[Choice of the surgical intervention method in patients with chronic abdominal ischemia]. / Vybor metoda operativnogo vmeshatel'stva u bol'nykh s khronicheskoi abdominal'noi ishemiei.

An experience with the treatment of 111 patients with chronic abdominal ischemia resulting from the alteration of the unpaired visceral branches of the abdominal aorta is presented. In 74 of the patients 77 operations have been performed. Criteria for the choice of the method of surgery in such patients are proposed depending on etiology, localization and spread of the pathological process. Positive results were obtained in 76% of the patients.

[Surgery of complicated aneurysms of the abdominal aorta]. / Khirurgiia oslozhnennykh anerizm abdominal'noi aorty.

Results of the surgical treatment of 107 patients with a complicated aneurysm of the abdominal aorta are presented. The general lethality for the period from 1966 to 1984 was 49,5%. In the recent years the postoperative lethality in patients with ruptured aneurysms has been reduced from 79,4% to 47,2%, in patients with threatening ruptures from 41,6% to 16%. The positive changes were due to a number of factors: less amount of prehospital diagnostic errors; earlier admission to the hospital, better urgent diagnosis of the abnormality by up-to-date non-invasive methods of examination (ultrasonic scanning, computer tomography, radionuclide angiography); using balloon catheters obturating the aorta above the ruptured aneurysm for temporary preoperative arrest of bleeding; selection of a less traumatic method of operation of the aneurysm resection without dissection of the aorta with intra-aortal prosthesis specific under conditions of the HBO-operating room; better resuscitation and anesthesiologic aid for this critical category of patients.

[Iatrogenic injuries of the major vessels]. / Iatrogennye povrezhdeniia magistral'nykh sosudov.

Jatrogenic injuries of the major vessels during performing intravascular instrumental examinations and different operative procedures are known to be dangerous and severe complications and make 22,4% of the total number of patients with traumatic injuries of the vessels. The early reconstructive operation is considered to be a basis of the surgical tactics for this pathology facilitating the re-establishment of the major blood flow in 78,4% of patients. The total lethality made up 7,2%. Better result of the operative treatment of jatrogenic injuries of major vessels is dependent on early diagnosis and timely aid.

[Surgery of occlusive lesions of the brachiocephalic trunk]. / Khirurgiia okkliuzionnykh porazhenii plechegolovnogo stvola

A detailed analysis of 33 cases of operations on the brachiocephalic trunk is reported. An experience with surgical treatment for occlusive lesions of the brachiocephalic trunk of various etiology to liquidate chronic ischemia of the brain has evidenced that in aorto-arteritis the prosthesizing of the brachiocephalic trunk with synthetic prosthesis yields the most favourable results.