[Mild and latent forms of coagulopathy and thrombocytopathy in surgical practice]. / Legkie i latentnye formy koagulopatii i trombotsitopatii v khirurgicheskoi praktike.

The most characteristic hemorrhagic signs and frequency of their occurrence in mild and latent forms of coagulopathy and thrombocytopathy were analyzed. Recommendations were formulated on the diagnosis, treatment and prophylaxis of hemorrhagic syndrome during and after operation conduction.

[Surgical treatment of hemolytic anemia]. / Khirurgicheskoe lechenie gemoliticheskoi anemii.

Splenectomy was done in 448 patients with various forms of hemolytic anemia. Recovery was noted in 362 patients (of them 143 children) with hereditary microspherocytic hemolytic anemia (HMHA). Of 8 patients with hereditary nonmicrospherocytic hemolytic anemia (HNMHA) one died, in 7 general status had improved. Of 78 patients with autoimmune hemolytic anemia (AIHA) 3 died, in 47 (60%) satisfactory result was noted, general status improved--in 18 (23%). If surgical intervention is indicated the operation for HMHA is radical method of treatment, HNMHA--the selective one, and AIHA--one of the main.

[Treatment of acute ulcerous gastroduodenal hemorrhage]. / Lechenie ostrykh gastroduodenal'nykh krovotechenií iazvennoí 'etiologii.

Basic principles of infusion-transfusional therapy, methods of endoscopic hemostasis as well as indications for surgical treatment of acute hemorrhagic ulcers of the stomach and the duodenum are presented. If is stated that valid use of endoscopic methods of hemostasis provides possibility for temporal hemostasis in 70% of patients. It endoscopic hemostasis is ineffective in hemorrhage from ulcer or in recurrent hemorrhage it is recommended to perform urgent surgical interventions. To avoid the relapse of hemorrhage after endoscopic hemostasis from ulcer or revealing endoscopic symptoms of unreliable (unstable) hemostasis it is necessary to perform delayed operations (not later that 2 days from the moment of admission of the patients). If the hemostasis shows to be stable which is proved by endoscopy, early elective operations (in 12-14 days) are indicated.