyglactin 910) into the subcutaneous adipose tissue of rats, was studied using light microscopy 1, 2, 6 and 12 months after grafting. It was shown that the tissue reactions to implantation of different biodegradable suture materials followed the general pattern characteristic of wound healing and foreign body reaction. By the first month of observation, in all the animal groups, the stage of traumatic perifocal inflammation was replaced by a proliferative phase with the new growth of the blood vessels and connective tissue. In all the animal groups, there was a trend to reduction of productive inflammation activity from the 1st month till the 12th month. By the 12th month the total degeneration of the material with full recovery of structure of surrounding tissues (restitution) was recorded only after the implantation of polyglactin 910 (DemeTECH).

The objective of this study was to examine the peculiarities of tissue reactions during the degradation of "Collost" bioplastic material on the collagen basis with completely preserved fibrous structure, after its implantation into the bone tissue defect. The defect in bone tissue sized 1-2 mm x 3-5 mm was created in tibial condyle. The study was performed on 24 Wistar rats using light microscopic methods. The tissue reactions were studied at different time intervals (1, 2, 6 and 12 months) after the implantation of collagenic material. It was found that after the implantation, the material became impregnated with blood, and due to fibrin, densely adhered to the damaged tissues. Further, the cells were found to migrate along the blood clot into its depth from the surrounding tissues. These were primarily the fibroblasts which were located in a network of fibers and started to absorb collagen from a surrounding material and to synthesize new collagen. Gradually, the collagenic material became similar to a cell-containing network. The volume of the newly synthesized collagen increased, and after some time all the foreign material was absorbed by fibroblasts and replaced with connective tissue. After 1 year, a large "Collost" fragment was completely degraded and replaced by loose connective tissue. The implantation of a collagenic material did not stimulate the formation of a delimiting connective tissue capsule

The regeneration processes after introduction in site of damaged bone of rat bottom jaw of autologous mesenchymal stem cells of bone marrow origin (AMSCBMO) in suspension were studied by methods of light microscopy and x-ray densitometry. Morphological methods showed that formation of red bone marrow in bone callosity occurs much earlier after use AMSCBMO than in the time of natural course of reparation. Formation of cavities with a marrow decreases tissue density after application AMSCBMO in a site of damage in 4 and 5 weeks of supervision. The specified changes progress during all time of observation and are the certificate of accelerated development of regenerative processes in bone tissue.

Using the methods of luminescent microscopy, the results of injection of autologous multipotent stromal (mesenchymal) stem cells of bone marrow origin (SSCBMO) containing GFP gene, into thrombosed hindlimb vein were studied in 226 male Wag rats. It was found that the restoration of blood flow through the thrombosed main vein was not always the result of thrombolysis. No signs of incorporation of injected SSCBMO into the wall of thrombosed vessel, clot recanalization or collateral formation were detected. In experimental thrombosis model with thrombin administration and main vein ligation, the thrombosis of its small branches also took place. The restoration of blood flow occured via either blood clot recanalization or obliteration of thrombosed vessels and the outgrowth of the new ones. SSCBMO were found to participate in both of these processes resulting in faster restoration of a blood flow in the tissue microregion of thrombosed vein. Gradually the injected SSCBMO and the structures formed with their participation, were replaced by the own cells of a recipient organism.

The reaction of rat tissues was studied using the methods of light microscopy 4, 12, 18 days, 1, 2, 6 and 12 months after hypodermic implantation of polymeric films made of polyhydroxyalkanoates (PHA). It was found that polymer, like any foreign matter in an organism, become immediately covered by fibrin. By day 4, there the deformation and destruction of polymeric films were observed due to fibrin contraction. Further, the foreign body was covered by a connective tissue capsule. Under the action of myofibroblasts, the capsule around PHA contracted, thus further deforming and breaking the polymer. Small particles of polymer were covered by macrophages, after some time the cytoplasm of macrophages fused forming the giant cells of foreign body type. After the prolonged period, small fragments of polymeric films were almost completely degraded by macrophages. Large polymeric fragments that were not deformed or crushed, became encapsulated by fibrous tissue and remained unchanged for long time periods.

