[Early one-stage plastic repair of tracheal lesions in the treatment of flegmon of the neck and acute contact mediastinitis].

Early plastic repair of severe tracheal defects after previous decannulation of the latter in x-ray confirmed efficacy of aspiration flow system of fat spaces of the neck and mediastinum and stability of the patient's condition. This therapeutic policy stops cross-over contamination of fat spaces of the neck, mediastinum, tracheobronchial tree; reduces cost of therapy; facilitates cleansing of foci of purulent surgical infection; shortens time to reconstruction for soft tissue defect of the neck.

[Prehospital diagnostic errors and therapeutic policy in spontaneous pneumothorax]. / Diagnosticheskie i takticheskie oshibki pri spontannom pnevmotorakse do gospitalizatsii v spetsializirovannyí statsionar.

The authors analyze diagnostic and tactical errors in rendering prehospital emergency and outpatient care for spontaneous pneumothorax (SP). Delay in hospitalization to thoracal department threatens intrapleural complications, makes treatment more difficult and durable. SP was diagnosed as primary in 510 of 615 SP cases (576 patients). 105 SP episodes occurred in patients with bronchopulmonary diseases (secondary SP). Accurate diagnosis was made immediately or after a short examination in 431 patients, misdiagnosis took place in 194 patients (31.04%). Secondary and primary SP was missed in 39.4 and 29.4% of patients, respectively. Primary SP was mistaken for extrapulmonary affection (intercostal neuralgia, ischemic heart disease, osteochondrosis, etc), while secondary SP was misdiagnosed as progression or onset of bronchopulmonary diseases.

[The technic of liver resection]. / K tekhnike rezektsii pecheni.

The use of the method of jet dissection of tissue with the "jet scalpel" in resection of the liver for separation of the parenchyma allows to substantially decrease the intraoperative blood loss, to visualize the vessels and ducts and thus facilitates their ligation which prevents different complications. The device developed by the authors for reinfusion of blood is very helpful for preventing complications associated with the hemotransfusion therapy.