Surgical Clip Ligation of Anterior Communicating Artery Aneurysm in a Resource-Limited Setting.

Anterior communicating artery (ACOM) aneurysm clipping with intraoperative measures to ensure total occlusion and avoid ischemic complications is standard in countries such as the United States. However, alternatives need to be considered in resource-limited settings. The clipping of an unruptured, superiorly projecting ACOM aneurysm in a resource-limited setting is presented and special nuances that optimize safety are described.

The Co-Pilot Project: An International Neurosurgical Collaboration in Ukraine.

Objective: We aim to provide a thorough description of the efforts and outcomes of the Co-Pilot Project in Ukraine, which facilitates neurosurgical collaboration between American and Ukrainian physicians.

Methods: The Co-Pilot Project, which operates under its parent nonprofit organization, Razom, organized multiple trips for American physicians to Ukraine. Activities included consulting in clinic, assisting with neurosurgical operations, and providing didactic lectures.

[State of the gastric mucosa at remote periods after stomach resection and organ-sparing operations in duodenal ulcer].

Under analysis were results of examination of the morpho-functional state of gastric mucosa in late periods (5--12 years) after resection of the stomach in 109 patients and after selective proximal vagotomy (SPV) in 32 patients. The possibilities for the development of gastric cancer after SPV were not considered.