IMPROVEMENT OF SURGICAL TREATMENT OF ACUTE BILIARY PANCREATITIS.

Purpose Of The Study: improving the surgical treatment of biliary pancreatitis by using a universal retractor and improved methods of omentobursostomy with drainage of the omental bursa.

Study Design: Non-randomized controlled clinical trial Material and methods: This study included thirty-nine patients who underwent surgical procedures between October 2022 and September 2023 in Semey, located in the Abay region. The study examined the general characteristics of surgical interventions performed for acute biliary pancreatitis using our proposed treatment methods and devices to improve the outcomes of acute biliary pancreatitis.

STATE OF INPATIENT MEDICAL CARE PATIENTS WITH ACUTE PANCREATITIS.

Introduction: Acute pancreatitis (AP) is one of the most common emergency pathologies of the abdominal organs. AP has a negative impact on the performance and quality of life of patients, determining the medical and social significance of the problem.

Purpose Of The Study: To study the state of inpatient medical care for patients with acute pancreatitis.

RISK FACTORS FOR THE DEVELOPMENT OF COAGULOPATHY DURING SURGERY IN MECHANICAL JAUNDICE.

Background And Objectives: This prospective study was conducted at the University Hospital NAO "MUS" (Semey Medical University, Non-Profit Joint-Stock Company (NCJSC) of Semey, Kazakhstan. The objective of our investigation was to delineate potential risk factors associated with coagulopathy among patients presenting with mechanical jaundice.

Materials And Methods: One hundred eighty-six patients who underwent surgical procedures between October 2020 and September 2022 in Semey, located in East Kazakhstan, were included in this study.

Complex assessment of immunosuppression effects in prevention and treatment of adhesive disease, an experiment.

The cause of all small bowel obstruction in 60-75% of cases is adhesive development. The first and main method for adhesion prevention is undoubtedly the surgical technique, but the prevention of adhesive development is still actual. We aimed to study macroscopic and microscopic peculiarities of the intestine, peritoneum, and scars of the anterolateral abdominal wall.

[Surgical treatment of combined burn strictures of the esophagus and the stomach].

Experience in treatment of 168 patients with burns of the esophagus including 42 (25%) with consequences of combined chemical burns of the esophagus and the stomach is presented. In combined burn strictures of the esophagus and a pyloroantral part of the stomach with a large area of the lesion the method of repair of enteral alimentation was successfully applied. This method lies in creation of distal ended gastrostoma on the anterior wall of the stomach with gastroenterostomy by Roux.

[Selective proximal vagotomy with excision of duodenal ulcer].

257 patients with duodenal ulcer and its complications underwent selective proximal vagotomy in combination with excision of duodenal ulcer without pyloric injury. Lethality rate was 0.78%.

[The use of pylorus-sparing operations in treating duodenal peptic ulcer complicated by stenosis].

Based on an analysis of immediate (388 patients) and long-term (259 patients) results of surgical treatment of ulcer disease of the duodenum complicated by stenosis the authors made a conclusion that selective proximal vagotomy in combination with dissection of the ulcer substrate (the stenosis area) without injuries of the pyloric constrictor is the operation of choice in treatment of ulcerous duodenal stenosis resulting in less lethality (0.52%), in practical exclusion of the development of functional disorders and impaired nutrition of the patients.