[Open alloplasty of postoperative ventral hernias].

Early and long-term results of the open ventral postoperative hernia alloplasty in 118 patients have been analyzed. The onlay and sublay techniques of the hernioplasty have been employed. The frequency of complications, local status and quality of life were studied a year after the operation.

[Postoperative complications after inguinal PHS hernioplasty using PHS and lichtenstein hernioplasty].

Immediate and delayed results of inguinal hernioplasty with the use of PHS and Lichtenstein hernioplasty in 228 patients are reported. It is concluded that inguinal hernioplasty with PHS and Lichtenstein hernioplasty do not significantly different in terms of the frequency of postoperative complications and relapses. Seroma occurred less frequently after PHS hernioplasty (a = 0.

[Effectiveness of duspatalin therapy in the treatment and prevention of post-cholecystectomy syndrome].

Results of evaluation of the efficiency of myotropic spasmolytic Duspatalin during long-term therapy and preventive treatment of functional post-cholecystectomy syndrome are presented. The influence of the treatment on manifestations of clinical symptoms, quality of a life estimated based on a visual-analog scale, and intestinal microbiocenosis (changes in the activity of short-chain fatty acids) are discussed.

[The role of biliary decompression and correction of dysbiosis in the treatment of obstructive jaundice].

The article providing in-depth analysis of pathogenesis of obstructive jaundice shows that this disease is manifest not only as changes at the hepatic level (cholestasis, cholehemia, cholangitis, cholangio- and lymphovenous shunts, hepatic encephalopathy) but also as marked dysbiotic disturbances due to anacholia and toxic metabolites that cause bacterial translocation and endotoxemia complicating liver insufficiency. Based on the literary data and original observations, a new scheme for the treatment of obstructive jaundice is proposed including simultaneous correction of both components of hepatoenteric turnover, also, it permits to improve the outcome of the postoperative period.

[Efficiency of combined endoscopic hemostasis in patients with peptic ulcer complicated by hemorrhage].

Results of endoscopic application of collagenous preparation thrombocol to the ulcer are presented. It is maintained that combined treatment of patients with peptic ulcer complicated by hemorrhage including endoscopic hemostasis (EH) and eradication therapy improves its outcome. Specifically, combined EH (adrenalin injection and subsequent application of thrombocol to the ulcer) reduces the frequency of recurrent hemorrhage and the need in urgent surgical intervention in patients with active hemorrhage (F Ia, Ib).

[Endovenous laser photocoagulation for the treatment of varicose vein disease of the lower extremities].

Varicose vein disease of the lower extremities is a challenging socio-medical problem because it is responsible for high disability rate and requires substantial expenditures. According to different authors, the disease occurs in 10.4-23.

[Endoscopic subfascial dissection of perforating veins of lower legs in patients with venous ulcers].

Prospective analysis of the results of endoscopic subfascial dissection of perforating veins of lower legs in 68 patients with venous ulcers is presented. Four patients developed postoperative wound infection. Mean duration of hospitalization was 4.

[Helicobacter pylori in patients with bleeding ulcer].

The diagnostic sensitivity of the polymerase chain reaction (PCR) and urease respiratory test (URT) in H. pylori infection are compared. The efficacy of H.

[Rhythmic pneumocompression for treatment of patients with chronic obliterating diseases of the lower-limb arteries].

A total of 68 patients suffering from chronic obliterating diseases of the lower-limb arteries (CODLLA) under-went treatment with rhythmic pneumocompression (RPC) in the descending <> mode with a simultaneous relief of pressure in the sections of the cuffs. The values of the pneumatic action exceeded the APS determined on the shoulder by 10-20 mm Hg. The therapeutic course consisted of 10-15 sessions.

[Diagnosis and treatment of Helicobacter infections in patients with stomach ulcer associated with hemorrhage].

Diagnosis and treatment of stomach ulcer associated with helicoid-bacterial infection and with hemorrhage are discussed in the paper. The many-year observations show that the risk of relapsing hemorrhage is high in patients with the above diagnosis. Eradication of the causative agent by using the modern therapeutic schemes cuts significantly the rate of such relapses.

[An analysis of the strain homogeneity of parietal biotopes of the gastrointestinal tract].

