[Means for the prognosis and prevention of suppurative complications in intra-abdominal operations]. / Puti prognozirovaniia i profilaktiki gnoinykh oslozhnenii vnutribriushnykh operatsii.

The authors describe the method of assessment of the immune and alimentary status by means of determination of the level of blood albumins and amount of lymphocytes. Preoperative detection of patients requiring immunocorrection and normalization of protein metabolism allows to carry out the corresponding therapy and to reduce the amount of postoperative complications.

[Pathogenetic treatment of chronic paraproctitis]. / Patogeneticheskoe lechenie khronicheskogo paraproktita.

Operations were performed on 865 patients for pararectal fistulas. The fistulas occurred after injury in 18 patients, histological examination revealed fistulous form of Crohn's disease in 14 patients, 12 patients had tuberculous paraproctitis. The late-term results of surgical treatment of chronic paraproctitis were studied in 560 patients according to the presence of concomitant hemorrhoids. One-stage excision of the fistula and hemorrhoidectomy was conducted in 329 patients. The fistula recurred in 1.3% of cases. Hemorrhoidectomy was not undertaken in 231 patients; a recurrence of fistula occurred in 6.1%. Therefore, to prevent recurrences of pararectal fistulas existing hemorrhoids must also be removed.

[Relaparotomy after operations on the rectum and colon]. / Relaparotomiia posle operatsii na priamoi i obodochnoi kishke.

During 15 years 1663 intraabdominal operations on the rectum and colon were performed, relaparotomy resulting from the complications was fulfilled in 134 patients (8%). The main indication for relaparotomy was peritonitis (57 patients). Its sources were: incompetence of the colonic anastomosis suture, technical errors during the first operation, opening of the abscess into the abdominal cavity. Five types of the course of postoperative peritonitis were established: primary, atypical, artificial, perforative and necrotic types.