[Clinical questions of extremal processing of Mirizzi syndrome].

In this article two clinical cases of Mirizzi syndrome is presented. In the observation examined reactive processing of Mirizzi syndrome I with severe overall system reaction to endogenous infection. The data characterizing the current version of Mirizzi syndrome V b is considered in the second observation.

[Abdomino-anal resection of the rectum (indications, technique, immediate and long-term results)].

Abdomino-anal resection of the rectum with the descending is not an alternative variant of the intra-abdonimal resection with suturing devices. Each of these methods has indications and contraindications. In treatment of rectum carcinoma the observation of oncological principles is thought to be principal.

[Complex system of differentiated prediction of strokes].

On the basis of the data on 2287 patients with cerebral strokes (CS) and 800 individuals without this disease, and using discriminant and probability methods, the authors have identified 158 supposed risk factors (RF) of CS development. They have also established the specificity of RFs which depends on the nature of CS, as well as ascertained the dependence of informative value of these factors on the size of samples and the degree of percentage reflection by the main demographic indicators of the studied population. RFs are classified as controllable and uncontrollable.

[Indications for early operation in acute gastric hemorrhage].

Under study were 1392 patients with acute gastric hemorrhage in order to analyze indications for early operations. A table of indications is made with the help of Wald's consecutive analysis. It was found that when the operation was indicated and fulfilled the mortality rate was significantly lower than when the patient was not operated upon.

[Mallory-Weiss syndrome].

The Mallory-Weiss syndrome is thought to occur more frequently than it is diagnosed. For its diagnosis fibrogastroscopy should be used widely. The surgical tactics for the disease is to be changed--to be more conservative, since arrest of the bleeding is possible by non-operative methods in a considerable number of patients (31,5%).

[Surgical tactics in hemorrhage from the upper segments of the digestive tract].

The results of surgical treatment of 100 patients with hemorrhage from the upper digestive tract (except gastric cancer and hepatic cirrhosis, complicated with bleeding esophageal varices) are discussed. The role of gastrotomy is emphasized, while vagotomy and drainage operations do not seem to be greatly warranted in treatment of chronic and acute gastroduodenal ulcers complicated with bleeding.