[Treatment of perforated gastroduodenal ulcers].

Results of treatment of 751 patients with perforated gastroduodenal ulcers are analyzed. In addition to routine tests, ultrasonography, computed tomography and laparoscopy were used to diagnose difficult cases. The optimum surgical aids are chosen by taking into account the interval between the onset of perforation and admission, a history of peptic ulcerous, the pattern of peritonitis, age, comorbidity, and surgical findings.

[Surgical treatment of elderly patients with acute cholecystitis].

The experience with surgical treatment of 136 elderly and senile patients with acute cholecystitis has been summarized. In presence of pronounced concomitant pathology and reduced adaptation-compensatory resources of an organism, the authors consider microcholecystostomy to be a method of choice. The use of this method permits to improve the results of surgical treatment and decrease the postoperative lethality.

[Use of transfusion of cryopreserved allogenic bone marrow for the treatment of suppurative septic complications of acute appendicitis].

In diagnostic study of the immunocompetent system in 36 patients with purulent septic complications of acute appendicitis, the immunodeficient state has been revealed. Inclusion into the complex of treatment of transfusion of the cryoconservated bone marrow from a cadaver contributed to accelerated normalization of the immunocompetent system, shortening of the time of wound cleaning from necrotized tissues and its healing, duration of the period of rehabilitation of the patients.

[Importance of immunologic protection factors in predicting the development of purulent septic complications after appendectomy].

In 66 patients with acute appendicitis, the immunocompetent system was studied in dynamics, significant decrease in all the parameters considered before and at different time after the operation was revealed. In patients with complicated forms of the disease, disorders in immunity were more pronounced, and didn't disappear by the moment of clinical recovery. Sharp reduction (more than 40-50%) of both humoral and cellular links of immunity by day 1 and 3 after the operation can be used as an early prognostic sigh of the development of a postoperative wound suppuration.

[Results of the surgical treatment of diseases of the esophagus and cardia].

The experience with treatment of 21 patients with diseases of the esophagus is presented. Of them, 16 were operated on for cancer of the esophagus and cardia. The author considers the operative interventions performed with the use of a combined abdominothoracic approach as the most rational ones in cancer of the abdominal esophagus.

[State of nonspecific reactivity in patients with strangulated hernias after surgery].

The analysis of the results of treatment of 466 patients with incarcerated hernias of different location is given. The changes in homeostasis, depending on the aggravating destructive changes in the incarcerated intestinal loop, have been studied.

[Echography and cholecystography in the diagnosis of chronic calculous cholecystitis].

Operated on was 231 patient with chronic recurrent cholecystitis caused by cholelithiasis. Sonography (SG) was performed in 176 patients, cholecystocholangiography (CCG)--in 55. The advantages of SG over CCG were revealed.