[Technology of hernioplasty of inguinal hernia using miniapproach].

A new method of treatment of inguinal hernias is proposed. The method is based on projecting the inguinal ring onto the skin under the USI control and using suprainguinal preperitoneal oblique-transverse miniapproach, dissection of the hernia sac, fixing the mesh explant in the preperitoneal space by pi-shaped sutures, thus making the operative trauma minimal and improving the rehabilitation of the operated patients. The clinical topographic-anatomical and ultrasonic methods of investigation were used.

[Experimental and clinical grounds for using 30% solution of ethyl alcohol for chemical denervation of the gastric acid-producing zone].

Experiments were performed in 18 male rats followed by a histological investigation of the obtained material. The application of the 30% solution of ethyl alcohol was proved to cause irreversible dystrophic alterations of nerve fibers in the gastric wall when injected subserously and there were no irreversible destructive alterations in other organ tissues. Results of treatment of 82 patients with perforated pyloro-duodenal ulcers after suturing the perforated opening in combination with chemical denervation of the gastric acid-producing zone with 30% solution of ethyl alcohol injected subserously were analyzed.

[Optimization of endosurgical treatment of women with stress urine incontinence].

Stress urine incontinence was treated in 79 women with Burch laparoscopic colposuspension, 75 (94.9%) of them had chronic urinary infection. 42 females of group 1 received postoperative extracorporeal hemocorrection, 37 females of group 2 received conventional postoperative therapy.

[The pathogenesis of achlorhydria of the operated stomach and the functionally optimal volumes for distal resection in areflux gastrointestinal anastomosis].

Examinations of 68 patients after operations of selective proximal vagotomy and 59 patients after the Billroth-II and Roux resections were performed within the periods of about 16 years. It was found that reflux was of main significance in the genesis of achlorhydria of the operated stomach. Gastric changes caused by Helicobacter pylori did not result in so rapid suppression of functional activity of the operated stomach.

[Helicobacteriosis of the operated stomach in peptic ulcer].

After Billorth-II resection of the stomach for ulcer the contamination of the stump with Helicobacter pylori (HP) was detected in 73.7% of the cases, for ulcer of the duodenum--in 81.8% of the patients.

[Intragastric proteolysis after vagotomy in perforative duodenal ulcer].

The examination of intragastric proteolysis in patients operated on the perforative duodenal ulcer has been performed in 80 patients in the period up to 16 years after the surgery. The selective proximal vagotomy was performed in 65 of the patients, the trunk vagotomy--in 15 of the patients. In 55 patients the vagotomy was combined with ulcerrraphy, in 25 patients--with draining operations.

[Secretory function of stomach in long term followup period after selective proximal vagotomy].

Regional proteolysis and average daily levels of acidity in different parts of the stomach in long term follow up periods (up to 16 years after the surgery) are analysed. The depressed levels of the secretion remained during all the long term period. In older patients with isolated SPV the level of acidity is decreasing, mainly in distal parts of the stomach by the 11th-16th year after the surgery.

[A comparative analysis of transverse and longitudinal gastrojejunostomies in the late period after a Bilroth-II gastric resection].

A dynamic observation of 48 patients with the longitudinal gastrojejunal anastomoses and 41 patients with the transverse ones was performed at the period up to 7 years after the Billroth-II resection for ulcer disease of the duodenum. It was found that the functional value of the gastric stump mucosa was similarly decreased after the operation independent of the type of anastomosis. The difference of the rate of reducing the acidity and changes of proteolysis is not reliable.

[Long-term results of selective proximal vagotomy in perforating pyloroduodenal ulcers].

The authors set forth the indications for operation of selective proximal vagotomy (SPV) combined with closure of perforating pyloroduodenal ulcer and note the peculiarities of SPV technique which they apply. They examined 71 persons in periods of up to 7 years after surgery and 41 patients in periods of up to 16 years. The regional acid-proteolytic activity of the stomach was studied.

[The digestive activity of the chymus in the gastric stump in postgastrectomy peptic ulcers].

Forty-two patients with postgastroresection peptic ulcers of the zone of gastrojejunal anastomoses were examined. The cause of the appearance of the ulcers was the action of aggressive content of the gastric stump on the jejunum in the area of anastomosis. "Vagal" peptic ulcers were found by the gastrocepin test.