[Clinical forms and surgical strategy for chronic pancreatitis].

Objective: To analyze treatment outcomes in patients with various forms of chronic pancreatitis.

Material And Methods: We analyzed 434 patients with chronic pancreatitis. These ones underwent 2879 different examinations to determine morphological type of pancreatitis and dynamics of pathological process, as well as substantiate treatment strategy and functional monitoring of various organs and systems.

[Nonstrain seamless hernioplasty trabucco performed in elderly and senile patients with the inguinal hernia].

An analysis of results of "nonstrain" methods of hernioplasty is presented in the elderly and senile patients with the pronounced accompanying pathology in the overwhelming majority of patients (93,5%). The Lichtenstein and Trabucco operations are suggested in these cases. The article describes the technique of "nonstrain" and seamless hernioplasty in detail.

[Laser autofluorescent spectroscopy in the diagnostics of tumor masses in the abdominal cavity].

Laser autofluorescent spectroscopy was fulfilled to 93 patients during laparoscopy. A device of the authors' construction was used for the excitation of autofluorescence and the method of performing laser autofluorescent spectroscopy during laparoscopy is described. Parallel morphological investigations of the affected tissues showed high sensitivity (93.

[Ultrasonography in differential diagnosis of focal liver neoplasms].

Results of diagnosis and treatment of 2576 patients with focal lesions of the liver are analyzed. Differential ultrasound characteristics for all studied types of liver focal lesions are worked out. The effectiveness of the ultrasound investigation amounted for echinococcosis 91-95%, non-hydatid cysts--95.

[Method of laparoscopy in ventral hernia].

A new method of laparoscopy have been designed: a laparoscope is introduced through a ventral hernia. The method can be used in patients with contraindications for a regular laparoscopy. Umbilical hernia with the hernia orifice less than 3 cm is a contraindication for "herniolaparoscopy".

[Diagnostic and therapeutic laparoscopy in acute cholecystitis in middle and old age].

Laparoscopic decompression of the gallbladder in elderly and senile patients having acute cholecystitis and in patients with severe coexistent diseases allows arresting the acute inflammatory process in the gallbladder, reducing the amount of forced operations which are extremely dangerous for this contingent of patients. Sanitation of the gallbladder with the electrolytic silver solution and irradiation of the bladder mucosa with laser is highly effective. Microcholecystostoma performed with a catheter having a diameter not less than 2.

[A method of carrying out ultrasonic dopplerography of the abdominal cavity during laparoscopy and a device for its accomplishment].

Laparoscopic Doppler echography allows detection of early abdominal ischemia, eliminating the need for risky, complicated and labour consuming angiographic tests. With the help of this procedure it is possible to reveal even disorders in the local blood circulation. This procedure is a simple and highly informative method of rapid diagnosis.

[Ultrasonic defectoscopy combined with laparoscopy in the diagnosis of the liver and biliary tract].

A new technique and a device developed by the authors allowed obtaining additional data at panoramic laparoscopy thus promoting valid diagnosis in complicated cases of choledocholithiasis and cholelithiasis+ as well as in parenchymatous abscesses and cysts. The accuracy of the diagnosis rose by 10-15%.

[Silver electrophoresis in the treatment of lactation mastitis].

The results of treatment of 476 patients with lactation mastitis (infiltrative, with abscess formation, phlegmonous) are discussed. The patients were treated by intra-tissue or intracavitary silver electrophoresis and by the commonly applied methods (control group). Treatment by silver electrophoresis alone and, in cases of an abscess cavity, with addition of drip-flow lavage with silver electrolyte improved the results considerably and reduced the term of in-patient treatment to one half as compared to the control group of patients.

[Use of fluorouracil combined with laser irradiation of the pancreas in the treatment of acute pancreatitis].

Direct irradiation by a helium-neon laser of the pancreas in acute pancreatitis potentiates the action of fluorouracil, permits to reduce its dosage, improve the results of treatment.

[Right-sided hemicolectomy using a compression suture].

Results of rightsided hemicolectomy performed in 23 patients using the compression suture with the help of apparatus AKA-2 and apparatus NZhKA-60 supplied with silicon paddings are described. The use of compression sutures have considerably shortened the time of formation of anastomosis and large intestine stump and allowed to standardize the technical methods of the operation. The ideal union of the sutured intestinal walls, antiseptic condition of the operation, high hermetic property facilitated the healing of anastomoses and the stump by first intention.

[Diagnosis and treatment of acute pancreatitis].

In diagnosis of acute pancreatitis of special importance is determination of the activity of transamidinase, phospholipase A, lipase, concentration of copper, calcium and triglycerides in blood serum as well as laparoscopy with biopsy and local thermometry of the pancreas. The dosage of 5-fluoruracil in the complex treatment of patients should be differentiated corresponding to the form of the disease: 3 mg/kg in the endomatous form, 5 mg/kg in the destructive form. The general lethality was 1.