[The late results of operations on the sympathetic-adrenal system for hypertension].

An examination of 41 patients within the period from 6 to 21 years after operation on the sympathoadrenal system for progressing hypertonic disease has shown a stable hypertensive effect of operative interventions even in the group of patients with the 3rd degree of the disease, which allows to recommend including them in the complex of measures for correction of arterial hypertension resistant to pharmacotherapy.

[Diagnosis and surgical treatment of chromaffin tumors of the adrenal glands].

The diagnosis and treatment of chromaffin-cell tumors of the adrenals in 20 patients are discussed. The late-term results were studied in follow-up periods of 2 to 20 years. In establishing the diagnosis the main attention was focussed on the clinical manifestations, ultrasonic examination, and tests for catecholamines in the urine.

[Corticoid secretion and patho-histological changes in the adrenal glands in hypertension].

Hydrocortisone, 11-hydroxycorticosteroids and aldosterone were measured in 74 patients with a history of surgery on the sympathoadrenal system for stable essential hypertension. Morphologic structure of the sympathetic ganglia of the celiac plexus and adrenals removed during surgery was under study. The studies have revealed a relationship between pathohistologic changes in operation material and adrenocortical functional activity.

[A method of sympatho-adrenalectomy in the treatment of severe forms of hypertension].

The method of operative interventions on the sympathoadrenal system proposed by the authors for the persistent hypertonic disease tolerant to pharmacotherapy results in a decrease of pressor neuroreflectory and adrenal adrenergic influences on the vascular tone. Good hypotensive effects were noted in remote postoperative terms in 81.2% of patients with the 2nd degree of the disease, and in 54.

[Results of the surgical treatment of hypertension].

Long-term results of the surgical treatment of 67 patients with hypertensive disease are analyzed. Persistent decrease of the arterial pressure normalization and considerable improvement of the contractive ability of the myocardium and peripheral hemodynamics in most of the patients show the involution of manifestations of hypertensive disease after performing operative procedures on the sympathoadrenal system.