The lumen and parietal biotopes of the human gastrointestinal tract were investigated, i.e. the antibiotic sensitivity of strains E.

[The parietal mucin microbial population in different sections of the human gastrointestinal tract].

Microbiological examinations of the human-colon parietal mucin were made in different sections of the human gastrointestinal tract (GIT). Biopsy samples of the human colon mucus tunic were used as the research material. Convincing data were found by research on the importance of the anatomic-and-morphological factor in shaping-up of microbiocenosis of the colon-wall parietal mucin.

[A study of the human parietal gastrointestinal tract microflora in health and disease].

An original technique was used to investigate the human colon mucin in different pathologies of gastrointestinal tract. The microbial pattern of the biotope in question was found to be dependable on a morphological-and-functional condition of the intestinal wall. It is noteworthy, that not only its quantitative and qualitative composition but also the nature of the inter-microbe relations and the "specific content" of microbes are subject to changes.

[Parital microflora of human intestine].

The modified method of the microbiological study of parietal mucin has been developed. The proposed method makes it possible to evaluate the parietal microflora of the intestine. The advantages of using physiological saline and Hanks' solution as medium ensuring the storage and self-thinning of mucin have been proved.

[Descending rhythmic pneumocompression as a medical treatment of atherosclerosis obliterans].

About 2 percent of the population of the world suffers from atherosclerotic lesion of the lower extremity arteries. However, the treatment of this pathology is an unsolved problem so far. The authors used a method of rhythmic pneumocompression for medical treatment of patients with chronic arterial insufficiency due to lower extremity vascular atherosclerosis obliterans.

[Prevention of lithogenesis in cholecystitis].

To treat and prevent cholelithiasis is one of the pressing problems facing modern medicine. A Vega MPT-705 apparatus was used to treat 52 patients with different forms of cholecystitis. Matrix regenerating therapy that had effects at cellular and subcellular levels was found to arrest an acute inflammation in the gallbladder wall, to normalize the physicochemical parameters of bile.

[Prevention of breast cancer].

Analysis of 60 Russian and foreign publications demonstrated that the incidence of breast cancer and socio-biological characteristics of this disease necessitate improvement of methods for its prevention and treatment. Factors significantly increasing the probability of breast cancer are analyzed. Risk groups in need of thorough prophylactic examinations and treatment can be formed on the basis of these data.

[Experience in using prolonged normovolemic hemodilution in patients with diabetic angiopathies of the vessels of the lower extremities].

Prolonged normovolemic hemodilution (PNH) was shown to be highly effective in treatment of 87 patients with diabetic angiopathies of the lower extremity vessels. The frequency of specific and nonspecific complications after amputations and the number of reamputations were considerably lower. PNH allowed performing restricted, little-traumatic amputations, facilitated healing of trophic ulcers and pyonecrotic foci.

[Prolonged normovolemic hemodilution in therapy of patients with obliterating endarteritis of lower limb vessels].

The response to prolonged normovolemic hemodilution in 101 patients with obliterating endarteritis of the legs manifested as pain relief in 84.2%, complete or partial healing of trophic ulcers in 82.9 and 17% of cases, respectively, remission from stage III to stage II, from stage II to stage I in 47% and 37.

[Surgical treatment of varicose veins of the lower extremities in a polyclinic].

The authors discuss the results of 40 operations carried out in the outpatient clinic for varicosity of the lower limb veins. The number of complications did not exceed that in operations performed in the inpatient clinic. The home conditions, the absence of a possible intrahospital infection, and the increased motor activity help in rapid rehabilitation of the patients.

[Pre- and postoperative treatment of trophic ulcers in a controlled germ-free environment].

Pre- and postoperative treatment was conducted in 140 patients with trophic ulcers in a controlled abacterial medium in the period from 1985 to 1988. The etiological factor of the development of the trophic ulcer was primary varicosity in 86 (61.4%) and the post-thrombophlebitic syndrome in 54 (38.

[The use of sodium chloride baths in the combined treatment of trophic ulcers of the lower extremities].

The use of sodium chloride baths for preoperative treatment of lower-limb trophic ulcers in 60 patients relieved the pain of the ulcer, enhanced repair processes. Epithelialization occurred in 9 patients. The duration of the hospital stay and the number of postoperative complications reduced.