[The factors affecting the results of mechanical jaundice management].

Aim: To improve the results of obstructive jaundice management by rational diagnostic and treatment strategies.

Material And Methods: Outcomes of 820 patients with obstructive jaundice syndrome were analyzed.

Results: Diagnostic and tactical mistakes were made at pre-hospital stage in 143 (17.

[THE GEPATOPANCREATOBILIARY SYSTEM AFTER CHOLECYSTECTOMY].

The article presents the results of a survey of 72 patients who underwent cholecystectomy in 2008-2010. 5 years after cholecystectomy were revealed the changes in the organs of the gastrointestinal tract caused by loss of the physiological function of the gallbladder: half of patients--had increasing fasting blood sugar and duodenal reflux, in 46% of patients--were reduction of pancreatic elastase-1 in stools. According to the fractional duodenal intubation prevails hypersecretory type of bile, 35%--hypotonia, in 45%-- hypertonicity of the sphincter of Oddi.

[Autodermal-monophylic plasty of postoperative ventral hernias].

In the clinic of general and urgent surgery of Kazan Medical Academy in the period 1998-2002 operations were performed on 160 patients with great and giant postoperative ventral hernias. Four variants of autodermal-monophyl plasty were used: contact suturing of the hernia defect margins with strengthening the line of sutures with a autodermal-monophyl flap, autodermal lacing, skin flap armoured with an monophyl thread, and a skin flap crimped with an monophyl thread. The results of the operative treatment were complicated by lymphorrhea in 8 patients, thromboembolism in 4 patients (with lethal outcome in 2 cases).

[Methodological aspects of laparoscopic sanitation in patients with diffuse peritonitis].

In 60 patients with acute diffuse peritonitis 103 laparoscopic sanitations of the abdominal cavity were performed. The personal experiences, investigation of hydrodynamic parameters and peculiarities of redistribution of liquid in the abdominal cavity affected by pneumoperitoneum were used by the authors for developing a method of the sanitation using an irrigation-aspiration device "Brusan". Experimental investigations in 50 rats were carried out for studying the degree of traumatic action on the stomach of different variants of sanitation of the abdominal cavity.

[Clinical efficacy of using ximedon in surgical practice].

Results of clinical trial of the new pyrimidine derivative--ximedone are presented. The drug was administered per os 0.5 g x 4 times a day (0.