[Successful treatment of an aortoduodenal fistula after operation on the abdominal portion of the aorta].

Gastrointestinal haemorrhage is a common cause of emergency admission of patients to surgical hospitals. Within the structure of nosological entities, not unreasonably referred to the rarest causes of gastrointestinal bleeding is the formation of an aortointestinal fistula whose early diagnosis is of paramount importance. The clinical picture may be different but it is mostly represented by gastrointestinal haemorrhage.

[Development and assessment of efficacy of L-polylactide matrix for creation of a tissue-engineered vascular graft].

In order to create a tissue-engineered vascular graft we elaborated a matrix consisting of nanofibres of biodegradable polymer L-polylactide. We worked out the methodology of crystallization of the matrix on a rod, making it possible to manufacture specimens possessing strength and deformity characteristics superior to those of native vessels. This was followed by a series of chronic experiments on implanting the elaborated matrix into the abdominal aorta of rats for the duration of up to 16 months.

[Comparative results of surgical treatment of patients with morbid obesity].

It was performed a comparative analysis of treatment of 62 patients who were operated for morbid obesity. Patients were divided into 3 groups depending on kind of surgery: jejunal-iliac intestinal bypass, restrictive operations and combined operations. The complications in early postoperative period were diagnosed in 16.

[Branch No. 2 of the Vishnevskiy Central Military Clinical Hospital No. 3 celebrates the 25th anniversary].

Authors present a short summary about the history of 6th Central Military Clinical Hospital (now - Branch N 2 of the Vishnevskiy Central Military Clinical hospital N3), founded in September 1989. Hospital Branch N 2 is one of the first specialized applied research centres in our country, many highly-qualified, experienced and certified professional work at the hospital; they are proficient in original and unique methods of treatment based on high technologies and capable to solve any problem, even the most difficult, connected with medical rehabilitation of patients. Hospital Branch N 2 is also known as the Centre of orthopaedic and prosthetic aid to disabled servicemen.

[Main ways of improvements of the systems of medical rehabilitation of military servicemen after cardiovascular surgery].

For better improvement of medical rehabilitation referred to effective restoration of functional status of servicemen after cardiovascular surgery it is necessary to introduce standards of medical rehabilitation at all stages of rehabilitation, syndrome-pathologic principle of grouping patients, multidisciplinary organisation of medical activity: cardiologist-physician, specialist of functional diagnostics, specialist of physical therapy, psychotherapist, physical therapeutic, surgeon and specialist of professional rehabilitation. Basic ways of improvement of the system of rehabilitation were organisational technologies of interaction during early and late stages of rehabilitation and persistent control of quality and effectiveness of rehabilitation. Optimization of organisation of late stage of hospitalisation allowed to reduce the average time of rehabilitation to 33,3% and at the same time to improve effectiveness of rehabilitation.

[Medical rehabilitation in the Armed Forces: history, current state and prospects].

Authors analyzed history, current state and prospects of medical rehabilitation in the Armed Forces of the Russian Federation. Current system of medical rehabilitation in the Armed Forces provides all categories of military personnel and members of their families complete rehabilitative and remedial measures. An integration of rehabilitative experience of the medical service of the Armed Forces of the Russian Federation into the State system of medical rehabilitation, active participation of the medical service of the Armed Forces of the Russian Federation in activity of National association of specialists of medical rehabilitation and regenerative medicine will allow to increase the effectiveness of the rehabilitation system of the Armed Forces.

[Development of the rehabilitation system for wounded during the late hospital stage].

The current article deals with the main methods of development of the rehabilitation system for wounded during the late hospital stage. The problems of specialized rehabilitation for injured, patients of cardiology and neurology and the application of the newest rehabilitation techniques used to optimize medical aid in order to promote professional qualities recovery experience are also considered.

[Composite materials based on chitosan and montmorillonite: prospects for use as a matrix for stem and regenerative cell cultivation].

This paper examines the structural and mechanical properties of composite materials based on chitosan and micro- and nanoparticles of Na-montmorillonite and possibility of application for cultivation and targeted delivery of mesenchymal stem cells and regenerative cells. It's have been shown by addition of Na-montmorillonite biomaterial acquires stability of structural and mechanical properties in the sterilization process the handling of liquid media in cell culture. In vitro studies using dermal fibroblasts and adipose tissue mesenchymal stem cells demonstrated that this material has a set of properties to ensure matrix biocompatibility.

[Erectile dysfunction: choice of the treatment method].

