[Interpretation of recommendations of European Association of Herniologists for the problems of inguinal hernia treatment].

The interpretation of the main rules of the European Association of Herniologists (EAH) and the materials of the Fourth International Congress of Herniologists in Berlin (9-12th of September 2009) is adduced, taking into account the views of clinic, owing experience of treatment of 2500 patients, suffering inguinal hernia. The recommendations proposed have a chance to become a basement document for doing correction and standardization of protocols for medical staff training and the national standards elaboration concerning inguinal hernias treatment. Their overview and putting changes into them are planned for 2012 yr., and their discrete annual correction would take place, taking into account the proving base modernization, all of them in a frames of EAH congresses.

[Modern approaches for the choice of open-access method of plastic surgery for recurrent inguinal hernia].

Retrospective analysis of the treatment results concerning 272 patients, who have suffered recurrent inguinal hernia and were operated on in the clinic for the period of 1999-2009 yrs, was done. The need for preperitoneal plasty of inguinal canal performance for recurrent inguinal hernia, using extrainguinial access to hernia defect, was noted. This procedure lowers therisk of iatrogenic injury occurrence of anatomic structures of inguinal canal.

[Surgical treatment of primary multiple tumoral lesions of the large intestine].

Experience of treatment of 37 patients, suffering primarily-multiple cancer of large intestine, including 17--with synchronous and 20--metachronous tumors, and an acute obturational ileus of large intestine, is presented. There was conducted the analysis and peculiarities of surgical tactics suggested as well as various methods of such patients treatment were determined. The investigation results trust the necessity of application of individual perioperative tactics in patients, suffering primarily-multiple tumors of large intestine leading to achieve better outcomes of their surgical treatment.

[Modern approaches to the problem of temporary closure of the abdominal cavity].

The literature data are adduced concerning the problem of the abdominal cavity temporary closure after performance of operative intervention in the enhanced intraabdominal pressure conditions, in particular in patients with diffuse peritonitis, extended abdominal wall defect, abdominal trauma and intestinal ischemia. Retrospective analysis of the treatment results was conducted in 35 patients with peritonitis and abdominal trauma, in whom the laparostomy method was applied in the clinic. The operations for the abdominal wall restoration or the operative wound edges approximation were performed under the intraabdominal pressure control. Application of the method of the abdominal cavity temporary closure in the treatment of severe forms of peritonitis have promoted the complications rate lowering, the treatment duration reduction and the patients quality of life improvement.

[Modern trends in the treatment of the obturated colonic ileus]. / Sovremennye napravleniia v lechenii obturatsionnoi neprokhodimosti tolstoi kishki.

The results of treatment of 365 patients with obturated colonic ileus, caused by tumor, for the period from 1979 to 2000 years were analyzed. Till 1987 year in clinic were applied proximal colostomy, excision of tumor, restorative stage--in 3-4 months. From 1987 year using the method of intraoperative colonic lavage we performed simultaneous intervention with formation of primary anastomosis.

[The administration of peflocine (pefloxacin) in the treatment and prevention of surgical infections]. / Primenenie peflotsina (pefloksatsina) v lechenii i profilaktike khirurgicheskoi infektsii.

The results of treatment of 23 patients with pefloxacin, administered because of the infectional complications in surgery development (1 group), and of 11 patients --for the infection development prophylaxis (2 group) were discussed. In the first group the recovery was noted in 83.3%, and significant improvement of condition--in 16.7% of patients. In the second group the infectional complications in postoperative period were absent.

[The role of the duodenojejunal junction in regulating the evacuatory function of the duodenum]. / Rol' duodeno-eiunal'nogo perekhoda v reguliatsii évakuatornoi funktsii dvenadtsatiperstnoi kishki.

Chronic experiment on dogs was performed to study the effect of duodenojejunal junction exclusion from the evacuatory process on dynamics of gastric and duodenal emptying of the carbohydrate and fatty food. It is established that in the case of exclusion of the duodenojejunal junction, the degree of coordination of gastric and duodenal emptying decreases, dynamics of chyme evacuation from the duodenum considerably changes. It is concluded that the duodenum is not a mere transporter of food coming from the stomach, but has its own regulation mechanisms represented by the duodenojejunal junction and the Treitz ligament.