[Effect of the anesthesia method on the immune status of gerontological patients during abdominal operations]. / Vliianie vida obezbolivaniia na immunnyi status gerontologicheskikh bol'nykh pri abdominal'nykh operatsiiakh.

As a rule, gerontological patients have a combination of senile physiological immunodeficiency and secondary immunodeficiency caused by various diseases. These states of the immune system are aggravated by stress immunodeficiency formed as a result of operative traumas and anesthesia. The immunodeficiency state (IDS) of such patients in many respects is determined by their interleukine status. Patients operated on abdominal cavity organs by the life-saving indication according to a delayed or scheduled procedure under conditions of epidural anesthesia (45 patients), spinal anesthesia (43 patients) and general anesthesia (41 patients) were examined. When generalizing the obtained results, it is necessary to mention that various types of anesthesia have a different effect on the immune and interleukine status of gerontological patients.

[Comparative evaluation of methods of analgesia in a series of abdominal operations in gerontological patients]. / Sravnitel'naia otsenka metodov obezbolivaniia pri riadee abdominal'nykh operatsii u gerontologicheskikh bol'nykh.

People at the retirement age make up one fifth of the whole population in Russia, about 11% of them (3.2 million) being older than 80. The life expectancy will become 69.9 during the next two decades. The share of people who are 80 and older and need medical aid including surgery will increase.

[The laparoscopic treatment of varicocele]. / Laparoskopicheskoe lechenie varikotsele.

Laparoscopic treatment of varicocele is described for 37 patients. The operation was performed under endotracheal, epidural and intravenous anesthesia with ligation of the testicular vein in 18 patients. Ligation with the dissection was conducted in 19 patients. On the first postoperative day 2 patients were given promedol (2%, 1.0 ml), the rest were injected baralgin (2-3 injections). The patients were discharged after 1-2 days of hospital stay and resumed their usual way of life 2-7 days after the discharge. One month later varicocele disappeared in 29 patients, diminished in size in 7 patients, pain relief occurred in 15 patients. Due to its advantages (simple performance, good visualization of the testicular vein, minimal use of narcotic drugs, short hospital stay, absence of serious complications) laparoscopic treatment may be considered as a method of choice.

[Comparative assessment of the hormonal status during N2O and xenon anesthesia using similar methods]. / Sravnitel'naia otsenka sostoianiia gormonal'nogo fona pri odnotipnoi metodike anestezii N2O i ksenonom.

The hormonal status of 38 surgical patients during anesthesia with nitrous oxide and Xe administered by similar methods showed that in contrast to anesthesia with N2O, Xe anesthesia helped not only preserve the adaptive potential, but even increase the defense potential of the organism during surgery. Xe anesthesia was associated with a 1.5 times less requirement in fentanyl, with the levels of stress hormones being better; Xe is the best alternative to nitrous oxide.