[Orthognathic surgery and contour plasty. Synergism or opposition].

The article presents two cases of sisters with malocclusion: distal deep bite with typical skeletal and soft tissue deformation. In the first case classic three-steps orthognatic treatment plan was realized: orthodontic preparation with subsequent orthognatic bi-maxillar surgery with genioplasty. In second one we made contour-plasty with implants.

[Surgical-associated expansion of the jaws with asymmetric deformations].

One of the most common abnormalities in the development of the jaw is the narrowing of the alveolar process of the maxilla. In childhood, the elimination of such a deformation is quite common. But with age, the only effective option is the inclusion of a surgical procedure in the rehabilitation plan.

[A method of osteoplasty of the mental region of the mandible].

Correction of the lower jaw contours is one of the most popular tasks in aesthetic maxillofacial surgery. There are many reduction operations aimed at changing the shape of the lower jaw. However, augmentation mandible plasty is mainly associated with the use of synthetic implants.

[Selection of inhalation anaesthetic when low-flow anaesthesia with automated control].

Selection of inhalation anaesthetic when low-flow anaesthesia with automated control. A comparative evaluation of low-flow (0,5 l/min) and inhalation anaesthesia with sevoflurane and desfluranom with automated control of the concentration of inhaled anaesthetic on the exhale (Et-control), with the use of advanced monitoring in 76 patients operated on for the pathology of the spine and spinal cord is given. It was found that when using continuous measuring the achievement of the target concentration of the anaesthetic sevoflurane is faster in the group.

[ENTROPY MONITORING DURING LOW-FLOW INHALATION ANESTHESIA--A TRIBUTE TO FASHION OR NECESSITY?].

Objective: To compare anesthesia quality and sevoflurane consumption during standard and extended intraoperative monitoring.

Materials And Methods: 74 patients were included in prospective randomized study. Patients had spinal pathology of varying severity, extension and localization.

[THE CLINICAL SIGNIFICANCE OF ENDOSCOPIC MANOMETROGRAPHY OF UPPER GASTROINTESTINAL TRACT IN PATIENTS WITH CHRONIC PANCREATITIS].

The Purpose Of The Research: To study the cavitary esophagogastroduodenal pressure in patients with chronic pancreatitis (CP) depending on the dominant clinical symptoms--gastroesophageal reflux (GER) and abdominal pancreatic pain.

Material And Methods: By esophagogastroduodenoscopy that included manometrography and acid-perfusion test--were examined 86 patients with CP and 25 healthy individuals.

Results: 63% of patients with CP detected changes of the esophagus and the lower esophageal sphincter (LES) based on the endoscopy, or manometrography, or test with 0.

[Effect of hydrochloric acid on cavernous pressure in the duodenogastroesphageal zone in patients with duodenal ulcer associated with Helicobacter pylori].

Endoscopic manometrografy was performed in 128 patients 40,7 +/- 1,7 years old with duodenal ulcer (DU). In patients with increased basal acid outflow (BAO > 10 MM/per hour vs. BAO < 7 MM/per hour) was increased pressure (mm Hg) in duodenum (11,8 +/- 1,0 vs.

[Blood flow and morphofunctional status of gastroduodenal mucosa in different phases of peptic ulcer].

Aim: To investigate gastric and duodenal mucosal blood flow (MBF) in different phases of gastric ulcer (GU) and duodenal ulcer (DU) and its relation both to Helicobacter pylori (HP) infection and mucosal disorders.

Material And Methods: Upper endoscopy and histological examinations (score of inflammation, atrophy, metaplasy) were performed in 407 patients with DU and 103 with GU. Gastric and duodenal MBF were assessed by the hydrogen gas clearance technique in 102 DU and 95 GU patients.

[Impact of hydrochloric acid and HP-invasion on the cavitary pressure in the duodenal and gastroesophageal region in patients with ulcer].

The goal of the study was to examine the cavitary pressure (P) in the duodenal and gastroesophageal region under the impact of acidification of the duodenum (D) and depending on the hydrochloric acid gastric secretion (HCL) and Helicobacter pylori (HP) infection in patients with ulcer. Endoscopic manometrography performed in 205 patients (with duodenal ulcer, gastric ulcer and chronic gastritis) revealed a considerable (p<0.05) increase in P (mmHg) in the D (9.

