[Application of a hepasol neo preparation in the treatment of obturation jaundice patients].

The results of treatment of 52 patients, suffering obturation jaundice (OJ), were analyzed. The causes of the OJ occurrence were studied up. A peculiar attention was drawn to the treatment of patients, suffering OJ on a hepatic cirrhosis background.

[Simultaneous operative interventions in conditions of urgent abdominal surgery].

The experience of performance of urgent simultant operations (SO) on abdominal cavity organs in 63 patients (of them in 12--using laparoscopic technologies) was summarized. The material was compared and analyzed using statistical methods in three clinical groups, suffering concomitant surgical diseases in patients of gastroenterological, coloproctological and herniological profile. There were shown the possibilities and proved the expediency of SO performance in environment of the abdominal cavity urgent surgery in multiprofile general surgery clinic for enhancement of the patients treatment and an optimal surgical tactics choice.

[Simultant operative interventions in elective surgery of abdominal cavity].

The literature data concerning the problem of simultant operative interventions were analyzed and the unsolved topics were delineated. Basing on the detailed analysis of results of the operations obtained in 78 patients, performed for coexistent diseases, the authors consider the simultant operative interventions in elective surgery of the abdominal cavity the method of choice in presence of two-three coexistent diseases, which must be surgically treated.

[Restoration of the colon continuity in patients with ascendostomy after Gartmann operation with rectal supraanal resection].

Results of performance of reconstructive-restoration operation in 7 patients with ascendostomy were analyzed. Of them in 4 as the first stage supraanal rectal resection was performed and in 3 - Gartmann operation. There was proposed the method for colonic continuity restoration after Gartmann operation performance, in which pancreatic stump is mobilized along its posterior wall, securing nutrient vessels up to highest point and lower surface of the pelvic peritoneum sheet.

[Reconstructive-restoration surgeries for nonspeciphic ulcerative colitis and colonic Crohn's disease].

Results of surgical treatment of 88 patients were presented, to whom radical surgery for nonspeciphic ulcerative colitis and Krohn's disease was performed. In 92% of observations the first-stage operation consisted of subtotal colectomy procedure with formation of separate ileostoma and sygmostoma, which was modified in the clinic. The reconstructive-restoration operation was performed in 61 (69.

[Specifics of restorative surgeries in patients with unilateral colostomy].

In 194 patients with one--barrel colostoma experience of the reconstructive-restoration operations stage) performance was summarized. The surgical tactics was studied depending on the main disease nature, peculiarities and complications of the first operative treatment, presence of accompanying diseases, terms of the restoration operation performance, length of colonic stump. Period from the moment of radical intervention performance to restoration operation had constituted from 5 months to 12 years.

[Surgical treatment of combined trans-sphincter and extra-sphincter rectal fistula].

The results of surgical treatment of 600 patients with rectal fistula were analyzed. Intrasphincter fistula was observed in 204 patients (34%), transsphinctered fistula--in 72 patients (12%), extrasphincter fistula--in 324 patients (54%). In order to decrease the rate of recurrence of fistula, during performance of plastics of internal hole of the fistula the graft of all the wall of rectum (not only its mucosa) was mobilized up to the level of anal sphincter.

[Treatment iatrogenic injury of rectum and colon].

The results of treatment of 72 patients with iatrogenic injury of colon during performance of urological and gynaecological operations and endoscopic procedures, colonic investigations as well, were summarized. In 19 patients the injury was not revealed intraoperatively, causing the postoperative fecal peritonitis occurrence in 7 of them, abscess of small pelvis and the fecal fistula formation--in 12.

[Metachronous megacolon and colonic cancer in adults].

The experience of treatment of 9 patients with metachronous megacolon and colonic cancer was analyzed. Clinical signs of the disease are diverse. Radical surgical intervention is singularis method of treatment of such patients.

[Surgical strategies in combined cicatricial stenosis of esophagus and stomach after chemical burn].

The results of treatment of 78 patients with the cicatricial esophageal and gastric exit stenosis are adduced. The tactics chosen have foreseen the feeding fistula and gastroenteroanastomosis conduction with subsequent substernal colonic esophagoplasty. The characteristics of different feeding fistula, the advantages and faults of every of them are adduced.

[Diseases and pathological states of artificial esophagus].

Esophagoplasty was conducted in 160 patients for the cicatricial esophageal stenosis due to its chemical burn. Morphological and clinical characteristics of diseases and pathological states of artificial esophagus is adduced.