[Therapeutic interventions under ultrasonic control in diseases of the abdominal cavity organs].

The results of 212 transcutaneous therapeutical abdominal interventions, performed under the ultrasound control, have been analysed. 190 patients have been treated. The sectorial ultrasound probe was acting at the frequency of 3 MHz.

[Microcholecystostomy].

Treatment efficacy was compared for transcutaneous transhepatic microcholecystostomy controlled by laparoscopy (75 patients) against that controlled by ultrasound scanning (67 patients) principally in acute cholecystitis. Basic indications for microcholecystostomy are a high operative risk in elderly patients and decompression of the bile ducts for obstructive jaundice. Four patients (2.

[Spontaneous internal biliary fistulas].

Experience with the treatment of 137 patients with spontaneous internal biliary fistulas of different etiology is presented. Questions of clinical course, preoperative diagnoses and operative technique are discussed.

[Cholelithic intestinal obstruction].

Analysis of the treatment of 25 patients with cholelithic intestinal obstruction is given. Questions of etiology, variants of the development, clinical course, diagnosis, operative treatment of the cholelithic ileus, causes of lethal outcomes are discussed. The authors propose measures of prophylactics .

[Reparative and reconstructive operations on the bile ducts].

The authors have analyzed the causes and results of 469 repeated operations on bile ducts performed on 350 patients for strictures of the inflammatory and accident origins, retained bile duct stones and recurrent cholelithiasis. Recommendations are given for preventing repeated operations on bile ducts and choosing the method of reparative and reconstructive operations.