The reaction of rat tissues to intraperitoneal placement of implants made out of biodegradable polyhydroxyalkanoates (PHA), was studied at different time points after the operation by the methods of light microscopy. It was found that after intraperitoneal PHA implant placement, the active adhesive process started leading to formation of fibrous adhesions between PHA implants and intestinal loops. When PHA implants were used in the form of films, they became surrounded by a thick fibrous capsule. As a result of PHA implant placement in the form of ultrathin fibers, the extensive foreign body granulomas with perifocal inflammation and sclerosis of surrounding tissues were formed. In these granulomas the polymer fragmentation and phagocytosis by macrophages with formation of giant cells of foreign body occured. It is concluded that PHA implants are not biodegradable and induce tissue reactions similar to those caused by other foreign bodies.

The structure of Wistar rat subcutaneous adipose tissue and axillary (regional) lymph nodes (LN) was studied by the methods of light microscopy after the subcutaneous implantation of the fragments of silicone mammary implant in the area of right scapula in animals treated with interleukin-2 (IL-2). Subcutaneous implantation of sterile silicone plates to rats was found to induce chronic granulomatous inflammatory process with the formation of connective tissue capsule. Implants placement to rats treated with IL-2 resulted in the formation of a thicker capsule with the signs of sclerosis, fibrosis and hyialinosis; all the capsular structures were heavily infiltrated with macrophages, which contained phagocytozed silicone fragments. After the introduction of silicone implants, the volume of the capsule and connective tissue in the regional LN progressively increased, while after IL-2 treatment the intensity of sclerotic processes was significantly decreased. The relative area of lymphoid nodules without the germinal centers in LN sections was increased 1 month following the induction of chronic inflammatory process in rats treated with IL-2, but by 6 months the proportion of nodules both with or without germinal centers become less, as compared to the initial data.

The processes of regeneration of the damaged rat bottom jaw bone after application of enriched thrombocytes a fibrin clot were studied by morphological and radiovisiographic methods. At a natural course of regeneration the artificial aperture of bone was filled with blood and there the blood clot was formed. After 1 week the separate bone islets of a young tissue occurred in bone defect. In 2-3 weeks the aperture in a bottom jaw bone was completely closed by a young bone tissue. After operation with filling of bone bottom jaw defect by fibrin clot there was no formation of a blood clot. Already after 1 week the bone tissue defect was filled by the merged islets of again generated bone. By second week after fibrin use the further formation of bone tissue in defect and formation of a bone callosity was noted.

The processes of the repair of the damaged mandibular bone in rats were studied using light microscopy and x-ray densitometry at various time intervals after the local injection of the platelet-rich fibrin clot (PRFC), autologous mesenchymal (stromal) stem cells of bone marrow origin (AMSCBMO) or AMSCBMO, adsorbed on PRFC, into the damaged site. The best results were obtained after the application of PRFC with AMSCBMO. One week after the operation, the mandibular bone defect was largely filled with the newly formed bone tissue. It seems most probable that in this case the effects of fibrin and stem cells on the damaged bone were summarized or even amplified. Bone formation in these cases appeared to begin in the center, but not at the edges, of the defect. AMSCBMO were distributed over the whole volume of PRFC, filling all the defect more or less uniformly. As a result, maximally fast and successful restoration of bone tissue was reached in the area of the defect.

Recent clinical and experimental researches on application of mesenchymal stem cells (MSC) in dentistry and maxillofacial surgery showed the efficiency of cellular technologies for acceleration of tissue regeneration and implants integration. However use of MSC solely and in combination with other substances has its advantages and disadvantages. There is lack of scientific data on contraindications and complications of cellular therapy whereas the analysis of failures of MSC application will allow accurately define indications and raise the efficiency of cellular technologies. There is a strong need for further clinical and experimental studies on MSC application for bone tissue regeneration.

The results of injection of the autologous stromal (mesenchymal) marrow-derived stem cells (ASMSC) transfected with green fluorescent protein (GFP) gene into the rat uterine scar were studied by methods of light microscopy. One week after ASMSC injection into the formed scar on the right side (2 months after the uterine horn ligation), large groups of blood vessels containing the formed elements of blood were found, while these were absent in the uterine scar on the opposite side. The study of the unstained sections in the reflected ultraviolet light demonstrated bright luminescence in the vessel endothelium and adventitia in the uterine horn scar only at the side of ASMSC injection. It is suggested that after the injection of ASMSC in the uterine horn scar, they form blood vessels as result of a differentiation into endotheliocytes and pericytes. The expression of GFP gene not only in vascularl endothelium, but also in their adventitia, indicated that the differentiation ASMSC is possible in both endotheliocytes and in pericytes.

