[A case of thoracic actinomycosis].

A case of thoracic actinomycosis manifest as round shadow in the lung is described. Diagnosis was based on the presence of actinomycetes in a transthoracic lung biopsy sample. Treatment for 3 months resulted in recovery. No relapse was documented during 1 year follow-up period.

[The application of the cryosurgical and lymphotropic technologies for the combined treatment of postintubation tracheal stenosis].

The combined treatment of 10 patients presenting with postintubation thracheal stenosis was carried out with the application of the cryosurgical and lymphotropic technologies. Cryogenic treatment of ciatrical stenosis was performed through the tracheostoma using a titanium nickelide cryoappliactor. The effect of the cryogenic treatment was enhanced by a lymphotropic mixture composed of diprospan and longidaza and administered retrosternally as a course of up to three injections once in a week. In the intervals between the injections and after the termination of the course, the patients were asked to inhale longidaza dissolved in a broncho- or mucolytic preparation through a nebulizer (up to 5 inhalations). All the treated patients reported the recovery of normal breathing through the natural airways.

[The replacement of postresectional defects of the thorax with the use of tissue implant of nanostructural nickelid-titan thread].

The original method of the replacement of postresectional defects of the pericardium, diaphragm and the thoracic wall with the use of tissue implant of nanostructural nickelid-titan thread was tested in vivo on 30 outbred dogs. The efficacy of the plasty was assessed radiologically and pathomorphologically. The nickelid-titan thread implant proved to be a good plastic substance, allowing the replacement of major postresectional defects of various thoracic structures. The newly formed tissue intergrows the implant mass, thus forming the entity of regenerative tissue, which completely provides anatomic and physiologic reconstruction of the injured area.

[Results and main principles of surgical treatment of heart wounds].

In the years 2000-2009 there were 108 patients with wounds to the heart. The main group of the victims consisted of able-bodied men in the state of alcohol intoxication. Vast majority of the patients had stab-incised wounds of the chest, injuries of the left ventricle and isolated pericardium being prevailing. Penetrating wounds of the heart were diagnosed in 68 patients, 9 of them had perforating wounds. The average time of prehospital period was (48.2 +/- 24.2) min. During the recent four years the time from admission to hospital to operation became 18 min shorten at an average. Postoperative lethality of patients with stab-incised wounds of the heart varied from 55.5 to 15.4%. The author has formulated the main principles of treatment of such category of victims.

[A comparative analysis of bronchus stump closure methods after pneumonectomy].

Original method of bronchus stump closure after pneumonectomy is presented. Developed compression bronchial suture was compared with manual Sweet suture and mechanical sutures in the experiment with 36 non-pedigreed dogs. Efficacy of different methods was evaluated basing on the clinical findings, radial, endoscopic and morphological observations. Macro- and microscopic investigations signify about the healing of main bronchus stump by primary intention with bronchial epithelium repair in the stump fundus under conditions of compression suture in 30 days after operation. It is ascertained that compression suture creates optimal conditions for stump repair compared with traditional manual and mechanical sutures healing by secondary intention.