[Gastrectomy in treating gastric hemorrhage].

Use of gastrectomy for gastric bleeding in emergency cases is analyzed. Gastrectomy was performed in 15 patients over 7 years. When tumor of the stomach penetrated into other organs combined operations were performed: gastrectomy with splenectomy and left-sided hemipancreatectomy, gastrectomy with cholecystectomy, choledocholythotomy and choledochoduodenostomy.

[Prophylaxis of venous thromboembolic complications in patients operated on abdominal organs].

Comparative analysis of results of venous thromboembolic complications prophylaxis (deep vein thrombosis--DVT1, pulmonary artery thromboembolism--PAT) in patients operated on abdominal organs during two periods--from 1980 to 1983 (when traditional methods were used--leg bandage, rarely--0.25-0.5 g aspirin 1-2 times a day 5-8 days after surgery) and from 1984 to 1998 (when in the operated patients with moderate, high and very high risk of DVT and PAT combination of physical methods of blood flow acceleration in leg deep veins with drugs was used--minidoses or individually selected doses of non-fractionated heparin, low-molecular heparin, dextrans) was carried out.

[Management of stomach cardial ulcers complicated by bleeding].

The results of treatment of the patients with bleeding ulcers of cardial part of the stomach have been analysed. In contrast to gastric ulcers of another location, cardial ones are poorly respond conservative treatment, are usually accompanied by severe complications, and are more frequently prone to malignant transformation. New method for proximal resection of the stomach has been developed, which was successfully used in 14 patients.

[Postoperative deep venous thrombosis of legs and pulmonary embolism].

324 patients operated on the organs of abdominal cavity small pelvis and retroperitoneal space were examined by the method of I-125-fibrinogen accumulation and contrast phlebography. In 109 (33.6%) patients thrombosis of deep veins of lower extremities was diagnosed, among which in 24 cases (7.

[The risk and prevention of deep venous thrombosis of the lower extremities in abdominal surgery].

According to the age, duration of the surgical procedure and risk factors the patients were divided into 3 groups: with a low, medial and high risk of the appearance of thrombosis of the profound veins (TPV). A test with 125I-fibrinogen was used in order to determine the frequency of this postoperative complication for each group, the frequency of lethal thromboembolism being counted on the basis of many years observations. Prophylactics of TPV was differential depending on the degree of risk of its appearance: nonspecific methods (elastic stockings, physical exercises for legs in bed) in the first group and specific (heparin in small doses, poly- and rheopolyglukin) in the 2nd and 3rd groups.