Vestn Khir Im I I Grek

[Congenital bronchoesophageal fistulas]

Year 1998
Pavlunin AV.
No information.
During the period from 1970 till 1996 six patients with congenital bronchoesophageal fistulas were operated upon which was 0.75% of all developmental defects of the lungs. The leading symptoms of bronchoesophageal fistulas in the clinical picture are cough during and after meals and discharge of food mass with sputum. Roentgeno-endoscopic examinations are thought to be the main diagnostic method. Radical treatment of patients with the respiratory-esophageal fistulas was facilitated by dissection of the fistula passage and closure of the openings in the esophagus and bronchus, covering the suture line on the esophagus with a flap of the mediastinal pleura, pericardium. The irreversible alterations in the lung tissue require a one-stage operation on the lung. Palliative operations (gastrostomy, jejunostomy) are indicated in severe pyo-destructive alterations in the lungs for preparation to radical operation.

[A comparative assessment of the effectiveness of dearterialization of the liver and intraorgan chemotherapy in patients with liver cancer]

Year 1998
Borisov AE. Zemlianoi VP. Nepomniashchaia SL.
No information.
An experience with treatment of 90 patients with primary (42) and metastatic (48) carcinomas of the liver who were treated by ligation of the hepatic artery (in 24 patients), embolisation of the hepatic artery (in 21 patients) in combination with intraarterial and intraportal chemotherapy or without it is analyzed. It has been shown that these methods are more effective in metastatic carcinoma of the liver, longer terms of life of the patients were obtained when dearterialization of the liver was combined with chemotherapy.

[Prevention of errors and complications of laparoscopic cholecystectomy]

Year 1998
Iarema IV. Iakovenko IIu. Kartsev AG. Sergeiko AA.
No information.
Great experience with performing laparoscopic cholecystectomies enabled the authors to work out a classification of failures, errors and complications appearing during preparation, in the process or after such operative interventions. Recommendations are given on prevention of them and for their less frequency.

[Causes of lethal outcome in acute adhesive intestinal obstruction]

Year 1998
Romanov EI. Erastov NA. Rotkov AI. Vozova TS.
No information.
Causes of 90 lethal outcomes from acute intestinal obstruction were analyzed. Among them diagnostic errors were made in 10% of cases, late admission to the hospital and prolonged conservative treatment resulted in death in 37.8%, operative and postoperative complications--in 52.2%. A complex system of measures is proposed to reduce lethality of patients with this disease including all the stages of diagnosis and treatment.

[Hemostatic therapy of gastroduodenal hemorrhage of non-ulcer genesis by the use of reserve mechanisms of hemostasis]

Year 1998
Iarema IV. Ivanchenko OV.
No information.
The article presents summarized results of treatment and examinations of 216 patients with gastro-intestinal bleedings due to acute errosive hemorrhagic gastritis and gastroduodenitis, cancer and polyposis of the stomach, liver cirrhosis and portal hypertension, hemorrhage against the background of atherosclerosis and arterial hypertension by administration of hemostatic medicine into the lymphatic system for activation and reinforcement of the reserve monocyte-macrophage mechanism of hemocoagulation. The results obtained confirm the expedience of this method of influencing the monocyte-macrophage hemostasis, having no complications and giving better medical effects.

[Acute appendicitis in patients with salmonellosis and dysentery]

Year 1998
Borisov AE. Kotliar VL. Levin LA. Iukhimik FE. Labasanov VM.
No information.
Results of 214 appendectomies in patients with acute intestinal diseases were analyzed. The clinical course and results of treatment of acute appendicitis against the background of salmonellosis and dysentery were discussed. It was shown that the theory of infectious nature of acute appendicitis is rightful and that valuable etiotropic therapy is necessary for prevention of chronicity of the intestinal infection.