[Study of the emotional-and-personality sphere in patients with psoriasis concurrent with chronic opisthorchiasis].

The study was undertaken to evaluate the emotional-and-personality sphere in patients with psoriasis concurrent with chronic opisthorchiasis (CO). A hundred and fifty patients with psoriasis concurrent with CO, 100 psoriatic patients without helminthiasis, 100 patients with CO, and 30 healthy individuals were examined. The SMOL test was used to evaluate the emotional-and-personality sphere. Clinical and psychological studies of patients with psoriasis alone and in combination with CO revealed unidirectional psychoemotional (mainly hypochondriacal) changes in patients in these groups. However, anxiety and hypochondriac disorders were clinically significant in patients with comorbidity (psoriasis + CO). This suggests that Opisthorchis invasion is of considerable importance in the genesis of these changes and requires medical correction of helminthiasis.

[Estimation of the levels of reactive and personality anxiety in patients with psoriasis concurrent with chronic opisthorchiasis].

The purpose of the study was to evaluate reactive and personality anxiety in patients with psoriasis concurrent with chronic opisthorchiasis (CO). Seventy-five patients with psoroasis concurrent with CO, 70 psoriatic patients without helminthism, 70 patients with CO, and 30 healthy individuals were examined. The level of anxiety at the moment of the study and that of personality anxiety were determined by the procedure described by Ch.D. Silberger, which was modified by Yu.L. Khanina (1976). In patients with psoriasis concurrent with CO, the level of reactive and personality anxiety was 51.60+/-0.89 and 51.30+/-1.26 scores, respectively, which was significantly greater than those in the group of healthy individuals (35.53+/-1.27 and 36.77+/- 1.27 scores, respectively) and psoriatic patients (47.10+/-1.27 and 44.45+/-1.29 scores, respectively). The findings suggest that Opisthorchis invasion is of considerable importance in the genesis of these changes and requires medical correction of helminthism.

[Value of diagnostic laparoscopy and minimal invasive procedures in acute abdomen]. / Der Stellenwert der diagnostischen Laparoskopie und minimal-invasiver Verfahren beim akuten Abdomen.

During the last three years 172 diagnostic laparoscopies (DL) were performed at our department in patients with an acute abdomen of unclear causes. This corresponds to 17% of all patients who underwent operation due to an acute abdomen in the same period. Always the indication for a diagnostic laparoscopy arose then, when the cause or the localization of the acute abdomen could not be found by conventional diagnostic methods. The advantages of DL were either the confirmation (93%) or the exclusion (7%) of the diagnosis "acute abdomen", the exact localization and simultaneously a definitive operative treatment of the cause by minimal invasive interventions (n = 109/65%). In these patients with acute abdomen the main causes were acute inflammations of gallbladder (n = 48) and appendix (n = 29), ulcus perforations (n = 9) and ileus (n = 9). The conversion rate amounted to 2.7%, the postoperative complication rate to 11% and the lethality rate to 1.8% in these patients. A new indication is the so-called "bedside laparoscopy" as means to control the postoperative course of mesenteric embolism (n = 9) and diffuse peritonitis (n = 3) in order to avoid the stress of a second-look operation for these seriously ill patients or to secure the indication for relaparotomy.