[Laurine fatty acids, medium fatty acids and triglycerides, hyperlipidemia, resistance to insulin, prevention of atherosclerosis and ateromatosis.]

Although the biochemistry of the positive effects of medium-chain fatty acids (FA) and triglycerides (TG) of the same name in vivo is not fully understood, food enriched with medium-chain LC and the same TG is effective in patients with type I diabetes, insulin resistance syndrome and in neurodegenerative pathology. Lauric C12 LC is half the FA in coconut oil. Residents of southeast Asia with constant use of coconut oil, have a low level of diseases of the cardiovascular system in the population. With a regulatory intake with food C12:0 laurin FA formed moderate ketosis and neuroprotective effect. Unlike long-chain LC, medium-chain TG cells are not deposited either in visceral fat cells, or in insulin-dependent adipocytes. Medium-chain fatty acids rapidly oxidize mitochondria; the formation of acetyl-CoA cells is used to form ketone bodies, activating thermogenesis in orange and brown adipocytes. Experiments with animals and observations in the clinic showed that taking medium-chain TG with food is more physiological than long-chain oils. This significantly increases the level of cholesterol in high-density lipoproteins. Food enriched with medium chain TG is optimal for increasing the ketone content in blood plasma, cerebrospinal fluid without limiting the carbohydrate content in food. The formation of excess ketone bodies by cells can be achieved by activating the metabolic transformations of medium-chain FAs, without fasting and preserving carbohydrates in food. Coconut oil has a positive effect on the cardiovascular system, preventing the formation of atherosclerosis and atheromatosis. Effective in the prevention of the pathology of the cardiovascular system is a decrease in food amounts of palmitic acid, an increase in oleic acid, polyene FA with a simultaneous increase in the proportion of medium-chain FA.

[Results of surgical treatment of patients with external abdominal hernias]. / Rezul'taty khirurgicheskogo lecheniia bol'nykh s naruzhnymi briushnymi gryzhami.

The vast material concerned with the surgical treatment of patients with external abdominal hernias collected for 10 years includes 913 planned operations and 608 emergency operations for incarcerated hernias. The overall lethality was 3.4%, lethality after planned operations being 0.1%, after emergency operations--8.4%. It was noted that the amount of elderly and senile patients among patients with incarcerated hernias had increased up to 79%. The traditional methods of autoplasty were used in 95% of the patients. In 5% of the patients the autoabdominal plasty modified by the authors was used for badly amenable to treatment inguinal hernias and postoperative ventral hernias. Better results of treatment of patients with incarcerated external hernias of the abdomen were due to early diagnosis of such hernias, timely hospitalization with special reference to the patient's age, correctly performed surgery and prophylactic measures to avoid cardiovascular and pulmonary complications at the postoperative period.

[The peritoneal autoplasty of the hernial hili in patients with large strangulated recurrent inguinal-scrotal hernias]. / Autobriushinnaia plastika gryzhevykh vorot u bol'nykh s ushchemlennymi retsidiviruiushchimi bol'shimi pakhovo-moshonochnymi gryzhami.

A new method of operative treatment of incarcerated recurring great inguinal-scrotal hernias is proposed with the help of plasty of the posterior wall of the inguinal canal with cicatricial changes to the tissues of the hernial sac. This method was used in operations on 56 patients aged 45-80 years. There were no postoperative recurrences of the disease or lethal outcomes.

[The incompetence of the appendiceal stump after appendectomy]. / Nesostoiatel'nost' kul'ti cherveobraznogo otrostka posle appendéktomii.

Based on an analysis of results of treatment of 2828 patients with acute appendicitis the authors discuss the causes and give recommendations for prophylactics of incompetence of the vermiform process stump.

[Surgeon's strategy in perforated bleeding cancerous tumor of the stomach in aged patients]. / Taktika khirurga pri probodenii krovotochashchei rakovoi opukholi zheludka u bol'nykh starcheskogo vozrasta.

Radical emergency operations were performed on 5 elderly patients with a combination of cancerous tumor of the stomach and such complications as bleeding and perforation. Based on this material the authors make a well-reasoned conclusion that such surgical strategy is justified.

[Treatment of large recurrent strangulated inguino-scrotal hernias]. / Lechenie ushchemlennykh retsidiviruiushchikh bol'shikh pakhovo-moshonochnykh gryzh.

The study describes a group of patients with big recurrent strangulating inguino-scrotal hernias. The age of patients was between 45 and 80 years. All of them were admitted to the hospital within first 12 hours after strangulation and underwent surgery. 11 patients had ordinary hernioplasty and 25 patients had autoperitoneal hernioplasty. This last method does not cause any trauma, it is a simple procedure and it does not take too much time. There were no deaths after operation. Recurrence of the hernia within a year after an operation was not reported. The function of a digestive tract is good after this operation.

[Laser therapy in surgical diseases]. / Lazernaia terapiia khirurgicheskikh zabolevanii.

Laser therapy proved to be effective in the treatment of patients with trophic ulcers, deforming arthrosis of the I and II degree, and particularly, in early stages of inflammatory processes (infiltrative stage) and in some surgical diseases, as well. So, there are all the grounds for further and more broad and profound experimental and clinical study of laser therapy in various diseases, surgical ones, in particular.