[Transhiatal esophagectomy].

Results of 56 transhiatal esophagectomies performed for cardioesophageal cancer from 1985 to 1999 are evaluated. Operation was completed by one-stage plastic repair with gastric flap or colon. Manual transhiatal esophagectomy performed in 35 cases led to many intraoperative complications in location of the tumor in the middle and top part of thoracic esophagus, including two fatal.

[Clinical and morphological characteristics and peculiarities of differentiated thyroid gland cancer course].

221 patients were operated for cancer of the thyroid gland during the last 12 years. Adequate preoperative diagnosis including ultrasound examination, and fine needle aspiration biopsy made it possible to operate 88.7% of patients at earlier (I and II) stages of the disease.

[Prognosis of plasmapheresis in patients with thyrotoxicosis].

The kinetic model of continuous gravitation plasmapheresis on preoperative preparation of patients with thyrotoxicosis has been developed and fried on 41 patients who had failed thyrostatic drugs or were intolerant to them. The model takes into account the process of plasma mixing. The prognostic value of the model in all cases exceeded 0.

[Some aspects of surgical treatment of postoperative ventral hernia].

The results of surgical treatment of of 392 patients with postoperative ventral hernia are discussed. The algorithm of treatment of patients with large hernias was developed. Special preoperative management by dosed pneumocompression in an antioverload costume makes it possible to avoid menacing complications after the operation, which are caused by increased intraabdominal pressure.

[Perspectives in the advancement of abdominal wall repair using e synthetic prosthesis].

Alloplasty with synthetic prosthesis has its advantages and shortcomings. The great number of wound complications limits the wide use of alloplastics in repair of defects in the abdominal wall in patients with large postoperative hernias. For reducing the incidence of wound complications, it is important to solve some problems: organization of herniological centers and specialized departments, industrial production of synthetic prostheses of various size in sterile packings, perfection of the alloplasty techniques, and observance of measures for the prevention of infection.