The structure of submandibular lymph nodes (LN) from rats with arterial hypertension (AH) and normal pressure after mandible damage was investigated by methods of light microscopy. It was revealed that in submandibular LN of both compared groups of animals after induction of inflammatory reaction cortical field was extended, bulk density of lymphoid nodules without reproductive centres was increased, in nodules with centres mantle was extended and germinative centres were decreased. In all structures of LN the numbers of mitosis, imrnuno - and plasmoblasts were increased, the contents of reticular cells and macrophages were increased only to 4-5 week. In structure of LN from rats with normal arterial pressure and with AH the volume of sinus system statistically significantly differed: animals with AH had more volume of sinuses on all points of observation. Inflammation in the conditions of AH the distinction in cellular content of various zones of LN were connected with occurrence or higher number of erythrocytes.

In gingival tissues of 62 patients after dental implantation of traditional type and with the use of thrombocyte rich fibrin preparation (TRFP) microcirculation and leucocytal infiltration were studied. It was disclosed that in all terms after titanium screw dental implant setting lymphostasis and leucocytal infiltration were seen as signs of active inflammatory process in gingival tissues. 3 months later after implants setting with the use of TRFP the lymphatic vessels status was normalized, the degree of leucocytal infiltration was reduced; when implantation was made without use of fibrin technologies in gingival tissues more leucocytes were found and lymphatic bed components were remained dilated. Besides fibrin preparation use in the process of dental implantation promoted quicker and stronger implant fixation, but granulomatous inflammatory process could develop and amount of eosinophils in gingival tissues could also increased.

Light microscopy of the axillary lymph nodes in 74 relatively healthy women and in 186 patients with mammary gland cancer revealed that the lymph nodes of 10.8% of the patients contained no substantia medullaris: the tractus pulposus and cerebral sinuses were replaced by various types of the connective tissue. Similar signs in the relatively healthy women were much rarer (5.4%). The frequency of the sclerotic transformation was shown to be not dependent on the neoadjuvant chemotherapy of the mammary gland cancer but increased with aging of the subjects. After the use of polychemotherapy followed by long-term traumatic surginal interventions, tissue detritus and blood formed elements were detectable in the sinus system of the regional lymph nodes.

By light microscopy there was studied gingival tissues structure depending upon age and gender in 96 relatively healthy persons and 80 patients with chronic apical periodontitis. It was disclosed that in gingival mucosa of patients with chronic apical periodontitis the interstitial space volumetric density and numerical density of tissue leucocytes increased in the first place due to neutrophils. Between the healthy men and women there was no significant difference in structural organization of the gum as well as between the patients of different gender. The only sign was that in healthy men and women with age progressing only lymphatic vessels area decreased on gingival mucosa microscopic section. In patients with chronic apical periodontitis both blood and lymphatic vessels were involved through decrease of relative capillary density.

The structure of leukocyte infiltrates in gingiva of 80 patients of various ages and gender with chronic apical periodontitis was studied using light microscopy with the application of monoclonal antibodies detecting CD38 antigen. Gingival tissues of practically of all the patients with periodontitis contained 2 types of leukocyte infiltrates: infiltrates with the low plasma cell content and high numbers of neutrophils and structures with high number of plasmocytes and low concentration of neutrophilic granulocytes. Within the gingival epithelium in patients with chronic apical periodontitis CD38 + cells were absent. The histogenesis of gingival leukocyte infiltrates in chronic apical periodontitis is discussed with the special emphasis on the role of plasma cells in the development of the pathological process.

The structure of rat lymph nodes regional to the purulent wound under the conditions of interleukin (IL-2) treatment was investigated by the methods of light microscopy. In the lymph nodes from intact animals, the cortical plateau was found to become diminished with the simultaneous paracortical zone expansion. In the regional lymph nodes from rats with an untreated purulent wound, the relative dimensions of cortical plateau were decreased because of expansion of the medullary structures. Lymphoid parenchyma and the sinuses of lymph nodes contained erythrocytes, the numbers of immuno- and plasmoblasts, macrophages and neutrophilic granulocytes were increased. IL-2 treatment in animals with a purulent inflammatory reaction secured the greater integrity of structure of these organs and of cytoarchitecture of their various zones. However, the administration of this cytokine resulted in increased vascular permeability and enhanced the probability of allergic reaction development, which requires the development and application of prophylactic measures of the specified side effects and complications.

Light microscopy was used to study postcesarean section uterine scars removed at resurgery and rat urine tissues after myometrial scar simulation. The myometrial scar tissue of 1 of 30 patients and 4 of 42 experimental animals exhibited vicryl suture material remains surrounded by a connective tissue capsule and, frequently, infiltrated leukocytes and giant cells of foreign bodies. It is not inconceivable that the presence of these foreign bodies in the tissues of the uterus and its scar may lower the strength of the wall of this organ during pregnancy and labor.

