[Interpretation of recommendations of European Association of Herniologists for the problems of inguinal hernia treatment].

The interpretation of the main rules of the European Association of Herniologists (EAH) and the materials of the Fourth International Congress of Herniologists in Berlin (9-12th of September 2009) is adduced, taking into account the views of clinic, owing experience of treatment of 2500 patients, suffering inguinal hernia. The recommendations proposed have a chance to become a basement document for doing correction and standardization of protocols for medical staff training and the national standards elaboration concerning inguinal hernias treatment. Their overview and putting changes into them are planned for 2012 yr.

[Modern approaches for the choice of open-access method of plastic surgery for recurrent inguinal hernia].

Retrospective analysis of the treatment results concerning 272 patients, who have suffered recurrent inguinal hernia and were operated on in the clinic for the period of 1999-2009 yrs, was done. The need for preperitoneal plasty of inguinal canal performance for recurrent inguinal hernia, using extrainguinial access to hernia defect, was noted. This procedure lowers therisk of iatrogenic injury occurrence of anatomic structures of inguinal canal.

[Surgical treatment of primary multiple tumoral lesions of the large intestine].

Experience of treatment of 37 patients, suffering primarily-multiple cancer of large intestine, including 17--with synchronous and 20--metachronous tumors, and an acute obturational ileus of large intestine, is presented. There was conducted the analysis and peculiarities of surgical tactics suggested as well as various methods of such patients treatment were determined. The investigation results trust the necessity of application of individual perioperative tactics in patients, suffering primarily-multiple tumors of large intestine leading to achieve better outcomes of their surgical treatment.