[Clinical finding and treatment of festered hepatic echinococcosis].

Results of treatment of 72 patients with festered hepatic echinococcosis were analyzed. Ultrasonic examination was the main method of examination. Method of residual cavity liquidation was determined by localization of cyst.

[Temporary distance shunting of the anastomosis with a probe shunt].

The authors present results of using temporary shunting of intestinal anastomosis in combination with selective lavage of the suture line with a curative antiseptic mixture in experiment in 12 dogs and in clinic in 36 patients with a probe of the authors' original construction. The probe consists of a polychlorvenyl tube with the inner diameter 0.8-1.

[Hemorheological indices in patients with amebic abscesses of the liver and their correction].

Hemorheological indices were studied in 89 patients. In 61 patients the authors have revealed somewhat increased viscosity potential of blood and negligible changes in the aggregation activity of erythrocytes which is thought by the authors to be due to the saved compensatory potentialities of the organism. In 28 patients with the complicated course of the disease the rheological parameters of blood became worse because of the suppressed compensatory potentialities of organism.

[Associated lesions of the liver by amebiasis and echinococcosis].

Diagnosis and treatment of combined damage to the liver by echinococcosis and amebiasis were analyzed in 36 patients. The clinical picture in this combination depends on the phase, localization and sizes of a focal lesion. The authors consider ultrasound to be a basic diagnostic method that clarifies the nature of the contents of cavities, which will aid in making a correct diagnosis.

[The immune status and hemorheological indices in patients with an amebic liver abscess].

The immune status and hemorheological indices were studied in 95 patients with amebic abscess of the liver. Changes in the immune status and hemorheological indices were detected according to the clinical course of the disease. In cases of complications appearing during the disease the patients needed immunostimulating therapy and administration of desaggregants.

[Elimination of residual cavities in multiple echinococcosis of liver].

The results of operative treatment of 65 patients with multiple echinococcosis of the liver are analysed. For the purpose of treatment of the cyst's residual cavity in 19 cases the authors used furacillin solution warmed up to 70 degrees C. As a result of the study it was established, that at a distance of 2 cm around the fibrous capsule rather high temperature is mounted, which is fatal for oncosphera.

[Isolated echinococcosis of the left hepatic lobe].

The authors analyse 47 patients with isolated echinococcosis of the left hepatic lobe. There were 36 males and 11 females. One cyst was found in 39 patients, two cysts in 8 patients.

[Methods of treatment for suppurative biliary fistulas of amebic etiology].

Experience in the treatment of 43 patients with pyobiliary fistulas which formed after abscessotomy in amebic abscess of the liver is generalized. The fistulas occurred after open drainage in 29 patients, spontaneous opening of the abscess on the external surface of the body in 8, and after operation for transdiaphragmatic opening of a hepatic abscess in 6 patients. Two groups of patients were distinguished according to the method of completion of the operation.

[The diagnosis and treatment of hepatopulmonary fistulae of amebic etiology].

The author has analyzed results of treatment of 28 patients with hepato-thoracic complications of amebic abscesses of the liver. Different variations of operative interventions are proposed including the separate (subdiaphragmatic) draining of the cavity of the liver abscess and pleural cavity and in cases of the appearance of bilio-bronchial fistulas--resection of the lung.

[Choice of operative intervention in the treatment of echinococcosis of the left hepatic lobe].

The results of treatment of echinococcosis of the left hepatic lobe in 15 patients have been analysed. Resection of the left hepatic lobe is considered an operation of choice in presence of a large cyst.

[The prognosis of the course of amebic liver abscess by the indices of the immune status].

The study of T- and B-lymphocyte content in 95 patients with amoeba-induced abscess in the liver has shown that the onset of complications are accompanied by secondary immune failure, which must be corrected with immunomodulators (T-activin, levamizole, gamma-globulin, antistaphylococcal plasma). A group of patients has been identified who despite pyo-resorptive fever are characterized by high resistance and good compensatory reactions. This group needs no special correction of the immune status.

[Immunologic status and its correction in amebic liver abscess].

The author analyses the results of study of the immune status in 100 patients with amebic abscess of the liver, who were divided into 2 groups. In an uncomplicated course of the disease (50 patients, Group 1) there were no essential shifts in the immune status in the preoperative period. In the postoperative period (1st-3rd day), however, the percentage and absolute number of T- and B-lymphocytes reduced.

[Immunological status of patients with amebic abscess of the liver and its correction].

Results of the investigation of 89 patients with the amebic abscess of the liver are presented which are divided into 4 groups depending on the clinical form of the disease and the immunological state. A correlating relationship was established between the functional state of the liver and changes of the immunological status of the organism. Variants of complex therapy of patients with the amebic abscess of the liver are proposed.

[Renal syndrome in amebic lesions of the liver].

The author observed 315 patients with the amebic liver abscess. Of them in 134 (42.5%), the renal syndrome was diagnosed.

[Results of the surgical treatment of patients with hematologic diseases].

The article presents results of the operative treatment of 42 patients with different hematological diseases. The surgical treatment is indicated to patients resistant to cytostatic drugs and having symptoms of hyperplenism. The appearance of thrombohemorrhagic syndrome is sometimes possible in the postoperative period which can be prevented by heparin therapy.

[Omentoplasty of residual cavities of the liver].

Results of omentoplasty of residual cavities of the liver are described. New variants of operations of omentoplasty following hydatidectomy and abscessotomy gave good near and remote results of the treatment.

[Abscessotomy and omentoplasty in amebic liver abscesses].

Omentoplasty of the abscess cavity was used in 25 patients with noncomplicated and complicated amebiasis of the liver and in 25 experimental rabbits with an induced amebic abscess of the liver. The histological, biochemical and clinical observations have supported the idea that the omentum graft on the feeding pedicle could grow into the granular torus of the abscess wall and liquidate the remaining cavity including the formation of fistulas. The function and structure of the liver were found to recover within 25 days.