[The role of ultrasonograpy in complex diagnosis of retroperitoneal hematomas in the injured persons with multiple trauma].

Efficacy of treatment of "high-energy trauma" depends on timely establishing of diagnosis. Modern radiological diagnosis permits to reveal the damage of the abdominal parenchyma organs and kidneys, as well as retroperitoneal space hematoma. The ultrasonograhic investigation method (UIM) is considered the leading one in estimation of traumatic damage of parenchymatous organs of abdominal cavity and retroperitoneal space because of contraindications absence, as well as radiological load, noninvasiveness and accessibility. The issues of ultrasonographic diagnosis of retroperitoneal hematoms in closed abdominal trauma and lumbar region were enlighted, their echosemiotics is adduced. There were examined 65 injured persons, suffering polysystemic and polyorgan damages, in whom retroperitoneal hematoma was revealed. The UIM data were compared with intraoperative diagnosis results. There were established the method possibilities not only in the hematoms diagnosis but in dynamical control conduction for the structure changes in the damaged region in conditions of favorable course or in complications occurrence, retroperitoneal abscess in part.

[Optimization of modern tactics of operative treatment for hemorrhoids of stages III-IV].

The literature review and results of observations of their own, concerning treatment of patients with hemorrhoids, are adduced. Separation of circular and segmental forms of coexistent prolapsus recti permits to choose pathogenetically substantiated method of operative intervention for the hemorrhoidal nodes enlargement. Performance of the sun-like circular anorectal vasomucosectomy in the treatment of circular prolapsus recti, coexistent with enlargement of hemorrhoidal nodes, secures the pathological blood flow disconnection, the pain intensity and sphincteric spasm reduction, permits to escape postoperative inflammation, which is characteristic for procedure of the apparatus circular anorectal vasomucosectomy.