[Pathologic changes of hernial sac and its content].

Results of treatment of 2308 patients, suffering nonincarcerated hernia of abdominal wall of various localization, were analyzed. In 24 (1.1%) of them different pathologic changes of hernial sac were noted and in 17 (0.7%)--the diseases of organs, localized in hernial sac: an acute appendicitis, ileus, trauma, malignant tumor and others. The course of majority of the above-mentioned diseases was masked by incarcerated hernia signs, demanding the urgent operation performance. The operative intervention volume depended on the character of the organ pathological changes, localized in hernial sac, it was directed on the main disease elimination and on the abdominal wall defect closure.

[Revascularized osteo-trepanation in the treatment of chronic occlusion of the lower extremities arteries]. / revaskuliaryzuiucha osteotrapanatsiia pry likuvanni khronichnoï okliuziï arterii nyzhnikh kintsivok.

The results of operation of revascularized osteotrepanation (ROT) in complex of treatment of 43 patients with chronic occlusion of the lower extremities arteries were analyzed. Stable clinical effect after application of ROT in patients with the ischemia II stage persisted during 40 months, III stage--25 months, "high" amputation of lower extremity in patients with IV stage ischemia was performed in 3.5-7 months. ROT is operation of choice in patients with distal form of ischemia of lower extremity, as well as while presence of contraindications for performance of reconstructive operation on main arteries.

[The clinical characteristics, diagnosis and treatment of soft-tissue suppurative-inflammatory diseases in patients with narcotic dependence]. / Klinichni osoblyvosti, diahnostyka ta likuvannia hniino-zapal'nykh zakhvoriuvan' m'iakykh tkanyn u patsiientiv z narkotychnoiu zalezhnistiu.

Comparative analysis of clinical course and the diagnostic methods of purulent-inflammatory disease of soft tissues was performed in 20 patients with drug abuse (the 1st group) and in 20 patients, who are keeping the normal way of living (2nd group). In 16 (80%) of patients of the 1st group the anaerobic non-clostridial infection (ANI) was diagnosed. The factors causing the ANI occurrence, were determined, the programme of treatment was introduced. In the 1st group 3 patients died. The duration of the stationary course in the 1st group was 18 days and in the 2nd one--3.8 days.

[Surgical treatment of an acute thrombophlebitis of the varicose veins of the lower extremities]. / Khirurgicheskoe lechenie ostrogo tromboflebita varikozno-rasshirennykh ven nizhnikh konechnostei.

The operation for an acute thrombophlebitis of the lower extremities varicose veins was conducted in 45 patients in an acute period of complication (1st group); in 22--after the durable ambulatory conservative therapy (2nd group); in 18--hospitalized for the next aggravation of the superficial veins chronical recurrent thrombophlebitis (3d group). Complications after the operation have occurred in the 1st group in 4.4% patients, in the 2nd group--in 13.6%, in the 3d group--in 22.2%. The duration of treatment of patients in stationary have constituted on average accordingly 7.6, 9.3 and 23.5 days. In elderly patients, having severe concurrent diseases, the segmental phlebothrombectomy conduction is indicated.