[The late results of operations on the sympathetic-adrenal system for hypertension]. / Otdalennye rezul'taty operatsii na simpatoadrenalovoi sistemy po povodu gipertonicheskoi bolezni.

An examination of 41 patients within the period from 6 to 21 years after operation on the sympathoadrenal system for progressing hypertonic disease has shown a stable hypertensive effect of operative interventions even in the group of patients with the 3rd degree of the disease, which allows to recommend including them in the complex of measures for correction of arterial hypertension resistant to pharmacotherapy.

[Diagnosis and surgical treatment of chromaffin tumors of the adrenal glands]. / Diagnostika i khirurgicheskoe lechenie khromaffinnykh opukholei nadpochechnikov.

The diagnosis and treatment of chromaffin-cell tumors of the adrenals in 20 patients are discussed. The late-term results were studied in follow-up periods of 2 to 20 years. In establishing the diagnosis the main attention was focussed on the clinical manifestations, ultrasonic examination, and tests for catecholamines in the urine. Postoperative complications were not encountered. Stable good results of treatment were recorded in 16 patients with pheochromocytomas and in one patient with pheochromoblastoma who was followed up for 9 years after the operation.

[Corticoid secretion and patho-histological changes in the adrenal glands in hypertension]. / Sekretsiia kortikoidov i patogistologicheskie izmeneniia v nadpochechnikakh pri gipertonicheskoi bolezni.

Hydrocortisone, 11-hydroxycorticosteroids and aldosterone were measured in 74 patients with a history of surgery on the sympathoadrenal system for stable essential hypertension. Morphologic structure of the sympathetic ganglia of the celiac plexus and adrenals removed during surgery was under study. The studies have revealed a relationship between pathohistologic changes in operation material and adrenocortical functional activity. The authors suggest a possibility of a relationship between morphofunctional changes in the adrenals and sympathetic ganglia, and enhanced nervous system efferent effects with the progress of the disease.

[A method of sympatho-adrenalectomy in the treatment of severe forms of hypertension]. / Metod simpatoadrenaléktomii v lechenii tiazhelykh form gipertonicheskoi bolezni.

The method of operative interventions on the sympathoadrenal system proposed by the authors for the persistent hypertonic disease tolerant to pharmacotherapy results in a decrease of pressor neuroreflectory and adrenal adrenergic influences on the vascular tone. Good hypotensive effects were noted in remote postoperative terms in 81.2% of patients with the 2nd degree of the disease, and in 54.5% of patients with the 3d degree.

[Results of the surgical treatment of hypertension]. / Rezul'taty khirurgicheskikh operatsii po povodu gipertonicheskoi bolezni.

Long-term results of the surgical treatment of 67 patients with hypertensive disease are analyzed. Persistent decrease of the arterial pressure normalization and considerable improvement of the contractive ability of the myocardium and peripheral hemodynamics in most of the patients show the involution of manifestations of hypertensive disease after performing operative procedures on the sympathoadrenal system.