[Successful treatment of an aortoduodenal fistula after operation on the abdominal portion of the aorta].

Gastrointestinal haemorrhage is a common cause of emergency admission of patients to surgical hospitals. Within the structure of nosological entities, not unreasonably referred to the rarest causes of gastrointestinal bleeding is the formation of an aortointestinal fistula whose early diagnosis is of paramount importance. The clinical picture may be different but it is mostly represented by gastrointestinal haemorrhage.

[Development and assessment of efficacy of L-polylactide matrix for creation of a tissue-engineered vascular graft].

In order to create a tissue-engineered vascular graft we elaborated a matrix consisting of nanofibres of biodegradable polymer L-polylactide. We worked out the methodology of crystallization of the matrix on a rod, making it possible to manufacture specimens possessing strength and deformity characteristics superior to those of native vessels. This was followed by a series of chronic experiments on implanting the elaborated matrix into the abdominal aorta of rats for the duration of up to 16 months.

[Comparative results of surgical treatment of patients with morbid obesity].

It was performed a comparative analysis of treatment of 62 patients who were operated for morbid obesity. Patients were divided into 3 groups depending on kind of surgery: jejunal-iliac intestinal bypass, restrictive operations and combined operations. The complications in early postoperative period were diagnosed in 16.

[Branch No. 2 of the Vishnevskiy Central Military Clinical Hospital No. 3 celebrates the 25th anniversary].

Authors present a short summary about the history of 6th Central Military Clinical Hospital (now - Branch N 2 of the Vishnevskiy Central Military Clinical hospital N3), founded in September 1989. Hospital Branch N 2 is one of the first specialized applied research centres in our country, many highly-qualified, experienced and certified professional work at the hospital; they are proficient in original and unique methods of treatment based on high technologies and capable to solve any problem, even the most difficult, connected with medical rehabilitation of patients. Hospital Branch N 2 is also known as the Centre of orthopaedic and prosthetic aid to disabled servicemen.

[Main ways of improvements of the systems of medical rehabilitation of military servicemen after cardiovascular surgery].

For better improvement of medical rehabilitation referred to effective restoration of functional status of servicemen after cardiovascular surgery it is necessary to introduce standards of medical rehabilitation at all stages of rehabilitation, syndrome-pathologic principle of grouping patients, multidisciplinary organisation of medical activity: cardiologist-physician, specialist of functional diagnostics, specialist of physical therapy, psychotherapist, physical therapeutic, surgeon and specialist of professional rehabilitation. Basic ways of improvement of the system of rehabilitation were organisational technologies of interaction during early and late stages of rehabilitation and persistent control of quality and effectiveness of rehabilitation. Optimization of organisation of late stage of hospitalisation allowed to reduce the average time of rehabilitation to 33,3% and at the same time to improve effectiveness of rehabilitation.