[Effectiveness of laparoscopic bariatric surgery: gastric plication vs sleeve gastrectomy].

Objective: To evaluate an effectiveness of laparoscopic bariatric surgery - sleeve gastrectomy and gastric plication.

Material And Methods: In 2017, laparoscopic gastric plication in 47 obese patients and sleeve gastrectomy in 108 patients were performed at the Askerkhanov Medical Center and Loginov Moscow Clinical Scientific Center. Patients with morbid obesity (BMI ≥40 kg/m) and obesity grade II (BMI ≥35.

Endoscopically directed external support of femoral vein valves.

Background: This study investigated the optimization of indications to external valve support using the Vedensky Spiral for primary deep venous reflux based on the femoral vein proximal (ostial) valve anatomy type.

Methods: The external Vedensky Spiral was used for correction of valvular insufficiency in 28 extremities of 24 patients (18 women, 6 men) during 1998 to 2002. Patients were a mean age of 54.

[Perftoran emulsion in complex therapy of critical lower limb ischemia].

The paper presents comparative assessment of treatment outcomes in patients with critical lower limb ischemia treated with conventional therapy or combined with ozonized Perftoran. The study included 72 patients with Fontain-Pokrovsky III stage ischemia caused by impaired distal leg circulation. Thirty five patients received intra-arterial injections of ozonized Perftoran in addition to conventional "base" therapy.

[Catheter balloon scleroobliteration as a new modality of sclerosurgical treatment of lower limb varicosity].

This paper deals with a new low-invasive method for catheter scleroobliteration of the trunks of the greater and lesser saphenous veins using a balloon multichannel catheter (CBST). The authors make a comparative evaluation of the efficacy of combined phlebectomy (the first control group, n=80), traditional intraoperative trunkal catheter sclerotherapy (the second control group, n=22) and of the technique offered (the third study group, n=50) in patients and outpatients seen at the Vascular Department of the regional clinical hospital and at the R.P.

[Intraperitoneal perfusion of perftoran in the treatment of patients with diffuse purulent peritonitis].

For higher efficacy of general purulent peritonitis treatment, intraperitoneal perfusion of Perftoran emulsion was proposed. The drug was administered as a single dose of 100-150 ml before wound suturing. In 48 hours an increase of phagocytizing cells fraction in peritoneal exudate and their higher functional activity was revealed: the phagocytic activity and phagocytic index was 2 times higher than in the control group, complete phagocytosis index--1.

[Programmed relaparotomy in peritonitis].

Statistical analysis of the clinical picture, history data, intraoperative findings and outcomes of treatment in 214 patients with generalized purulent peritonitis provided an algorithm for defining of indications for programmed relaparotomy. The algorithm allowed errors to decrease from 25.2 to 2.

[The surgical treatment and prevention of rethromboses in acute ileofemoral venous thromboses].

The paper outlines the results of surgical management of acute ileofemoral venous thrombosis in 44 patients. In 23 patients from Group 1 venous thrombectomy was performed by the femoral access, in 21 patients from Group 2, by intraperitoneal pararectal access. For prevention of rethromboses in the postoperative period, in Group 2 continuous regional infusion of a rheopolyglucine-streptokinase-heparin mixture with concomitant administration of the mixture into the paravasal fat of a diseased segment was made.

[Omentoplasty of residual cavities of the liver].

Results of omentoplasty of residual cavities of the liver are described. New variants of operations of omentoplasty following hydatidectomy and abscessotomy gave good near and remote results of the treatment.