[Combined reconstructive hernioplasty for small and middle-size hernia of the abdominal wall].

The results of prosthetic hernioplasty, performed in 61 patients for a small- and middle-size abdominal wall hernia (AWH) were analyzed. In a control group in 18 (29.5%) patients the IPOM-procedure was applied and in the main group in 43 (70.5%)--the combined plasty. Complications, which have had occurred in 2 (11.1%) patients of a control group and in 4 (9.3%)--of the main, were cured using conservative methods. While five-year followup the AWH recurrence was not noted. The introduction of the elaborated tactic of treatment, named the combined reconstructive hernioplasty, have permitted to improve the late functional and cosmetic results due to restoration of abdominal linea alba integrity.

[Surgical treatment of thoracic esophageal obstruction of neoplastic genesis]. / Khirurgicheskoe lechenie neprokhodimosti grudnoi chasti pishchevoda opukholevogo geneza.

The results of operative treatment of 126 patients with esophageal cancer, localized on different level, were analysed. In 73 of them the thoracic esophagus affection was revealed. Radical operations were performed in 46 and the palliative--in 27 patients. As a rule, one-staged esophagoplasty was done, using stomach and colon. The original method of the gastric transplant lengthening was proposed, permitting to perform one-staged retrosternal esophagoplasty with construction of cervical esophagogastroanastomosis. Complications have occurred in 6 patients.

[The use of efferent approach of detoxication and immunologic correction in the combined treatment of acute sepsis]. / Primenenie éffektivnykh metodov detoksikatsii i immunokorrektsii v komplekse lecheniia ostrogo sepsisa.

In 90 patients with an acute sepsis application of cryopreserved hepatocytes and splenic sections had promoted detoxication and immunocorrection, improved the rehabilitational indexes significantly.

[Extracorporeal circulation of cryopreserved xeno-hepatocytes in patients with toxic peritonitis]. / Ekstrakorporalnoe podkliuchenied kriokoncervirovannykh ksenogepatotsitov u bolnykh s toksicheskii fazoi peritonita.

The mechanism of the development of the syndrome of endogenous intoxication at the early postoperative period in patients with toxic phase of peritonitis is considered. A method for detoxication-extracorporeal hemoperfusion through cryoconservated xenohepatocytes, which permits to reduce the severity of endogenous intoxication and to activize the natural detoxicative systems of the organism is suggested.