[Experience in provision of medical services to earthquake victims in Armenia in 1988].

The most devastating catastrophe in the USSR was the Armenian earthquake occurred on 7th December 1988. The city of Leninakan and towns of Kirovokan, Spitak (the epicenter), Stepanovan were destroyed by the earthquake with a magnitude 10. Up to 25 542 people have died, more than 500 000 were homeless and 39 795 were rescued.

[Phagoprophylaxis and bacteriophage treatment of surgical infections].

Due to the constant formation of the antibiotic resistance of pathogens the search for alternative and synergistic ways antibiotic prophylaxis and treatment of infectious complications of wounds becomes current. This article is devoted to various aspects of the use of bacteriophages. The historical background of these drugs, and the biological properties are given.

[Surgery of modern combat damage of breast].

The article presents an overall estimate of experience of surgical treatment of ballistic penetrating wounds of bosom of 1920 wounded in Afgan war (1979-1989) and 367 wounded during the armed conflict on Northern Caucasus (1994-1996). Ballistic penetrating wounds of bosom in modern military conflicts are characterized by high mortality on battle field, achieving 30%. In conditions of heavy wound the choice of optimum surgery tactics poses several difficulties, and due to it indications urgent thoracotomy are often increased.

[The treatment of acute massive blood loss].

The article represents a report made by P.G. Bryusov at the 42th World Congress of Surgeons that took place in Montreal (Canada) in the August 26-30, 2007.

[Experience in the use of Y-shaped anastomosis during surgical treatment of acute colonic ileus of tumoral genesis].

Among the total number of patients suffered from colonic cancer the incidence of acute ileus constitutes 32%. In 1978-1997 we studied 198 patients with such pathology. In 1993-1997 the Y-form anastomosis was applied in 33 patients (37.

[Surgical treatment of perforated gastroduodenal ulcers in young persons].

The knowledge of surgical tactics in treatment of ulcerous disease and its complications in young persons is of great practical importance for military health service. The problem of choice of surgical method in perforated gastroduodenal ulcers remains contradictory. Many authors draw attention to merits and demerits of both palliative and radical interventions.

[Advanced techniques in surgical treatment of penetrating gunshot wounds of the chest].

The results of treatment of 322 wounded with penetrating gun-shot wounds of the chest during local hostility from 1994 till 1996 are analyzed. Aggravation in the condition of the hospitalized wounded was observed due to reduction of time of evacuation in hospitals. The indications for surgery were in 96.

[Rendering emergency surgical aid in gunshot penetrating thoracic wounds].

In modern limited military conflicts the gunshot penetrating wounds of breast (GPWB) are the most severe type of fighting trauma with high lethality on field and development of complications. Today the main method of treatment in GPWB is low-invasive intervention--thoracocentesis and drainage of pleural cavity. In stationary conditions it is reasonable to conduct the active drainage of pleural cavity with the help of vacuum-aspirators and during evacuation of casualties to use the devices for drainage of pleural cavity with petalled valve.

[Specialized surgical care of severe mechanical multiple trauma].

The authors share their experiences with diagnosing and surgical treatment of 1792 patients with mechanical combined traumas. The average age of the patients was (31.6 +/- 1.

[Modern aspects of wound sepsis in war surgical trauma].

The results of the treatment of 1020 wounded with symptoms of wound infection have been studied. The wounded were admitted with developed complications from the hospitals in Afghanistan. The syndrome of systemic inflammatory reaction detected in 239 (23.

[The problems in and the means for improving ambulatory surgical care in the Armed Forces].

The article presents some conclusions on ambulatory surgery in the Military Medical Academy and Surgery Centers in St. Petersburg resulting in higher efficiency of surgical aid and its availability for military beneficiaries. Organization frames and staffing principles for day-time ambulatory surgery stations.