[Small bowel volvulus due to a giant mesenteric lipoma].

Mesenteric lipomas are very rare. They are asymptomatic in most cases, but some patients can develop certain complications such as small bowel volvulus and acute small bowel obstruction. We report a 78-year-old patient with giant mesenteric lipoma complicated by jejunum volvulus and acute small bowel obstruction.

[Isolated splenic metastasis from colorectal cancer].

Splenic metastases are a rare finding and usually associated with advanced cancer. At the same time, isolated splenic metastases are an exception. The authors report a 62-year-old woman with isolated splenic metastasis from colon carcinoma in 28 months after surgery.

[The possibilities to improve the outcomes in patients with colon cancer complicated by acute obstruction].

Aim: To improve the outcomes in patients with colon cancer complicated by acute obstruction via development of combined and complex treatment strategies.

Material And Methods: We observed 442 patients with colon cancer complicated with acute obstruction. Original classification and diagnostic algorithm were applied.

[Diagnostic and treatment program in acute adhesive obturative obstruction of the small bowel].

Clinical classification of acute adhesive obturative obstruction of the small bowel is presented. Four stages of acute obstruction are distinguished. The proposed treatment and diagnostic program permitted to predict the course of obstruction, specify indications for surgical and conservative treatment, determine the terms of preoperative preparation.

[Surgical rehabilitation of patients with intestinal stoma].

The results of treatment of 145 patients with different type of intestinal stoma created due to urgent abdominal diseases were analyzed. The analysis of rate and nature of postoperative complications in the control group (67 patients) revealed risk factors of postoperative complications and suggested prophylactic measures during all stages of stoma creation and closure. Individual surgical policy reduced number of complications from 34.