[WAYS OF IMPROVEMENT OF LIFE QUALITY OF PATIENTS UNDERGOING THYROID SURGERY].

The authors analyzed quality of life before and after thyroid surgery in 350 patients. The article suggested the ways of improving of surgical treatment by developing some technical details. Indications to operation and choice of the operation volume were specified by morphological diagnostics refinement.

[Optimization of surgical treatment of patients with complicated forms of the diabetic foot].

An analysis of results of complex treatment of 160 patients with purulent complications of the diabetic foot has allowed optimization of the decision on surgical strategy using the proposed formula depending on the severity of the general state of the patients. The decision on the surgical strategy of treatment taking into account the indices of the severity of the disease led to 2.5 times less number of "great" amputations and 29% shorter duration of the patients' staying at the hospital.

[The course and surgical treatment of gastroduodenal ulcer in patients with diabetes mellitus]. / Osobennosti techeniia i khirurgicheskoe lechenie gastroduodenal'nykh iazv u bol'nykh sakharnym diabetom.

The work deals with the features of the course of gastric and duodenal ulcers in diabetes mellitus and the frequency and pattern of the complications. The authors recommend criteria for preparation for surgical treatment, methods for compensation of the disturbances of carbohydrate metabolism, and the methods of postoperative management of such patients. The late-term results and analysis of treatment are discussed briefly. The coexistence of peptic ulcer and diabetes mellitus is a rare occurrence. During a 20-year period 31 patients were treated at the clinic, 21 of them underwent operation, in 5 patients an operation was considered inexpedient, another 5 patients refused to be operated on. The postoperative period was free of complications in 19 patients, there were no fatal outcomes.

[The mutual aggravation syndrome in pancreatic cancer and diabetes mellitus]. / Sindrom vzaimnogo otiagoshcheniia pri rake podzheludochnoi zhelezy i sakharnom diabete.

Examined were 27 patients with pancreatic cancer and concomitant diabetes mellitus. It was established that in women, the likelihood of pancreatic cancer development increases with the age. Obesity and cholelithiasis are also the risk factors for development of cancer of the given location. In pancreatic cancer and diabetes mellitus lasting more than 2 years which is an independent disease with a tumor developed against its background, the mutual aggravation syndrome occurs: a severe course of diabetes and increased growth of a neoplasm.

[Treatment of complications arising during purulent infections in diabetic patients]. / Lechenie oslzhnenii, voznikshikh pri gnoinoi infektsii u bol'nykh sakharnym diabetom.

Of the 256 patients with diabetes mellitus and purulent surgical infection, in 20.7%, the complications were revealed: those caused by the course of diabetes mellitus, systemic, caused by progressing of the purulent infection and sepsis. The factors of risk of the development of these complications are considered, the characteristics of immune and hormonal status of the patients is given. The measures directed at prevention and treatment of complications are suggested.

[Immune complexes in suppurative surgical infection]. / Immunnye kompleksy pri gnoinoi khirurgicheskoi infektsii.

The authors examined 56 patients with various forms of purulent surgical infection. The number of T- and B-lymphocytes and the level of immunoglobulins, complement, and immune complexes was determined. It was established that the level of circulating immune complexes reflects the clinical situation most authentically. Five- or six-fold increase in immune complexes is a constant sign of a persisting and severe inflammatory process marked by the predominance of destructive changes and tendency to generalization.

[Surgical problems of AIDS]. / O probleme SPID dlia khirurgov.

The article presents data on epidemiology of AIDS and on the significance of this infection in surgical practice.

[Main principles of the treatment of surgical patients with concomitant diabetes mellitus]. / Osnovnye printsipy lecheniia khirurgicheskikh bol'nykh s soputstvuiushchim sakharnym diabetom.

A total of 955 surgical patients with concomitant diabetes mellitus were treated at the Stomatological Medical Institute Surgery Faculty Hospital. Therapeutic experience made physicians arrive at a conclusion on the necessity of active detection of carbohydrate metabolic derangements in high risk patients, as well as reasons for the decompensation of diabetes mellitus in surgical patients. Decompensation was caused by the activation of the hypothalamohypophyseal-adrenal system in stress and a considerable increase in contrainsular factors in the blood with a decrease in adaptive function of the pancreas. A high proteolytic activity of the blood in decompensated diabetes mellitus resulted in insulin inactivation. Means for the correction of the above disorders were proposed.

[Surgical tactics in acute cholecystitis in patients with atherosclerosis and ischemic heart disease]. / Khirurgicheskaia taktika pri ostrom kholetsistite u bol'nykh aterosklerozom i ishemicheskoi bolezn'iu serdtsa.

Operations were performed in 1020 patients with acute cholecystitis, 530 of them were older than 60. The total postoperative lethality was 2,6% of cases, that in elderly and senile patients was 4,15% of cases. Among 530 patients older than 60, 275 patients (52%) were found to have coronary atherosclerosis and ischemic heart disease. Under consideration were particular contraindications from the cardio-vascular system against operations in the interval. The method described gives the opportunity to fulfil operations in 50% more cases among patients older than 60 having acute cholecystitis.