[Simultaneous surgery for complicated giant post-traumatic phrenic hernia in a patient with morbid obesity and diabetes mellitus type II]. / Opyt vypolneniya simul'tannoi operatsii po povodu oslozhnennoi gigantskoi posttravmaticheskoi diafragmal'noi gryzhi u patsienta s morbidnym ozhireniem i sakharnym diabetom II tipa.

Surgical treatment of post-traumatic right-sided phrenic hernia is associated with certain technical difficulties due to topographic and anatomical features. Morbid obesity combined with diabetes mellitus type II is one of the main factors complicating any surgical thoracic or abdominal surgery and further rehabilitation. We report simultaneous surgery for complicated post-traumatic right-sided phrenic hernia in a patient with morbid obesity and diabetes mellitus type II. Surgical correction of giant phrenic hernia facilitated further effective treatment of morbid obesity and concomitant diabetes mellitus type II.

[X-ray diagnosis of the causes of chronic constipation in children]. / Rentgenologicheskaia diagnostika prichin khronicheskikh zaporov u detei.

The genesis of chronic constipation in children remains the subject of discussion so far. A programme for examining patients with this condition has not been fully developed. X-ray studies of more than 300 children with chronic constipation from different age groups established that colonoproctodefecography was the most informative technique. The authors revealed that intestinal transit suffered slightly impaired and the cause of chronic constipation was impaired defecation due to the asynergy of the structures of the pelvic bottom. Dysfunction of the muscular structures of the pelvic diaphragm manifested itself as three main variants and their combinations.