Distal sacrectomy for recurrent rectal cancer.

Surgical treatment of recurrent rectal tumors is a challenge for cancer surgeons. Due to the high risk of intraoperative and postoperative complications, such tumors are often considered inoperable. We present a clinical case of 56-years-old male patient with local recurrence and pathological fracture of the sacrum at S5 level to whom en-bloc distal sacrectomy was performed.

DEPRESSION IN THE STRUCTURE OF SOMATOFORM DISORDERS IN CHILDREN, ITS SIGNIFICANCE, THE ROLE OF SEROTONIN AND TRYPTOPHANE IN THE EMERGENCE OF THESE DISORDERS.

The aim of the study - is to investigate the presence of depressive disorders and their manifestation in children with somatoform disorders (SD) from different organs and systems and to establish the role of disorders of serotonin and tryptophan metabolism in their occurrence. 111 children were diagnosed with SD. The average age of children was 13,6±2,3 years, among them boys were 42 (37,8%) and girls - 69 (62,2%).

[Objective intraoperative estimation of state of the intestinal transplant prepared for placing into the perineum in experiment].

The work is devoted to experimental investigation and practical application of the objective intraoperative diagnosis method for the intestinal transplant state estimation, which is prepared for descendence to perineum, using modified pulsoximetric data analyser in environment of experimental modelling of abdominoanal rectal resection, resulting in determination of objective indices of the intestinal transplant vital capacity. The method of operative intervention in experiment on laboratory animals is adduced. The expediency of application of modified pulsoximetric data analyser in colorectal surgery was established.