[Effects of extracorporeal hemo-correction on lipid peroxidation in patients in critical states].

The article presents an analysis of immediate influence of extracorporeal hemocorrection upon the indices of lipid peroxidation in resuscitation patients of a surgical profile. It was found that hemosorption, ultrafiltration and their combination exert a moderate detoxicating effect on lipid peroxidation products. The detoxicating effect of plasmapheresis is negligible.

[The surgical procedure in pancreatic injuries].

The authors made an analysis of their experiences with treatment of 101 patients with injuries of the pancreas. Choice of the most rational surgical treatment of injuries of this organ depends on the degree and character of the injury. In 80% of the patients the development of traumatic pancreatitis was noted.

[Problems in the diagnosis and surgical care of thoracoabdominal wounds].

The article presents an 11 years experience in work of a specialized department of thoracoabdominal trauma with an analysis of treatment of 292 wounded. The main causes of the thoracoabdominal wounds (TAW) were knife stabs (96.2% of the patients).

[The surgical treatment of liver injuries].

The article sums up an experience with treatment of 342 patients with injuries to the liver at a specialized unit for thoracoabdominal trauma. Under analysis are problems of diagnosis, classification, surgical policy and causes of lethal outcomes.

[The possibilities of surgical treatment in injuries to the major blood vessels today].

Under analysis were results of surgical treatment of 47 patients with injuries of the aorta, major arteries and veins. Higher lethality was noted in people with injuries of major veins, especially vena cava. Specific operative methods are described for various kinds of injuries of the vessels of the thoracic and abdominal cavities.

[The etiology, pathogenesis and clinical picture of nonlactational mastitis].

The authors analyze an experience with treatment of 2750 patients with different forms of nonlactational mastitis. Special attention is given to peculiarities of the clinical course of the disease, importance of early diagnosis of the inflammation in the mammary gland. Pathogenetical treatment of different forms of nonlactational mastitis is substantiated.

[Photomodification of autologous blood in surgery].

The use of the method of autologous blood photomodification in surgery is discussed on basis of generalized experience of the Leningrad Research-Practical Center of Blood Photomodification (3,000 procedures conducted in over 2,000 patients). The current state of the problem, the main mechanisms of the therapeutic action of the procedure, and the clinical efficacy of the method in various surgical diseases are dealt with. The possible complications and the means of their prevention are deal with.

[Endogenous toxemia in surgery].

An analysis of the mechanisms of the development of endogenous intoxication was used to consider its role in pathogenesis of most serious surgical diseases and traumas and their complications. The role of endogenous intoxication is shown in the development of multiple organ insufficiency. Methods of extracorporal hemocorrection in treatment of endogenous intoxication are substantiated.

[Therapeutic choices in spontaneous pneumothorax].

Questions of conservative and operative treatment are considered on the basis of studying 259 patients with spontaneous pneumothorax. In most of the patients the lung was spreaded by a single or permanent active aspiration of air from the pleural cavity. However, due to great amount of recurrences after the conservative treatment it should be more often followed by operative methods of treatment.

[Blood reinfusion in injuries of the chest and abdomen].

Reinfusion of blood used in 78 patients with injuries of the chest and abdomen has shown the method to be clinically effective and expedient including treatment of injuries of hollow organs of the abdominal cavity. The technique of blood reinfusion for different injuries is described. Data are presented which allow to suspect that the reinfused blood has curative properties in treatment of injuries of the chest and abdomen.

[Injuries of the heart and pericardium].

The work presents data of 25 patients with wounds of the heart and pericardium. Clinical diagnostics, tactics and results of treatment are described. Attention is called to the importance of the method of thoracoscopy in determination of the character of injuries.

[Diagnosis of spinal fractures using optical processing of the roentgenologic image].

X-ray examinations by a traditional method in 694 patients with non-complicated compression fractures in the thoraco-lumbar part of the vertebral column do not always give the exact picture of the character of fractures of the vertebral column. The method of optic processing the roentgen picture was used in 30 patients for more detailed analysis of structural changes in the vertebrae bodies. The method allowed to specify structural changes in the vertebra bodies, including the detection of the fracture plane, abruption of a body portion, detection of an additional contour of the limiting plate in its pressing into the vertebra body and the zone of infiltration in the upper portions of the body.

[Rehabilitation treatment of patients with uncomplicated fractures of the spine at a hospital rehabilitation center].

The authors make an analysis of treatment of 188 patients with noncomplicated compressive fractures of the vertebral column in the thoracolumbar part performed at the stationary rehabilitation center. The course of restorative treatment was as long as 31-40 days and included individual and group trainings of exercise therapy, massage, hydrokinesotherapy, thermo-, electro-, photo- and magnetotherapy. Results of the treatment were followed in 81 patients.

[Pathogenetic substantiation of photomodification of autologous blood in the prevention and treatment of complications of closed chest trauma].

Three groups of patients with traumas of the chest were investigated: 1. 1533 patients treated by traditional methods: 2. 258 patients treated by transfusions of photo-modified blood; 3.

[Complications of the urachus in adults].

The authors observed 7 patients aged from 19 to 74. Five of them were operated upon. One patient died from anaerobic neclostridial phlegmon of the anterior abdominal wall which appeared after an injury of the not noticed urinary duct.

[Use of the leukocyte mass in treatment of patients with suppurative lactation mastitis].

The application of leukocyte mass against the background of altered reactivity of the organism was followed by positive changes of clinical and immunological data by as early as the 2-3d days of the postoperative period. The level of antistaphylococcal immunity was preserved after completion of the course of leukotransfusions. It results in complete arrest of the inflammation in the mammary gland, excludes the development of recurrences and various pyo-septic complications.