Impact of repeated abdominal surgery on wound healing and myeloid cell dynamics.

Background: Even though wound dehiscence is a surgical complication, under certain medical conditions, repetition of the laparotomy (LT) (relaparotomy) can become inevitable. In addition to the risks associated with this surgical operation, relaparotomy can interfere with the tissue healing and contribute to the development of chronic wounds.

Methods: In an experimental relaparotomy wounding model, this study investigated the impact of repeated surgery on wound healing and on the immune cells of myeloid origin.

Poly(HEMA)--based embolic material in endovascular surgery of liver.

Physico-chemical and medico-biological methods, including hematology and cytology, were used in an evaluation of properties of poly(2-hydroxyethyl methacrylate) (poly(HEMA))-based embolic material indicated in the occlusion of branches of hepatic artery of patients with focal alterations of the liver. The elastographic method helped in predicting mechanical properties of the hydrogel material. Poly(HEMA) was mechanically stable for endovascular applications, exhibited no significant loss in elasticity and possessed consistency resembling the soft tissue of the organism.

[Sex correction in testicular feminization syndrome].

From 1993 to 2000 the authors observed 10 patients with testicular feminization. In spite of existent highly informative methods, early diagnosis of the genesis of abnormal sexual differentiation is not easy, it requires time. Treatment policy varied with the form of testicular feminization.

[Secondary obstructive megaureter with detrusor-sphincter dyssynergia in children].

29 boys with secondary obstructive megaureter due to detruzor-sphincter dyssinergy were treated in 1989-1998. To normalize detruzor-sphincter relations, transurethral sphincterotomy was made in 25 boys. Later, 16 of them underwent autocatheterization of the urinary bladder and received alpha-adrenoblockers.

[Long-term results of the surgical treatment of primary obstructive megaureter in children].

In 1989-1998 reconstructive plastic operations for primary obstructive megaureter (POM) were made in 71 children. Ureterocystoneostomy with antireflux defense was made in 35 children. Prior trocar nephrostomy was performed in 5 patients with bilateral megaureter and decompensation of the upper urinary tracts.