[Jejunostomy by Midle in patients with insufficiency of anastomotic sutures of upper parts of gastrointestinal tract]. / Midle ieiunistomiia v lechenii nesostoiatel'nosti shvov anastomoza verkhnikh otdelov zheludochno-kishechnogo trakta.

Insufficiency of anastomosis is one of the main causes of peritonitis. Progressed cachexia due to great losses through intestinal fistulas in combination with peritonitis was the indication to jejunostoma creation. Jejunostomy by Middle in the treatment of postoperative peritonitis due to sutures insufficiency of upper anastomosis of gastrointestinal tract permits to optimize treatment: to realize adequate enteral nutrition, intestinal decompression, to return fistula's losses. Polyorganic insufficiency, number of repeated surgeries and volume of loss through fistulas influence results of the treatment. Respiratory distress-syndrome and errosive bleeding have the most prognostic significance among the syndromes of polyorganic insufficiency.

[Autotransplantation of splenic tissue after splenectomy]. / Autotransplantatsiia selezenochnoi tkani posle splenektomii.

The authors have performed heterotopic autotransplantation of the spleen tissue into the greater omentum pocket as a suspension or tissue sections in 14 patients with emergency splenectomies. The method of autotransplantation is described. No complications resulting from autotransplantation were noted.

[The surgeon's procedure in appendicular infiltrates]. / Taktika khirurga pri appendikuliarnom infil'trate.

The surgeon's tactics in appendicular infiltrate should be chosen following a complete examination of the patient and careful observation. Appendectomy is indicated in loose appendicular infiltrate. Conservative therapy is a method of choice for the treatment of a dense appendicular infiltrate. Periappendicular abscess should be opened and drained.