[Treatment of patients with lower limb varicose veins disease].

Modern data on the prevalence and pathophysiology of lower limb varicose disease are presented. The results of studies of modern approaches to the surgical correction of this state are demonstrated. Conclusions about the unresolved number of problems.

Recurrent Hemobilia Due to Right Hepatic Artery Pseudoaneurysm.

Hemobilia is a potentially life-threatening clinical issue, the etiology of which iatrogenesis is playing increasingly more prominent role. Nowadays the most frequent etiology of hemobilia has shifted toward iatrogenesis owing to increasingly more frequent performance of liver procedures, either open or minimally invasive. Here we report a rare case of recurrent hemobilia after transarterial embolization.

Professor Monastyrski N.D. (1847-1888): One of the Forgotten Pioneers of Biliary Surgery.

Today, the ingenious and untimely deceased surgeon Monastyrski's name is almost lost in the history of medicine and means little, if anything, to young surgeons. Monastyrski Nestor Dmitrievich was born in 1847 in Czerniowce and graduated from the medical faculty of the University of Vienna. Deeply inspired by the stars of European medicine and surgery: Billroth, Kaposi, Mikulicz, he became a brilliant surgeon and teacher.

A Huge Cystic Retroperitoneal Lymphangioma Presenting with Back Pain.

Retroperitoneal lymphangioma is a rare location and type of benign abdominal tumors. The clinical presentation of this rare disease is nonspecific, ranging from abdominal distention to sepsis. Here we present a 73-year-old female patient with 3-month history of back pain.

An Unusual Case of Gastrointestinal Bleeding from Isolated Gallbladder Varices in a Patient with Pancreatic Cancer Complicated by Portal Biliopathy.

Portal biliopathy is the complex of abnormalities of extrahepatic and intrahepatic bile ducts, cystic duct, and gallbladder, arising as a result of extrahepatic portal vein obstruction and noncirrhotic portal fibrosis, which can be caused by coagulopathies, tumors, inflammation, postoperative complications, dehydration, and neonatal umbilical vein catheterization. We report a case of a 55-year-old male patient with the history of pancreatic cancer and cholecystoenteric anastomosis presenting with gastrointestinal bleeding from gallbladder varices via the anastomosis.

[Laparoscopic interventions in left sections colon cancer complicated by obturation intestinal obstruction].

On the basis of an analysis of 2200 cases of left sections colon cancer complicated by obturation intestinal obstruction the authors showed the possibility and reasonability of two-step operation performance. The first operation formed unloading part and the second was the radical operation in one hospitalization. Given method allowed improvement of the results and quality of life of the patients.

[Endoscopic and roentgenovascular interventions in treatment of patients with bleeding from a gastroduodenal ulcer].

The authors analyzed the results of treatment of 965 patients with bleeding from gastroduodenal ulcers. The endoscopic hemostasis was carried out in 20.2% patients, however a recurrence of bleeding was noted in 12.

[Endovideosurgical interventions for thoracoabdominal wounds].

The authors presented results of examination and treatment of 1347 patients with different injuries of the chest and abdomen. Medico-diagnostic measures used in treatment of such kind of patients with rational application of endovideosurgical techniques such as thoraco- and laparoscopy are described which proved to be the final kind of operative treatment.

[Ways of optimization of standards of treatment of acute cholecystitis].

The article presents an analysis of tactical approaches in patients with acute cholecystitis on the basis of an experience with treatment of acute cholecystitis under conditions of multiprophile hospital in Saint Petersburg and modern ideas of the problem in the world.

[Diaphragmatic hernias. Diagnosis and surgical treatment].

The authors present results of the examination and treatment of 106 patients with hernias of the diaphragm of different genesis. In 79 of them there were non-incarcerated hernias, in 27--there were incarcerated hernias. The authors suggest necessary medico-diagnostic measures with rational application of endovideosurgical technologies such as thoraco- and laproscopy which were used in 74%.

[Endoscopic methods of hemostasis in treatment of Mallory-Weiss syndrome].

Results of treatment of Mallory-Weiss syndrome using endoscopic methods of hemostasis in 549 patients were analyzed. The patients were divided into two groups: in 2000-2004 years without endoscopic methods, in 2004-2008 years using the endoscopic methods in the diagnostics and treatment. Considerably decreased operative activity and death rate was established in cases of treatment with endoscopic methods.

[Thoracoscopy in verification and treatment of pleural exudate syndrome under conditions of a multifield hospital].

Under an analysis of results of treatment of 186 patients with pleural exudate syndrome there were 139 patients treated by traditional methods, 47 patients treated using the proposed medico-diagnostic program based on using thoracosopy under local anesthesia. Using the proposed medico-diagnostic measures can be used at any multifield hospital where patients with pleural exudate syndrome are admitted although the hospital has neither phthisiatrical nor phthisiothoracic departments.

[Chronic complicated pancreatitis. Diagnostics and surgical treatment].

The article presents an analysis of surgical treatment of 186 patients with complicated forms of chronic pancreatitis. Potentials of different instrumental techniques of investigations in diagnostics of complications of chronic pancreatitis are analyzed. Performance of retrograde cholangiopancreatography in chronic pancreatitis was shown to be expedient.

[Thoracoscopy in the diagnostics and treatment of chest injury].

The authors have analyzed their experience with treatment of 67 casualties with injuries of the chest of different character. The diagnostic and treatment algorithm was based on the principle of using primary thoracoscopy with local anesthesia during draining the pleural cavity. The proposed algorithm can be used at any hospital rendering emergency to casualties with injuries of the chest independent of the level of available equipment.

[Diagnostics and surgical treatment of isolated and associated injuries of the liver].

The authors have analyzed results of treatment of 388 patients with open and closed injuries of the liver and the diagnostic potential of different instrumental methods. The optimal diagnostic algorithm is proposed. The validity of using videoscopic interventions in injuries of the liver were studied as well as the indications for using them.

[The diagnosis and treatment of enteroparesis in patients with acute pancreatitis].

Two leading moments in endotoxicosis of acute pancreatitis pancreatogenic and enterocologenic should be emphasized. A new noninvasive method is proposed for objective determination of the degree of enteroparesis in patients with acute pancreatitis. A conversion of the gastroenterocolonogram curves into digital parameters gave quantitative data which help to reveal the form of acute pancreatitis.

[Perforation of diverticula of the sigmoid colon].

An experience with treatment of 27 patients with diverticulosis of the sigmoid colon complicated by perforation is described. 9 patients died, 18 patients recovered. Under consideration are questions of diagnosis and surgical treatment of diverticula of the sigmoid colon complicated by perforation.

[Surgical treatment in chronic gastroduodenal ulcers].

Operative treatment was carried out in 1197 patients with chronic gastroduodenal ulcers. Among the most frequent complications of the ulcers there were penetration of the III-IV degree, compensated, subcompensated and decompensated pyloroduodenal stenosis. The operative interventions included Billroth-II resections of the stomach in modification of Hofmeister-Finsterer, Billroth-I, with saving the pyloric sphincter, after Roux and gastrectomies.

[The efficacy of Neovir in the combined treatment of patients with operable tumors of the gastrointestinal tract].

Under observation there were 32 patients with operable tumors of the gastro-intestinal tract. The average age of the patients was (64.8 +/- 7.