[Ways to improve efficacy of emergency operative interventions in patients with cancer of the left flank of the colon complicated by obstruction].

In order to improve radicalism of emergency surgical interventions an appropriate method of total mesocolonectomy and D3-lymph node dissection in the medial-lateral direction and the principle of "no-touch technique" were used in 14 patients. This technique is safe, effective, does not prolong the duration of operation and postoperative period, is not followed by increased number of complications and lethality.

[Early enteral therapy and nutrition maintenance of patients with colorectal cancer complicated by acute intestinal obstruction].

An original authors' method takes into account the specificity of this category of patients, initial malnutrition, intestinal obstruction and proposes early enteral therapy and nutritional care. The use of the method in complex treatment of tumor intestinal obstruction improves the indices of the trophological status, decreases the degree of endogenous intoxication and number of postoperative complications, lethality and time of hospital stay.

[Necrotizing fasciitis].

An experience with treatment of four patients with necrotizing fasciitis (NF) and a review of literature were used to characterize this rare but dangerous for life disease, The pathogen of NF is a hemolytic group A streptococcus and anaerobes. The mechanism of the development of fasciitis is based on impairments in the microcirculatory bed due to the action on the cytokine endothelium. Rapidly progressing necrosis of fasciae results in a number of complications. The treatment consists of the early and aggressive necrectomy and intensive antibiotic therapy in combination with immunomodulation.