[Unformed conglomerate debilitating jejunal fistulas and their two-stage surgical treatment via posterolateral laparotomy].

Objective: To create a method of two-stage repair of high unformed conglomerate delimited debilitating jejunal fistulas via posterolateral laparotomy with low risk of surgical complications.

Material And Methods: Methodology and treatment outcomes were analyzed in 37 patients with unformed conglomerate high debilitating delimited jejunal fistulas. Of these, 22 patients underwent one-stage treatment through 2 converging incisions and/or two-stage treatment through anterolateral access.

[New approaches in surgery for osteomyelitis of the femoral neck and head via anterior access].

Objective: To analyze an effectiveness of anterior approach to the hip joint for sequestrectomy with myoplasty.

Material And Methods: We have developed anterior surgical access for osteomyelitis of the femoral neck and head. Semi-oval incision is made in projection of the femoral head.

[Surgical resolutions determining outcomes of infected pancreatic necrosis].

Aim: To evaluate technology, indications and time of minimally invasive semi-closed and laparotomic sanations for infected pancreatic necrosis (IP).

Material And Methods: Initially it was used sonography-assisted minimally invasive semi-closed drainage of IP with gradual augmentation of catheters' diameter. In 462 patients with IP liquid pus prevailed over sequesters in epigastric localized pancreatonecrotic phlegmon (ELPF) and pancreatonecrotic abscesses.

[Surgical treatment of diabetic neuroosteoarthropathy (DNOAP) and its long-term results].

Aim: To develop pathogenetically justified surgical treatment of diabetic neuroosteoarthropathy (DNOAP).

Material And Methods: 52 patients were operated and long-term results were studied in 36 of them. 2 groups were assessed depending on completeness of surgical treatment including changed synovial structures removal.

[Laparotomy closure in advanced peritonitis].

Aim: to improve the results of advanced peritonitis management.

Material And Methods: 743 patients with advanced peritonitis were studied. Patients were divided into 2 groups depending on treatment strategy.

[THE MICROBIAL CONTAMINATION OF PERINEAL WOUNDS AS RISK FACTOR OF POST-OPERATIVE PURULENT COMPLICATIONS IN PROCTOLOGIC PATIENTS].

The bacterial analysis of wound secretion of perineal wounds before their closure in coloproctologic patients established microbial contamination of 92% of cases. The post-operative wound abscesses, developed against this background, made up to 16.7% in control group and only 2% (p < 0.

[The choice of tactical decisions in surgical treatment of massive infected pancreonecrosis].

Treatment results of 368 patients with infected pancreonecrosis were analyzed. Overall lethality was 29.6 ± 3.

[Debatable questions in diabetic foot syndrome classification].

The experience of treatment of 705 patients with the diabetic foot syndrome (DFS) determined the necessity of reviewing the existing classifications of the disease. Main features of clinics and pathology define three basic forms of the DFS: neuropathic, neuroischemic and ischemic. The new ischemia classification is brought forward.

[Differential surgical treatment of idiopathic megadolichocolon in adults].

An analysis of results of surgical treatment of 158 adult patients with the syndrome of chronic colostasis (SCC) has shown that the rectal form of Hirschsprung's disease (RFH) was diagnosed in 57 patients while idiopathic megadolichocolon (IMC)--in 101 patients. There were two types of SCC: proctogenic and cologenic. The proctogenic type appears in patients with RFH due to hypogangliosis and agangliosis, and in patients with IMC--as a result of dystrophy of ganglionic neurons of the Meissner plexus of the rectum.

[Removable draining aponeurotic and muscular-aponeurotic sutures in the prevention of suppuration of laparotomy wounds].

Clinico-instrumental investigations and experimental studying of the regeneration of laparotomy wounds sutured by removable draining aponeurotic and muscular-aponeurotic sutures have shown less pronounced course of aseptic inflammation in the wounds. It has been established that the removable aponeurotic sutures substantially decrease the frequency of postoperative suppurations of laparotomy wounds in patients operated on the colon mainly for colorectal carcinoma. The original authors' sutures provide the formation of a cicatrix of the laparotomy wound by the 20th day of the postoperative period and completely prevent the appearance of ligature fistulas.

[Prevention of extremities amputation in patients with diabetic foot complications].

In order to decrease the number of amputations for "diabetic foot", these patients should undergo elective or delayed operations. It is obligatory before the operation to correct carbohydrate metabolism and hemodynamics. Sodium succinate in combination with conventional angioprotective treatment is used for this purpose.

[Sodium hypochlorite in the treatment of suppurative wounds].

Under observation there were 174 patients with purulent wounds, 54 of them were treated with application of 0.06% solution of sodium hypochlorite, and 20 patients made up a control group and were treated by traditional methods. It was found that the application of the solution of sodium hypochlorite results in sharp elevation of susceptibility of wound microflora to antibiotics and facilitates more rapid debridement of the wounds and makes the treatment at the hospital 3.