Radiovisiographic study of periodontal tissues changes in different periods after the therapy of destructive chronic periodontitis have disclosed that jaw alveolar process bone density and the size of the destruction focus after 6 months, 1 and 2 years after the treatment were not significantly changed (134 patients sample of different gender and age). When this sample was subdivided into groups depending upon gender and age some significant changes of some parameters were found. The most expressed were the changes of the size of the periodontal destruction focus in the patients of 40-49 years of age, less pronounced they were in patients of 18-29 age group; in the age group 30-39 years changes were not found, In men of 18-29 age group regenerative processes in periodontal tissues were more expressed than in women. In patients of female sex of the age group 30-39 years were found more expressed changes. In older age group in patients of both genders the changes were approximately equal. The bone density around periodontium after treatment in men of the age group 18-29 years was restored more intensive than in 40-49-year-old patients. In females age dependent changes in the studied tissues status were not found.

Changes in the structure and cellular composition of aggregated lymphoid nodules (ALN, Peyer's patches) of the small intestine and in mesenterial lymph nodes (MLN) were studied in 82 female Wistar rats 7, 14 and 21 days following a single intraperitoneal injection of a complex of antineoplastic drugs (cyclophosphamide, adriamycine, vincristine and prednisolone). In ALN and MLN lymphoid nodules the administration of antineoplastic drugs resulted in the decrease of the number of blast cells and mitotically dividing cells, suggesting the suppression of B-cell proliferation and differentiation. At the same time, the dimensions of germinal centers in ALN lymphoid nodules were reduced, while their mantle zone size remained unchanged. On the contrary, in MLN lymphoid nodules, mantle zone was reduced, while germinal center dimensions remained constant. Possible reasons of these differences in responses of the immune organs studied to chemotherapy, are discussed.

Fragments of fibrous capsules removed during operations on account of III - IV degree fibrous capsular contraction around mammoimplant or prosthesis (oleoimplant) deformation were studied with light microscopy. Signs of lymphostasis were detected in all the layers of capsule at all the patients. Fibrous capsular contraction progresses due to dysbalance between volumes of areolar (boundary) and thick (basic) parts of capsule. This dysbalance may be caused by activation of inflammatory reaction at tissues surrounding implant after trauma of them, or by microcirculation disorders due to blockade of vessels with implants or tissue detritus.

Light microscopy was used to study mesenteric lymph nodes in 46 neonatal infants who had died from small bowel atresia, inflammatory abdominal processes and diseases. There were no lymphoid follicles with germinative centers in the mesenteric lymph nodes of all neonatal infants, which seemed to result from the lack of antigenic stimulation during intrauterine development. Medullary substance malformation in the lymph nodes promotes the occurrence of inflammation in the region of their lymph collection and favors the progression and generalization of a pathological process.

The macrophageal antigen complex HAM56yu was found in the limited areas of adrenocarcinoma. The presence of antigen complexes on the epithelium should be considered when interpreting the results of immunohistochemical study of metastases without a detected primary focus.

Inguinal lymph nodes of patients with venous insufficiency of the lower extremities were studied by light microscopy. Presence of erythrocytes was found in all structural parts of these organs. In cortical region and paracortical zone siderophages with hemosiderin were observed. The origin of hemosiderin is discussed.

Microlymphohemocirculatory bed and leucocytogram of gingival tissue were studied by the light microscopy in patients with chronic periodontitis having normal and high arterial blood pressure. In most cases of arterial hypertension the gingival mucous was characterized by widening of lymphatic vessels and interstitial spaces. In cases of arterial hypertension combination with inflammatory reaction the tendency for widening of lymphatic vessels and interstitial spaces persisted compared with cases of normal blood pressure. It testifies to high probability of lymphogenic generalization of inflammation. Besides, in cases of inflammatory gingival pathology in arterial hypertension the absolute neutrophil number was significantly higher showing for more acute inflammatory process and greater volume of tissue involvement.

Anthracycline drugs after their administration first of all affect the cells with active proliferation and differentiation resulting not only in inhibition of the processes but also in induction of apoptosis, that precisely explains the pathological shifts in the intestinal epithelium, i.e. in the tissue with many dividing and maturating cells. The damaged epithelium after the use of anthracycline drugs becomes permeable for many substance of the antigenic nature from the intestine lumen that stimulate the response of the lymphoid organs.

