[The prophylaxis and treatment of renal dysfunction by pancreatogenic endotoxicosis].

The treatment of 386 patients with the acute pancreatitis of various etiology was analyzed. Renal dysfunction was revealed in 243 (63%) of them. The prognostic factors of renal dysfunction were carried out.

[Prevention and treatment of hepatorenal syndrome by acute intestinal obstruction].

Results of treatment were analyzed in 358 patients with acute bowel obstruction resulted from a variety of causes. Algorithm for control of liver and renal function disturbances in dynamics was estimated basing on the markers for hepatorenal failure. It is shown that differentiated approach to extracorporal detoxification combined with enterosorbtion and complex therapy allows preventing hepatorenal failure and decreasing lethality and terms of hospitalization.

[Ultrasound duplex scanning of head and neck vessels with the aim of preoperational preparation of the patients with inherent microtia of the III degree].

For surgical treatment of patients with inherent microtia of the III degree we use one stage method of otoplasty with silicone implant and parietotemporal fascial flap. In order to receive most full picture of the status of superficial temporal artery and its branches the additional diagnostic study is necessary. Method of ultrasound duplex scanning let to study any vessel in real time regimen under monitor screen control.

[Outcomes of reconstructive operations in gerontological patients with diabetic foot syndrome].

The authors share herein their experience in treating a total of two hundred and forty-six patients presenting with an ischaemic form of diabetic foot syndrome on the background of secondary to occlusion ofmajor arteries. The patients'average age amounted to 74 years. According to the findings of ultrasonographic angioscanning and radiopaque aorto- arteriography, 62.

[Distal reconstructions under critical lower limb ischemia in elderly patients].

Performong reconstructive operations on arteriae is the only way to avoid limb amputation in patients with critical limb ischemia. Whereas reconstructive manipulations on distal arteriae, especially in patients older then 75 years, are often entailed by thrombotic complications. High peripheric vessel resistance is considered to be the crucial factor of the bypass thrombosis.

[Diagnostic and management algorithm of acute pancreatitis].

The analysis of diagnostics and treatment of 602 patients with destructive pancreatitis has shown that definition of etiological and pathogenetic forms of pancreatitis defines strategy of treatment. In this way, patients with biliary pancreatitis require emergency operative treatment with use of endoscopic interventions without dependence from a stage of disease. To patients with alcoholic or alimentary pancreatitis in the stage of enzymatic toxemia conservative treatment should be spent only, until shock and/or delirium won't be reduced.

[Distal reconstructions with the autovein in situ for critical ischemia of lower extremities in elderly and senile patients].

The work was devoted to the problem of early and late thromboses of transplants at femoro-popliteal-tibial shunting. One of the main causes of frequent thromboses of the shunts was soundly shown to be high peripheral vascular resistance. The investigation has shown efficiency of using collaterals of the large subcutaneous vein as collectors of unloading the shunt in order to decrease the peripheral vascular resistance in femorodistal reconstruction with the autovein in the in situ position.

[Improvement of the quality of life of elderly patients with syndrome of "diabetic foot"].

The immediate and long-term results of treatment of 198 gerontological patients with the "diabetic foot" syndrome were analyzed from the standpoint of quality of life. The main group consists of 125 patients who underwent reconstructive operations. The control group includes 73 patients who underwent primary amputation.

[Results of diabetic foot surgical treatment in gerontological patients].

The experience in surgical treatment of 1200 patients with an ischemic form of diabetic foot syndrome is analyzed. Surgical reconstruction of the major arteries was performed in 338 (28%) patients including reconstructive surgeries on the aorto-iliac-femoral segment--70 (21%), distal reconstructions--246 (73%), extra-anatomic reconstructions--22 (6%) patients. In distal reconstructions autovein in situ was used in 94, reversed autovein--in 82, and PTFE grafts--in 70 patients.