[Surgical tactics in acute obturation obstruction of the large intestine of tumor etiology]. / Khirurgicheskaia taktika pri ostroi obturatsionnoi tolstokishechnoi neprokhodimosti opukholevoi étiologii.

The article deals with the results of treatment of 300 patients with acute obstruction of the colon of neoplastic etiology. Patients over 60 years of age accounted for 69.7% of cases. Among 300 patients 211 were subjected to emergency operation. The total mortality was 31.3%. Peritonitis was found during the operation in 81.7% of patients, perforation of the colon was revealed in 53 of them. Stage IV carcinoma was found in 74 patients. The authors point out that late operations lead to poorer outcomes of the disease and suggest performing the surgical intervention no later than 6 hours after hospitalization. The expediency of two-stage (mortality rate 17.0%) and three-stage (mortality rate 17.9%) operations is noted because their results are better than those of a radical one-stage operation (mortality rate 46.1%).

[Injury of the duodenum in closed abdominal trauma]. / Povrezhdenie dvenadtsatiperstnoi kishki pri zakrytoi travme zhivota.

Analysis of 11 cases with injury to the duodenum showed that the presence of a hematoma, gelatinous pulmonary edema, and yellowish-green fatty tissue around the duodenum are evidence of the possible damage of its retroperitoneal part. Closure of the duodenal defect with double-row silk sutures and their peritonization with a free area of the parietal peritoneum is advisable. In retroperitoneal rupture of the duodenum the operation must be completed by drainage of the retroperitoneal space and decompression of the beginning of the small intestine with a nasogastric catheter. The possible complications are described. The Postoperative mortality was 36.3%.