The structure of the Peyer's patches and mesenteric lymph nodes of rats at different periods after polychemotherapy was investigated by light microscopy. After the use of antitumor drugs the number of the blasts and mytoses in the lymphoid follicles with the mesenteric lymph node bright centres and in the Peyer's patch follicles lowered, that along with the decrease of the size of the mantle zone in the lymph node follicles and the decrease of the area of the bright centres in the follicles of the lympoid formations in the intestinal wall was evident of the proliferation inhibition and B cells differentiation in the lymphoid organs. After the polychemotherapy the size of the germinative centres of the Payer's patch follicles decreased while the size of the mantle zone remained unchanged. The size of the mantle zone in the follicles of the mesenteric lymph nodes decreased while the size of the germinative centres did not change. The different responses of the lymphoid organs could be associated with some remote location of the lymph nodes with respect to the antigen source (damaged epithelium and intestinal lumen contents).

Skin, muscle and fat biopsy of a patient with Teutschlander syndrome was studied with light microscopy. Atrophy, sclerosis and lymphostasis of all layers of the skin with small inorganic crystals, with foreign body granulomas or without inflammatory reaction in papillary and reticular layers were observed. Fat tissue under the skin was completely replaced by masses of extra-cellular lipids. The same deposits were found in some muscles with necrosis and degradation of myofibrils. Disturbance of lipid metabolism may be a primary mechanism of this pathology.

The structure of the gingival mucosa was studied by optic microscopy in patients with acute purulent odontogenic maxillary periostitis treated traditionally and receiving lymphotropic therapy. Lymphotropic administration of the antibiotic during 2 days resulted in less pronounced dilatation of the interstitial spaces and lymph vessels adjacent to the molars and higher counts of lymphocytes, monocytes, and macrophages. This indicated high efficiency of lymphotropic therapy of acute purulent maxillary periostitis for molars. Microcirculation parameters and tissue leukocyte cytogram in gingival mucosal tissue adjacent to the canines and premolars differed negligibly in patients treated by different methods.

The review examines the current data on the cellular and tissue mechanisms of scar formation in the liver. On the basis of the analysis of the literature, authors conclude that to minimize the destructive processes in the liver, the most advisable and promising method during the operations on this organ is the use of laser surgical devices. However, the problems of the selection of the optimal regimes of laser radiation and of the methods of conducting these operations to promote reliable and rapid healing of postoperative wound of the liver.

Using the methods of light microscopy, mast cell (MC) distribution was studied and their number was counted in the dermis of autotransplanted vascularized tissue complexes at different time intervals following the operation. The number of MC in the dermis during the process of angiogenesis was closely connected with the number of blood vessels as evidenced by the direct correlation between these two parameters 2-3 weeks, 2-4 months and 5-8 months after the transplantation. MC seem to participate in the control of blood and lymph vessel formation as witnessed by high MC concentration close to the formed vessels and low MC concentration at a distance from them 2-4 and 5-8 months following the transplantation. It is suggested that the data on MC number may be helpful in prognosis of angiogenesis intensity in tissues, time intervals of edema reduction after organ or tissue transplantation, outcome of lymphedema treatment, velocity of tumor metastasis spread.

Tissues around the implant were studied at light microscopy during 3 months after formation of artificial sphincter during a reconstructive operation of anus prenaturalis. Lack of pronounced signs of inflammation and allergic reaction indicates that the above implant induces no significant pathological changes.

Capillaries and tissue leukocyte cytograms in soft gingival tissues were examined by optic microscopy in patients with acute purulent periostitis of the jaws treated by different methods. Disorders in the lymph outflow from gingival tissues were detected, which were due to dilatation of the lymph vessels and interstitial spaces in the mucosal lamina propria and stasis with leukocyte aggregation and purulent clots in the lumina of many lymph vessels. Less pronounced dilatation of interstitial spaces and lymph vessels, higher counts of lymphocytes, monocytes, and macrophages in the tissues of the gingival mucosa lamina propria, observed 2 days after the beginning of adsorption therapy of the subperiosteal abscess cavity, indicate that this therapy is more effective in acute purulent periostitis than traditional treatment.

Light microscopy was used to study microvascular bed and tissue leukocytes in transplanted tissue complex on the vascular pedicle. The cause of the transplant edema was disturbed lymph flow manifesting in a significant dilation of lymph vessels and interstitial spaces. Restoration of the lymph flow and hemocirculation takes place by formation of new vessels registered in all the transplant tissue 2-8 months after transplantation. Late after the transplantation the tissues of the graft underwent progressive sclerotic transformation due to denervation and loss of specific functions of the transplanted tissues.

