[Endoscopic treatment methods in patients with the postcholecystectomy syndrome]. / Endoskopicheskie sposoby lecheniia bol'nykh postkholetsistéktomicheskim sindromom.

458 patients with postcholecystectomy syndrome have been examined. In 289 (63.1%) of them the reason of complication and location of the lesion in biliopancreatic-duodenal zone have been specified. In 212 (73.4%) patients the endoscopic treatment was used, including papillosphincterotomy with removal of concrements; suprapapillary choledochoduodenostomy; nasobiliary draining, endoprosthesis. In 181 (85.4%) of cases these methods appeared to be efficient and final; in 31 (14.6%) they promoted stabilization of clinical status of patients and performing surgery in more favorable conditions. Complications have been registered in 4 (1.9%) patients, 1 patient (0,47%) died. The authors advocate endoscopic methods as methods of choice in postcholecystectomy syndrome.

[Prevention of microbial contamination of surgical wounds]. / Profilaktika mikrobnoi kontaminatsii operatsionnykh ran.

Comparative analysis of 3707 operations on the organs of the abdominal cavity has shown the significant advantage of the suggested by the authors method for intraoperative wound protection with latex rubber in combination with placing the longitudinal removable sutures over the subcutis and skin, and dressing-free management of the wounds in prophylaxis of the postoperative purulent wound complications. After 310 operations of different contamination degree performed with the use of the given method, no suppuration of the operative wounds was noted.

[Role of cross-infection in the development of postoperative complications]. / Rol' vnutrigospital'noi infektsii v razvitii posleoperatsionnykh oslozhnenii.

The increased intensity and volume of surgical interventions in large surgical hospitals leads to a greater amount of postoperative complications. Intrahospital strains of infections are responsible for some of such complications. The complex investigations of the microbiological background allowed the range of prophylactic measures against gram-positive microflora to be enlarged.