[Temporal decompressive laparoscopy-assisted colostomy]. / Vremennaia dekompensirovannaia laparoskopicheskaia assistirovannaia kolostomiia.

Morphofunctional changes in intestinal wall above the obstruction were studied experimentally in 112 rats with low intestinal obstruction. Treatment with antioxidants and lasertherapy was developed. After removal of obstruction this complex permits to eliminate its negative local and general consequences 1.5 times faster than without it. Laparoscopic decompressive colostomy was performed in 65 patients with sub- and decompensated colonic obstruction. The developed therapeutic scheme was included in combined treatment before surgery. There were no lethal outcomes, purulent-inflammatory complications were seen in 24 (39.6%) patients.

[Long-term results of sphincter-saving operation in distal cancer of rectum]. / Otdalennye rezul'taty varianta sfinkterosokhraniaiushchei operatsii pri distal'nom rake priamoi kishki.

Long-term results of the developed variant of sphincter-saving operation in distal cancer of the rectum were analyzed. The patients were operated at the age of 50-70 years. Local spread of tumor didn't exceed T2-stage, if the tumor located 3 cm from the serrate line of the anal canal. Inclusion of complete sphincterotomy in perineal stage of operation for most radical surgery and also the complex of technical approaches, eliminating negative consequences of sphincterotomy, was the features of abdominal-anal resection. 69% from the all examined patients survived 5 years and more. Functional outcomes were evaluated. Some results of developed operation allow to recommend this variant for clinical use.

[Reconstruction of the anus in marginal necrosis of the lowered intestine after abdominal-anal resection]. / Rekonstruktsiia zadnego prokhoda pri kraevom nekroze nizvedennoi kishki posle briushno-anal'noi rezektsii.

The experience with treatment of a most frequent complication after abdomino-anal resection with bringing down the intestine--marginal necrosis of a xenotransplant--is summarized. The expediency of individual approach to the choice of treatment is noted. Active therapeutical tactics is suggested.

[Complications of an inflammatory nature in the presacral wound after an operation for abdominal-anal resection with downward repositioning of the colon]. / Oslozhneniia vospalitel'nogo kharaktera v presakral'noi rane posle operatsii briushno-anal'noi rezektsii s nizvedeniem.

A retrospective analysis of causes and outcomes of inflammatory complications in the presacral wound after abdomino-anal resection with bringing down for carcinoma of the rectum has shown active treatment of the wound to be necessary. The fractional lavage with the ozonization and active aspiration is highly estimated as a prophylactic and therapeutic method.

[Reconstructive surgery using a portion of the large intestine in the colostomy area]. / Rekonstruktivnye operatsii s ispol'zovaniem otdela tolstoi kishki v zone stomy.

The expedience of using a portion of the large intestine as a colontransplant which has a two-trunk disloading stoma is substantiated. The operative method was successfully used in 6 cases.

[Complete intestinal lavage in the complex treatment of incompetence of large intestine anastomoses]. / Polnoe kishechnoe promyvanie v kompleksnom lechenii nesostoiatel'nosti tolstokishechnykh anastomozov.

The work gives substantiation of using complete intestinal lavage for certain indications in the complex treatment of incompetent colonic anastomoses. The method was efficiently used in 6 patients.

[Transverse ilioperineal drainage after simultaneous operations on the rectum]. / Skvoznoi podvzdoshno-promezhnostnyi drenazh posle sinkhronnykh operatsii priamoi kishke.

The work analyzes the first twelve observations of a through ilioperineal drainage after simultaneous abdomino-perineal extirpation and abdomino-anal resection of the rectum. The authors present convincing data concerning high efficiency of the proposed method of drainage. It has a number of advantages over other methods: it markedly accelerates the healing of the postoperative wound, preventing postoperative complications (suppurations, retroperitoneal phlegmons etc).