[The programmed revision of the wound after the radical excision of an epithelial coccygeal cyst].

A method of programmed revision has been developed and used in 20 patients after excision of the pilonidal sinus.

[Changes in the bioenergetic processes and immunoglobulin transport in the stomach tissues of rats after vagotomy].

Data are reported on changes of bioenergetic processes and immunoglobulin transport in gastric tissues after bilateral subdiaphragmatic transsection of the vagal nerves. It was established that the mucosa and muscle membrane of the stomach showed a reduced activity of the glycolysis enzyme. There was also abnormal transport of autogenic immunoglobulins, namely increased penetration of immunoglobulins into the connective-tissue stroma of the mucosa and the surface of epithelium into the gastric cavity.

[Characteristics of blood flow in the gastric mucosa in relation to its structure and function in patients with peptic ulcer].

Hydrogen clearance was used to assess blood flow in fundal and antral gastric mucosa as well as in the lobule of the auricle in 127 patients with ulcer (99 duodenal and 28 gastric ulcer cases), 34 patients with gastric, duodenal, pancreatic and biliary ++non-ulcer lesions against 20 healthy subjects. The findings underwent analysis in relation to the disease form and phase, baseline characteristics of the mucosa (morphological, functional and bacteriological) and changes in them in response to pentagastrin (6 micrograms/kg), alupent (0.0075 mg/kg), clofelin (0.

[Choice of treatment methods in extraperitoneal injuries of the rectum].

From experience in the treatment of 202 patients with extraperitoneal injury to the rectum, the authors suggest that the choice of the method of management should be based on strict consideration for the etiology, the degree of injury to the rectal wall, the location of the injury, and the presence of early and late-term complications. Various methods of treatment are recommended depending on the character of the injury. Treatment in this case must be strictly individual.

[The morphofunctional characteristics of the duodenal mucosa in patients with a duodenal ulcer at different phases of the disease].

Endoscopic, morphological, histochemical and biophysical properties of the duodenal mucosa as well as secretory activity of the stomach and pancreas were studied and compared in 398 patients with duodenal ulcer in different phases (active ulcer, healing ulcer, red and white scars). Sixteen patients were observed over time. Analogous studies were conducted in 88 patients with chronic diseases of the biliary and duodenopancreatic zone (with non-ulcerous duodenitis) and in 32 normal persons.

[Choledochoduodenostomy in choledocholithiasis and benign strictures of the common bile duct].

The methods of external and of internal drainages of the bile ducts are alternatives in choledocholithiasis and benign strictures of the choledochus. In the Central Research Institute of Gastroenterology, 349 operations were performed on the common bile duct, stones were found in the choledochus in 259 (74.2%) cases and benign strictures of the terminal part of the choledochus and the major duodenal papilla in 103 (29.

[Morphobiophysical features of the duodenal mucosa in patients with duodenal ulcers].

Chronic duodenitis in patients with duodenal ulcer is characterized by substantial morphofunctional changes in the mucosa, decreased transmural potential difference and definite patterns of carbohydrate-containing biopolymer production, the initial changes being manifested as neutral glycoprotein hypersecretion with their subsequent diminished synthesis rates, followed by a more pronounced drop of sialo- and sulfoglycoprotein levels. A correlation was found between the severity of duodenitis, morphometric and histochemical parameters, and gastric pepsin secretion rates (hypersecretion). It is suggested that these changes are etiopathogenetically common.

[Experimental approaches to the study of permeability of the blood-brain barrier for native autogenous proteins in chicken ontogenesis].

The composition and distribution of serum proteins in blood, brain vesicles liquid, and nervous tissue has been studied in chicken embryos at 4-20 day of incubation using electrophoresis, immunoelectrophoresis, and fluorescent antibodies. At the 4-5 day of incubation, a difference in the protein composition of brain vesicles liquid and blood serum is apparent. This indicates that the border membrane of brain vesicles plays a part of the barrier.