[Microflora of the small intestine in patients with perforating duodenal ulcers].

The toxic phase of peritonitis in patients with perforating duodenal ulcers is accompanied with the development of syndrome of redundant bacterial colonization of the small intestine. However, it is less pronounced than in other forms of intra-abdominal infection. The greatest quantitative growth in all the patients is observed among the species of the family of enterobacteria and aerobic Gram-positive bacilli, the bacterial species dominating in the upper part of the intestine in health being the leading etiological agents of intra-abdominal infection in patients with perforating duodenal ulcers.

[Associated complications of peptic ulcer and their surgical treatment].

Based on an experience with treatment of 269 patients with complicated peptic ulcer the authors came to a conclusion that the most sparing and radical operation was subdiaphragmatic truncal vagotomy with Finney pyloroplasty with lethality of 6.8%. Resection of the stomach and forced palliative interventions such as suturing of perforated and bleeding ulcers resulted in lethal outcomes in more than 50% of them.

[Experience in surgery of diastatic ruptures of the colon].

An experience with treatment of 58 patients operated upon for carcinoma of the colon complicated by acute intestinal obstruction and diastatic perforation has been analyzed, 13 patients had incomplete diastatic ruptures (tears) of the colon. In 23 patients the IV stage of the tumor process (remote metastases) were found and the other 35 patients had the III stage. In early terms after operation 37 (63.

[Surgical treatment of perforative gastroduodenal ulcers in elderly and senile patients].

The work is based on experiences with surgical treatment of 206 elderly and senile patients with perforating gastroduodenal ulcers. In 67.5% of cases the perforations took place in duodenal ulcers, in 16%--in the pyloric canal.

[The Manheimer index as a criterion of the severity of the state of patients with diffuse peritonitis].

The efficiency of the calculated Manheimer index was assessed in 243 patients with diffuse peritonitis. The patients were divided into three groups according to the value of the index. The results were compared with the value of leukocytosis, leukocytic index of intoxication and level of medium molecules in the same patients.