[Rosuvastatin in Coronary Bypass Surgery: Whether Only Secondary Prevention?].

Background And Aim: The increasing number of coronary artery bypass grafting (CABG) is associated with a need for active introduction of methods improving immediate and long-term results of these interventions. Results of a number of studies conducted during recent years allow to consider high dose statin therapy one of such methods. In this article we present results of rosuvastatin administration to patients with ischemic heart disease (IHD) prior to surgery.

[The Antihypertensive Effect of the Fixed Combination of Amlodipine and Lisinopril in Patients With Coronary Heart Disease After Coronary Artery Bypass Grafting].

Literature data and results of our own register have indicate that hypertension is one of the most common risk factor in patients with ischemic heart disease (IHD) who have undergone coronary artery bypass grafting (CABG). But despite proven benefits of control of hypertension after CABG adherence of patients to corresponding recommendations remains low. Fixed combinations of antihypertensive drugs are associated with better compliance.

[Principles of the treatment of surgical diseases in elderly and aged patients with diabetes mellitus].

Based on his experience of treatment of more than 5000 diabetic patients with surgical diseases, the author describes basic principles of management of these patients before, during and after operation. Combined treatment is based on compensation of diabetes, fluid-and-electrolyte balance and acid-base equilibrium. Blood glucose before operation must be limited to 8.

[Endovascular surgery in patients over 65 with disseminated atherosclerosis of the vessels of the pelvis and lower extremities].

An experience with treatment of 162 patients aged from 65 to 90 years with different kinds of atherosclerotic injuries of the pelvic and lower extremity vessels is described. The method of endovascular surgery (transluminal balloon and transluminal laser angioplasty) were used. Indications for choice of the operative procedures are considered.

[Preoperative determination of the boundaries of soft tissue necrosis in patients with diabetes mellitus].

The authors examined 34 patients with diabetes mellitus and purulent diseases of the soft tissues and 40 persons who formed the control group. The study of local microcirculation in the purulent focus, in a purulent and closed wound by determining the oxygen tension in capillary blood (pO2) established by using an noninvasive method that a real possibility for determining the exact boundaries of tissue necrosis has appeared. This makes it possible to excise optimally the necrotic tissues and choose the techniques of applying primary, primary-delayed or early secondary sutures.

[Evaluation of medical services in public health institutions in experimental setting].

The paper provides an analysis of the results of a socio-hygienic survey of 2099 residents of Leningrad and Novokuznetsk of Kemerovo Region on the state of public health in the course of a comprehensive economic experiment on the introduction of new economic methods of management. Only 5.6 percent of respondents defined the state of public health as good, 54.

[Study of regional blood flow in the prognosis of the process of healing of postoperative wounds].

The authors suggest using the regional blood flow in control over the course of the wound process after various types of laparotomy so as to prognosticate the possibility of suppuration of the postoperative wounds. Examination of 20 patients showed that the regional blood flow values depended on the operative trauma and the character of the inflammatory process in the abdominal cavity. Decrease of the regional blood flow in the wound to 24 ml/min/100 g and lower indicates that purulent inflammation will most probably develop in the postoperative wound.

[Early diagnosis of postoperative intestinal obstruction].

Forty-three patients were reoperated in the early postoperative period. In 27 of them the cause of early relaparotomy was postoperative intestinal obstruction. In 20 of these 27 patients the cause of postoperative obstruction were adhesive lesions.

[Treatment of non-clostridial anaerobic infections in patients with diabetes mellitus in an isolated controlled abacterial medium].

The work presents data on treatment of 28 patients with neclostridial anaerobic infection developed against the background of diabetes mellitus. It was shown that characteristics clinical symptoms of the ailment and express-microscopic examination of the native material from the wound facilitated making the correct diagnosis in most cases without using complicated microbiological and chromatographic investigations.