The 15-year clinical experience with falloendoprosthetic operations (FEPO) in patients with erectile dysfunction is reviewed including algorithm of diagnostic examination, prostheses of different generations, indications and contraindications for falloendoprosthetic surgery. The results of 117 FEPO are outlined with special emphasis on 19 cases of postoperative complications. The conclusion is made that FEPO is most effective in erectile dysfunction by the presented criteria of the erectile dysfunction treatment efficacy.

[Peculiarities of mental disorders and evaluation of life quality in military personnel wounded in local military conflicts].

The goal of research is the study of the peculiarities of clinico- psychopathologic varients of development of mental disorders and life quality in military personnel, wounded in local military conflicts in conditions of multidisciplinary military hospital. 317 patients aged 19-45 with mine-explosive wounds got in the Chechen Republic and Dagestan were examined. Analysis performed in early and secondary post stress period showed the predominance of border-line psychopathologic disorders and detected some peculiarities.

[System of rehabilitation in the Armed Forces: history, current situation, and perspectives of development].

There are two main directions of development of medical rehabilitation in the Armed Forces of RF for now-days: medical-psychological rehabilitation of military service men among special contingents, realizing special military duty (air- and NAVY-staff, staff duty shift of Missile Force of Special Purpose) and medical rehabilitation of military service men, participants of battle action in accordance with sub-program "Social support and rehabilitation of invalids in consequence of battle action or battle trauma" of Federal Purpose Program in the sphere of social support of invalids. The authors mark necessity of reorientation of medical strategy from evaluation of determination of symptoms of already existent disease to evaluation of determination of adaptation reserves of organism of military service men, determination of changes in organism on the stage of pre-disease.

[To centenary of Takayasu's presentation of nonspecific aortoarteritis case].

Literature review is dedicated to the 100th anniversary of the first case presentation for nonspecific aortoarteritis. The review covers the history of the disease concept development, current knowledge on its etiology and pathogenesis, unresolved problems of management strategy for patients with this pathology.

[The comparative characteristics of the efficacy of medium- and low-frequency ultrasound in treating the suppurative wound].

The investigation has been conducted to study the influence of middling and low-frequency ultrasound on the culture of standard microorganisms in vitro and in vivo and on the wound process in 26 patients. It has been shown that the middling ultrasound has a priority bactericidal effect upon the microorganisms and the wound infection. It also makes the process of depuration more active.

[Industrial hygiene in the Bashkortostan Republic].

Bashkortostan National Council of Ministers adopted a resolution (No 136, April 12, 1995) "On formation of interdepartmental Committee for Industrial Hygiene in Bashkortostan Republic". The Committee puts into practice principles of the Governmental policy in industrial hygiene according to a law "On industrial hygiene in Bashkortostan Republic"; deals with problems and makes proposals in industrial hygiene; coordinates the specific activities of the Ministries, Departments and public organization of Bashkortostan Republic; cooperates with the competent professionals, organizations and researchers for progress in industrial hygiene.

[Renal failure in surgery of abdominal aorta aneurysms].

The authors analyse the experience in operations for resection of an aneurysm of the abdominal aorta in 70 patients, which were performed at the Vishnevsky Institute of Surgery, AMS of Russia, from 1983 to 1991. Preoperative examination revealed renal insufficiency in 8 (11.4%) patients.

[Immunomodulating activity of exogenous ceruloplasmin in experimental tumor growth].

Immunomodulating properties of ceruloplasmin were determined in vivo on healthy mice line C57BL/6 and mice with Lewis carcinoma. It was established, that ceruloplasmin at the concentration of 1-40 mg/kg stimulated both T- and B--systems of immunity and prevented immunodepression activity of tumor growth.

[Surgical tactics in combined lesions of the aortic arch and its thoraco-abdominal segments in nonspecific aortoarteritis].

Seventy-one patients with unspecific aortoarteritis and affections of the aortic arch and its thoracoabdominal segment were treated in the period between 1984 and 1989. All the examined patients had different variants of affection of the brachiocephalic arteries, in 57 (80.3%) of them there was a coexistent affection of the thoracoabdominal segment of the aorta, and in 14 (18.

[Ischemic stroke and the ways of compensation of cerebral circulation in patients with nonspecific aorto-arteritis with lesions of the brachiocephalic arteries].

In patients suffering from nonspecific aortoarteritis associated with impairment of the common carotid arteries, cerebral blood flow is compensated for at the expense of an increase of the volumetric blood flow in the vertebral arteries. During the first three years since the onset of the first disease symptoms, the blood content in the basin of the internal carotid arteries is reduced. Brain strokes occur most frequently within that period.