[Total colectomy with simultaneous ileorectostomy in severe nonspecific ulcerative colitis complicated by constriction of the rectum].

Total colectomy with a one-stage ileorectostomy was fulfilled in 72 patients (67 children and 5 adult patients) with severe nonspecific ulcerative colitis by the method developed by the author. In 8 of the patients there was constriction of the rectum which required transanal finger bougieurage during the operation. None of the 72 patients had incompetence of the anastomosis.

[Compression anastomoses and their creation by SCD devices in experiment and clinical practice].

New suture compression device (SCD) is developed and used in 119 patients for formation of esophageal-intestinal (10), esophageal-gastric (4), gastro-intestinal (10), intestinal-intestinal (19), intestinal-colon (18) and colon-colon (58) anastomosis. Insufficiency of sutures was seen in 2 (1.68%) patients after left-sided hemicolectomy (1) and resection of the sygmoid colon.

[Total colectomy with one-stage ileorectostomy in severe nonspecific ulcerative colitis in children and adults].

Description of developed by N. N. Kanshin method of creation of ileorectoanastomosis during simultaneous total colectomy due to severe nonspecific ulcerous colitis is presented.

[Phlegmon of retroperitoneal cellular tissue after endoscopic papillosphincterotomy].

Phlegmon of retroperitoneal cellular tissue as a complication of endoscopic papillosphincterotomy (PST) was observed in 9 patients. All these patients in the first several hours after PST complained of pains in epigastrium and right hypochondrium. 2 days later the signs of pyogenous intoxication appeared.

[Treatment of undeveloped intestinal fistulas in purulent peritonitis].

For treatment of two consecutively opened into abdominal cavity perforating fistulas of small bowel in conditions of purulent peritonitis the author successfully used funnel-shaped obturators by Kolchenogov. In the same patients in later adhesive intestinal obstruction, which could not be eliminated by common surgical mode, continuous introduction of semifluid food and intestinal chyme collected from enterostoma (located above the obstruction) were carried out through enterostoma located above the obstruction. After resorption of inflammatory infiltrate bowel continuity was restored.

[Apparatus LPK-25 for esophago-intestinal anastomoses in gastrectomy and proximal resection of stomach].

New method for performance of compression esophago-intestinal lasso-anastomosis is proposed. Th main point of the anastomosis consists in pressing of bowel walls to esophageal walls at small cuff by latex ring fixed by special apparatus LPK-25 introduced into the lumen of the bowel through additional incision which is anastomosed with the esophagus. Stretched latex ring creates elastic squeesing of tissues on caval cuff and stops blood flow.

[Hernioplasty in direct inguinal hernia without opening and dissecting the hernial sac].

The many-layers hernioplasty by N. N. Kanshin's method was performed in 533 patients for direct inguinal hernia.

[Aspiration-lavage treatment in suture incompetence of the duodenal anastomoses and stump following gastric resection].

An analysis of results of 26 patients has been made who had incompetent sutures of anastomoses and stump of the duodenum at the nearest postoperative period after gastric resection. In 14 patients (main group) aspiration-lavage method of drainage was used, in 12 patients (control group) other methods of treatment of incompetent sutures were employed. The advantage of the aspiration-lavage method of treatment over other methods is shown.

[Complications of wound healing after appendectomy. Medical and economic aspects].

The incidence of hospital and posthospital wound complications was studied in 236 patients, residents of Zelonograd, who underwent operation for acute appendicitis. The material was collected at City Hospital No. 3 and four out-patient clinics of Zelenograd.

[A goal-oriented local approach to the prevention of postoperative suppurative complications].

A goal-oriented local approach to the prevention of postoperative purulent complications includes the use of compression suture devices to establish intestinal anastomoses and a complex of measures aimed at preventing surgical wound suppurations. To form compression anastomoses, use was made of the original AKA-2, AKA-4, IZhKA and SPTU devices fitted with compression clamps and of magnet facilities. The complex of measures to prevent postoperative wound suppurations includes optimal methods of laparotomy wound suture and the use of antibacterial suture materials, bathing of the wound by pulsed douche under pressure, local antibacterial prophylaxis by new dosage forms, preventive aspiration lavage and drainage of the wounds.

[Closed automatic programmed aspiration-irrigation method in the treatment of abdominal abscesses].

Treatment of 124 patients with abdominal abscesses is analysed. Sixty-four patients (a test group) were treated by air-tight drainage of the abscess cavity with double-tube silicone drains and automatic fraction irrigation of the purulent cavity in the postoperative period. Other methods of intraabdominal abscess drainage were used in 60 patients (a control group).

[Use of autologous dermal implants in surgery].

Autogenous dermal implants were used for plastic purposes in 359 patients who underwent operations for inguinal, postoperative, and diaphragmatic hernias, closure of laparotomy wounds and fixation of sutures on the esophagus. Suppuration of wounds occurred in 2% of cases. Recurrences were noted in 1.

[Involvement of the appendix in the inflammatory process in severe nonspecific chronic ulcerative colitis in children].

The authors examined appendix tissues taken from 16 children and adolescents who had undergone colectomy for severe chronic ulcerative colitis. Fourteen patients had the mucosa and submucous layer involved in the chronic inflammatory process that is typical of ulcerative colitis, 5 patients showed inflammation in the muscular and subserous layers. The clinical symptomatology of appendicitis was absent.

[Various approaches to the suturing of laparotomy wounds].

The differential approach to suturing laparotomy wounds is described with special reference to the kind of operation, disease, state of the tissues in the field of the operation wound. The muscle-aponeurotic layer was sutured with the help of an autodermal strip, a modified method of putting removable stitches on the aponeurosis was used, in critical patients with peritonitis aponeurosis was not sutured. The methods were used in the complex treatment of 80 surgical patients, among them 38 patients had acute purulent peritonitis.

[Pathology of the artificial esophagus made of skin].

Clinico-anatomical analysis of changes in the artificial oesophagi made of the skin and skin additions functioning in 13 patients during 10-38 years after the completion of the oesophagoplasty is given. Fistulas in the transplant wall connected with the effect of gastric juice are found in 4 patients. Constrictions of the transplants located anterothoracally due to the compression of the skin tube by the scars and the papilloma formation on its surface were revealed in 7 patients.