[Analysis of remote results of simultaneous hernioalloplasty and abdominoplasty in patients with postoperative ventral hernias and obesity].

It was performed a comparative research of remote results including local status and life quality of simultaneous surgical treatment in 64 patients with postoperative ventral hernias (W1-W4) and obesity (1-3 degrees). It was compared advanced hernioalloplasty with new synthetic materials including Prolene-Monocryl-composite mesh and absorbable adhesion barrier INTERCEED (TC7) in combination with abdominoplasty and hernioalloplasty with the same materials. It was concluded that simultaneous hernioalloplasty and abdominoplasty contributed statistically significant (p < 0.01) decreasing of number of recurrent hernias in 2 times, body mass index and body mass on 24% in comparison with single alloplasty.

[Endolymphatic therapy of peritonitis]. / Endolimfaticheskaia terapiia peritonita.

Effectiveness of lymphological methods of treatment (LT) of endogenic intoxication (EI) developed by the author (endolymphatic anticoagulatory, improving rheology and microcirculation, antibacterial, detoxicating, enzyme-inhibiting, myo- and lymphostimulating, immunomodulating and hepatotropic) was studied in 210 patients with peritonitis divided into two groups of 105 patients each: in the control group a conventional postoperative treatment was carried out, in the study group--LT. Toxicity of the blood was determined by the level of medium-size molecules and leukocytic index of intoxication on postoperative day 1, 3, 5, 7 and 14. It was established that LT which creates conditions for simultaneous sanation of blood and lymphatic bed, interstitial space, the inflammation focus promotes total detoxication of the body with almost complete elimination of EI on postoperative day 5-7. In conventional treatment EI persisted for 7-14 days after operation.

[Effects of endolymphatic lymph stimulation on draining and transporting function of the lymphatic system in experimental peritonitis]. / Vliianie éndolimfaticheskoi limfostimuliatsii na drenazhnuiu i transportnuiu funktsii limfaticheskoi sistemy pri éksperimental'nom peritonite.

Bacterial aggression and tissue destruction during experimental peritonitis cause progressive disorders of blood and lymph microcirculation, paralleled by increase of the coagulation potential of the blood and lymph, activation (during the first 12 hr) of the drainage function of the lymph system, followed in 24 h by a drop of lymph flow and its complete blocking in 48-72 h. This is caused by disseminated microhemo- and lymphothrombosis with decompensation of the drainage and transporting functions of the lymph system during this period of the disease. Lymphogenic effect of endolymphatic stimulation by drugs in experimental peritonitis is notably (by 1.8-4.5 times) higher than the effect of routine lymph stimulation with the same drugs and their combinations.