[A method of closing the colostomy to restore the continuity of the colon]. / Metodika zakrytiia kolostomy i vosstanovleniia nepreryvnosti obodochnoi kishki.

A technique of closing colostomy and reestablishing the continuity after its resection is described. Good long-term results were obtained in 102 of 104 patients.

[Effect of transfusion of UV-irradiated blood on the changes in serum cholinesterase activity in patients with peritonitis]. / Vliianie transfuzii krovi, oblochennoi u'ltrafioletom, na izmeneniia aktivnosti syvorotochnoi kholinésterazy u bo'lnykh peritonitom.

The article presents an analysis of dynamics of changes of serum cholinesterase activity in patients with peritonitis resulting from the effect of UVI blood. It was established that it resulted in more rapid recovery of the functional activity of hepatocytes. A serial investigation of fluctuations of the serum cholinesterase activity may serve a criterion for the assessment of prognosis of the disease.

[Ways of reducing mortality in perforated ulcer of the stomach and duodenum]. / Puti ume'nsheniia leta'lnosti pri probodnoi iazve zheludka i dvenadtsatiperstnoi kishki.

Based on an analysis of lethal outcomes in 20 of 326 patients with perforated ulcers of the stomach and duodenum the authors recommend to perform planned operations more often in elderly and senile patients, to combine suturing the ulcer with truncal vagotomy, intensive therapy, administration of drugs, catheterization of the superior mesenterial artery.

[Pathogenesis and treatment of acute intestinal obstruction]. / Patogenez i lechenie ostroi kishechnoi neprokhodimosti.

The article analyzes the development of viewpoints to pathogenesis of acute intestinal obstruction and modern principles of treatment of the disease.

[Hemosorption in the treatment of endogenous toxemia in acute pancreatitis]. / Gemosorbtsiia v terapii éndogennoi intoksikatsii pri ostrom pankreatite.

One of important components of endogenous intoxication in acute pancreatitis is considered to be middle-mass molecules possessing high toxicity. Hemosorption improves results of complex therapy and reduces postoperative lethality by 10% at an average. The positive effect of hemosorption in focal pancreanecrosis is associated with sorption of lipase, trypsin, middle-mass molecules and other metabolites. In total pancreanecroses the effect of hemosorption was minimal. In hemosorption on the sorbent SKN the oxygenation and regional heparinization of the sorbent is indicated.

[Ways of improving the diagnosis of acute large intestinal obstruction]. / Puti uluchsheniia diagnostiki ostroi tolstokishechnoi neprokhodimosti.

Great diagnostic value of the method of primary double contrast of the large bowel under conditions of its artificial hypotonia was shown on the basis of the examination of 30 patients with acute impassability of the large bowel.

[Cholelithiasis and hepatic insufficiency]. / Zhelchnokamennaia bolezn' i pechenochnaia nedostatochnost'.

During the recent years 202 patients with cholelithic disease and its complications have been treated in the clinic. In 135 patients admitted to the hospital an attack of severe pains was followed by jaundice and symptoms of hepatic insufficiency (HI). A compensated stage of HI was diagnosed in 68 (50.4%) patients, subcompensated stage--in 38 (28.1%), decompensated--in 25 (18.5%) and terminal stage of HI--in 4 patients (3%). The operative treatment was used in 142 patients (70.3%). The operation of choice was cholecystectomy. An intervention on the common bile duct was performed in 59 patients (41.5%). Operations were performed on 42 patients with the compensated stage of HI (one of them died), in 17 patients with the subcompensated stage (one patient died), in 16 patients with the decompensated stage (three patients died); with the terminal stage there were 4 patients operated upon. Two of them died.

[Acute cholecystitis and liver failure]. / Ostryi kholetsistit i pechenochnaia nedostatochnost'.

The article presents results of treatment of 300 patients with acute cholecystitis, 285 of them (95%) being operated upon. Hepatic insufficiency was found to develop in 173 patients (57,6%). The operation of choice was cholecystectomy (97,1%). Cholecystostomy was fulfilled in 7 patients (2,4%), in 2 patients (0,5%) choledocholithotomy was made following a previous cholecystectomy. Lethality in patients with hepatic insufficiency was 4 times as high as in patients without it. In 34,1% of the operated patients hepatic insufficiency was the main cause of death.

[Remote results of the surgical treatment of closed and open injuries of the liver]. / Otdalennye rezul'taty operativnogo lecheniia zakrytoi i otkrytoi travmy pecheni.

Results of examination of 53 patients in remote periods after operation for closed and open traumas of the liver are presented. Two thirds of the patients were found to be practically healthy and one third had complaints of pains in the abdomen (duodenal ulcer was diagnosed in 1 patient, gastroduodenitis in 3 patients, adhesion disease of the abdominal cavity in 14 patients). Biochemical and radionuclide examinations have established disturbances of some liver functions in a number of patients.