[Optimization of tissue reparation at treatment by Remaxol].

Aim: Studying influence of remaxol on reparative process of tissue reparation in a laparotomy wound.

Material And Methods: 90 patients with the acute appendicitis complicated by local peritonitis in the early postoperative period are examined. 50 patients received traditional therapy.

[The diagnostics of the obstructive jaundice and possibilities to improve the efficacy of its miniinvasive treatment].

The study, which included data of 226 patients with the obstructive jaundice, proved, that the clinical presentation and laboratory tests have secondary role in diagnosing the level of the biliary block. Among diagnostic means of detecting the etiology of the obstruction were the ultrasound investigation (n=268); the magnetic resonance cholangiopanreatography (n=143); the multispiral computed tomograpth (n=119); the endoscopic retrograde cholangiopanreatography (n=187) and the transcutaneous transhepatic cholangiopanreatography (n=69). Flaws and pros of all the methods were thoroughly analyzed.

[The role of radiological methods in complex diagnostics of pancreonecrosis].

The results of treatment of 77 patients with necrotic forms of acute pancreatitis are critically revised. The diagnostic algorithm of pancreonecrosis, consisting of ultrasound, computed scanning, magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography proved to be useful and effective. The Balthazar computed tomography severity index allows to prognose the course of the disease more accurately.

[Diagnostic algorithm in severe acute pancreatitis].

Efficacy of diagnostic algorithm in 164 patients with severe acute pancreatitis based on complex results of ultrasonic examination, esophagogastroduodenoscopy, computed tomography, magnetic resonance pancreatocholangiography and retrograde pancreatocholangiography is analyzed. The results show that this algorithm is highly effective and provides optimal treatment policy, better treatment results and lower lethality in severe acute pancreatitis. Balthazar's score system with calculation of CTSI index in combination with Ranson and Apache II scales raise accuracy of the disease prognosis.