Microcirculation and tissue leukocytes in transplanted on vascular peduncle tissue complex were studied with light microscopy. Lymph outflow disorders were the causes of transplant edema. Lymph outflow and hemocirculation were restored through new vessels formation that was revealed in all transplant tissues over 2-8 months after transplantation. With time, processes of sclerotic transformation in tissues of transplanted flap progress due to denervation and function loss of transplanted tissues.

The surface of SUMS1 was studied using scanning electron microscopy after contact with the wound contact. In vivo sorbent action was found to differ from in vitro adsorption properties of sorption drugs, as during the contact with organism tissue in the inflammation focus granule active surface is covered by fibrin, to which necrotic tissues, bacteria and immunocompetent cells adhere. The use of sorption drainage in acute and chronic inflammation lowers the challenge on lymphatic tissue because removal of sorption preparations also causes elimination of large fragments of non viable tissues, antigens and protein-cellular conglomerates that might block lymphatic vessels and regional lymph nodes.

Preoperative preparation with enterosorbent SUMS-1 followed by lavage improves microcirculation in the colon wall and decreases issue of toxins and antigens from the colon lumen as compared to lavage alone. Oral use of the sorbents in the presurgical period in patients with colon carcinoma allows to protect lymphatic and blood system from excessive resorption of toxins, bacteria and metabolites and rapidly decrease the degree of the inflammation in the wall of the organ.

Morphological changes in inguinal lymph nodes, lymphatic collector and subcutaneous space were studied up in patients with the lower extremities lymphoedema. While the lower extremities lymphoedema occurs in inguinal lymph nodes the connective tissues spreading in two variants is observed. In the first one fibroblasts and collagen fibres appears in medullar substance (chordae medullaris and medullar sinuses) and in the second the sclerosis process begins from cortical plateau and paracortical zone. It is expedient to include the intraarterial infusion of the xenospleen preparations in complex of treatment of patients with initial stage of the lower extremities lymphoedema, especially in the absence of possibility to proceed with microsurgical intervention and the erysipelas presence in anamnesis.

The surface of carbon-mineral sorbent (CMS-1) granules and that of the capron cartridge were investigated using scanning electron microscopy in the course of acute nonspecific metroendometritis treatment after late abortion. The use of this sorbent for drainage of the uterine cavity decreases a toxic and antigenic effect on the organism. The use of the capron cartridge excludes the loose of the sorbent granules and their contact with the tissues, does not hinder the drainage and, at the same time, capron serves as a filter preserving active granule surface from a rapid disactivation by large fragments of tissue detritus.

Adsorption of lymphocytes on the sorbents in correction of inflammatory lesions has significant clinical perspectives as the cells and active biological substances they secrete function actively in inflamed tissues acting in the site of its application: every cell adsorbs and inactivates foreign substances, every cytokin affects certain target cells. The products of these cells functioning and dissociation as well as the products of immune system reaction to them remain on the sorbent and are eliminated together with granules during bandaging or by the end of the treatment thus do not entering the organism. Lymphocytic monolayer on the sorbent does not prevent its specific action in pathologic nidus. In this case sorbent does not only drain the tissue duplicating certain primitive non specific functions of regional lymph node (barrier, filtrating, transport, draining and protective functions) but also performs certain highly specialized functions of immunocompetent organs--selective adsorption and inactivation of antigenic substances. It is reasonable to use sorbents for adsorbing lymphocytes in kapron containers which exclude the preparation leak into wounds and cavities and act as a filter preventing fast inactivation of the preparation by large fragments of tissue detritus.

With the aim to reveal the frequency of complications in indirect lymphotropic therapy, retrospective analysis of 2136 case records of patients with festering wounds was carried out. In 1.59% of patients the following complications in the area of introduction of preparation were detected: protracted oedemas of hands and feet, severe painful syndrome, infiltration, necroses of soft tissues and the areas of atrophy and aseptic inflammation. Most commonly the complications arose in patients with peripheral circulation disturbances. The authors suggested this method of treatment to be contraindicated in peripheral blood flow disturbances and before its application the additional examination for revealing vascular disturbances is obligatory. In cases of painful syndrome, oedema, infiltration, hyperemia in the area of introduction of the drugs one day after the injection, indirect lymphotropic therapy should be discontinued.