[High-frequency insufflation of drug aerosol into abdominal cavity in combined treatment of acute general peritonitis].

Method of treatment of abdominal cavity in acute general peritonitis--high-frequency insufflation of drug aerosol into abdominal cavity--was developed, tested in animals and used in 126 patients. Results of treatment were compared with a standard method of surgical practice--peritoneal lavage. It is demonstrated that the method of high-frequency insufflation promotes a more favorable course of peritonitis, decreases in the number of purulent-septic complications and reduces time and cost of treatment.

[A method of surgical treatment of "difficult" inguinal hernias].

A comparison has been made between the results of 167 hernioplasties performed by generally accepted methods (those by Martynov, Girards, Bassini, Sholdis, Postemsky) and by the method of deep inguinal hernioplasty developed in the clinic for "difficult" hernias. The proposed method eliminates the main shortcoming of M.I.

[The possibilities for preventing adhesive disease after appendectomy].

The authors have developed a method for influencing the altered peritoneum in the area of the inflammation focus by insufflation of medical aerosol at the postoperative period for quicker reestablishment of integrity and physiological function of its mesothelium and fibrinolytic activity which allows the probability of forming commissures in patients after appendectomy to be reduced. Long-term follow-up (up to 3 years) of 61 patients operated upon by the proposed method showed that in 59 of then the results were excellent and good.

[The role of clinical x-ray studies in posttraumatic coagulated hemothorax].

An examination of 89 patients with posttraumatic coagulated hemothorax has shown that the definite roentgen picture corresponds to the characteristic clinical picture of the disease. These clinico-roentgenological signs of coagulated hemothorax are the determining factors in selection of the rational method of treatment. The data obtained show the necessity of early thoracotomy in cases of coagulated posttraumatic hemothorax.

[Therapeutic tactics in pulmonary hemorrhage].

An experience with treatment of 57 patients with pulmonary bleeding (12 of them being operated upon) has shown advantages of complex therapy with controlled hypotony and filling the bronchi. Resection of the lung is performed after arrest or reduction of bleeding. Such tactics has advantages over emergency operations fulfilled "at the height of bleeding".

["Gas syndrome" in closed chest trauma].

The authors describe the mechanisms of development, clinical picture and treatment of the following variants of the "gaseous syndrome": emphysema of the chest wall, acute diffuse interstitial pulmonary emphysema and acute strained mediastinal emphysema.