[Primary disability as a consequence of tuberculosis and the factors that contribute to its development].

Analysis is given of a high level of invalidity in 508 patients in four regions to whom invalidity due to tuberculosis was first established in 1987-1989. The main factors responsible for invalidity included progress of a tuberculous process, ineffective chemotherapy, untimely diagnosis, the presence of serious attendant diseases, functional disorders of the affected organs, complication of the disease, asocial way of life (chronic alcoholism, narcomania), and insufficient material provision of large families. Most invalids had a combination of the above factors.

[Surgical treatment of patients with destructive pulmonary tuberculosis and liver pathology].

The results of surgical treatment of 102 patients with destructive tuberculosis of the lungs and liver pathology are presented. It was shown possible to widen the operability ranges in the patients by using the up-to-date treatment including hemosorption and laser technique. After hemosorption there was a significant improvement of liver function.

[Characteristics of the use of radiation from various types of lasers in the surgical treatment of patients with pleural empyema].

The article analyses experience in the use of beams of various types of lasers in treatment of 152 patients with different forms of pyothorax of tuberculous and nontuberculous origin. Semiconductor and carbon dioxide laser devices were used in the stages of surgical treatment. Methods for the use of lasers in the pre- and postoperative periods and during the operation are described.

[Hemosorption in patients with pulmonary tuberculosis].

Hemosorption was applied to 82 patients with complicated pulmonary tuberculosis and concomitant diseases such as diabetes mellitus, liver affections and others. The use of hemosorbents SKN, plastic systems and heparin regional dosing devices made the procedure less traumatic, provided the use of heparin lower doses and application of hemosorption to patients with severe pulmonary tuberculosis. The described hemosorption procedure proved to be sparing and low traumatic.

[Surgical treatment of destructive pulmonary tuberculosis in adolescents with a severe form of diabetes mellitus].

Results of surgical treatment of 7 adolescents with destructive tuberculosis of the lungs and severe diabetes mellitus are presented. It was shown that the tuberculosis process in the patients was progressive and their chemotherapy was not always efficient. The present achievements in lung surgery, anesthesiology and resuscitation provide surgical operations in such severe patients even with subcompensated diabetes and progressing pulmonary tuberculosis.

[Improving the tactics in the preoperative care and surgical technics for patients with pulmonary tuberculosis and diseases of the liver].

On the basis of the analysis of the results of surgical treatment of 114 patients, the authors show that in liver pathology, continued aggravation of destructive tuberculosis occurs. To reduce the risk of operation, it is suggested to perform intensive preoperative preparation with inclusion of hemosorption and laser irradiation.