[Surgical results in recurrent inguinal hernias]. / Rezul'taty khirurgicheskogo lecheniia retsidivnykh pakhovykh gryzh.

Remote results of 213 operations for recurrent inguinal hernias are analyzed. Repeated recurrences were noted in 58 patients (27.2%). Strengthening of the frontal wall or the posterior wall of the inguinal canal by using the inguinal ligament in recurrent inguinal hernias is responsible for high percentage of recidivation. The operation of choice is thought to be plasty of the inguinal canal after Kukudzhanov.

[Surgical tactics in tumor-induced obstruction of the colon]. / Khirurgicheskaia taktika pri opukholevoi neprokhodimosti obodochnoi kishki.

Results of treatment of 58 patients with the obturative colonic obstruction of tumorous genesis were analysed. It was concluded that after liquidation of obstruction by conservative measures the amount of radical interventions was 3 times greater.

[Diagnosis and therapeutic procedure in mechanical jaundice]. / K diagnostike i lechebnoi taktike pri mekhanicheskoi zheltukhe.

The authors have analyzed results of the treatment of 234 patients with obturation jaundice. In half of thepatients jaundice was caused by stones in the common bile duct. Frequently jaundice was caused by cancer of the pancreas head, stenosing papillitis, chronic pancreatitis. Transduodenal transcapillary choledochopancreatography should be included into the complex preoperative examination for earlier diagnosis of the disease. This method gives timely diagnosis of mechanical jaundice and hence results in earlier surgical intervention.

[Importance of determination of the activity of lactate dehydrogenase and its isoenzymes in blood serum for differential diagnosis of myocardial infarct, thromboembolism of the pulmonary artery and acute pancreatitis]. / Znachenie opredeleniia aktivnosti laktatdegidrogenazy i ee izofermentov v syvorotke krovi dlia differentsial'noi diagnostiki mezhdu infarktom miokarda, tromboemboliei legochnoi arterii i ostrym pankreatitom

In 12 patients with macrofocal myocardial infarction and in 14 others with rheumatic mitral cardiac defects and congestion in the greater circulation complicated by thromboembolism of the pulmonary artery the activity of total lactate-dehydrogenase (LDG) and of its isoenzymes was determined in the blood serum. As shown by investigations the intercurrence of the lastly named complication was accompanied in these patients by an augmented activity of the total LDG and by readjustment of its isoenzymatic spectrum. The latter involved a progressive percentage growth of the activity displayed by LDG3 and LDG4 fractions. In patients with myocardial infarction without thromboembolism of the pulmonary artery the nature of the isoenzymatic spectrum changes is dissimilar, this enabling the method to be used in the differential diagnosis of the affections. The blood serum of patients with acute pancreatitis shows an increased activity of the total LDG, this being conditioned by a growing activity of the LDG3 and LDG4 fractions. The determination of the blood serum LDG isoenzymes activity as a test supplementing other methods of investigation may, with due account of the clinico-electrocardiographic picture, be used in the differential diagnosis of myocardial infarction and acute pancreatitis.