[Evaluation of regional microcirculation of the intestine in patients with inflammatory diseases of the uterus and its appendages complicated by diffuse peritonitis].

The microcirculation in the intestinal wall was evaluated in 42 women in the postoperative period using contact biomicroscopy in laparoscopy with a microhysteroscope. The dynamic contact biomicroscopy unlike other clinico-laboratory data allowed prognosis of the development or progress of peritonitis and choice of the strategy of treatment.

[Use of laparoscopic methods in combined surgery]. / Ispol'zovanie laparoskopicheskikh metodov pri sochetannykh operatsiiakh.

The authors have made a comparative analysis of the effectiveness of isolated and combined laparoscopic cholecystectomies. The control group consisted of 246 patients subjected to isolated cholecystectomies. The group under study included 22 patients in whom combined cholecystectomies were performed. The comparative analysis included the following clinical data: duration of the operation, number of postoperative days in the hospital, amount of postoperative complications. It was concluded that the little-invasive laparoscopic technique used in one of the steps of the combined operation allowed traumatism of the surgery to be decreased which in its turn allowed wider indications to combined operations.

[Methods for estimating the severity of the status of resuscitated surgical patients]. / O sposobakh otsenki tiazhesti sostoianiia reanimatsionnykh bol'nykh khirurgicheskogo profilia.

The skin electric resistance in the representative points was measured by the Nakatani technique in 86 surgical patients during resuscitation. Two most informative indices were established: the average electric resistance of the skin and the renal index. A significant correlation (r = 0.78) was obtained between the average electric resistance of the skin and score sum SAPS. Changes of the renal index allow the dynamics of the patient's state to be estimated, and along with the electric resistance of the skin--the degree of traumatic consequences of the operative intervention. The method is simple and not dangerous for the patients.

[Endolymphatic therapy and current detoxication methods in the treatment of peritonitis]. / Endolimfaticheskaia terapiia i sovremennye metody detoksikatsii v lechenii peritonita.

An original method of endolymphatic therapy with the stimulation of the lymph outflow was developed and used in 108 patients with peritonitis. The dynamics of intoxication parameters was studied during the endolymphatic therapy, indirect electrochemical oxidation of blood, photochemotherapy and traditional treatment. The method proposed has been found to be most efficient. The method of endolymphatic therapy with the lymph stimulation allowed lethality from peritonitis to be decreased to 7.4%.