[Surgical treatment of injuries of the vertebral artery].

Surgical treatment of injury to the vertebral artery is one of the most difficult problems of modern vascular surgery. Six operations were carried out for injury to the vertebral artery at the Department of Vascular Surgery of the Tashkent Research Center of Surgery, Uzbekistan. In 3 patients the artery was ligated at the orifice.

[Diagnosis and treatment of mediastinal neoplasms and cysts].

Possessing experience in the treatment of 314 patients with tumors and cysts of the mediastinum, the authors discuss problems of their diagnosis and surgical treatment. The patients' ages ranged from 7 to 64 years. Tumors were recognized in 216 (68.

[Characteristics of the blood flow in the vertebral artery before and after the surgical treatment of the proximal segment of the subclavian artery].

The features of the blood flow in the vertebral artery were studied by ultrasonic dopplerography with functional test for reactive hyperemia in 52 patients. The authors claim this to be an objective screening method allowing the sequelae of occlusion of the vertebrosubclavian segment to be studied and providing information for establishing the diagnosis and appraising the efficacy of reconstructive operations.

[Characteristics of the course of gastroduodenal ulcer and its surgical treatment in elderly patients].

The authors analyze in detail the literature on the subject and the results of treatment of 234 patients over 60 years of age. It is confirmed that peptic ulcer in elderly and old-aged individuals has some specific features. The mortality rate after planned surgical interventions for gastric and duodenal ulcer in patients over 60 years was 5.

[Atypical shunting operations in occlusions of the aorta and iliac and femoral arteries].

The results of 110 operations for atypical shunting in occlusions of the aorta and the iliac and femoral arteries are analysed. The authors suggest modifications of operations for transverse femoro-femoral shunting with the use of venous autografts. Shunting of lower limb arteries from the branches of the arch of the aorta made it possible to preserve the limb in 58.

[Giant stomach ulcers].

The authors analyse the results of endoscopy in 127 patients and clinical observations over 98 patients with giant ulcers of the stomach. The study provided evidence of the low frequency of giant ulcers, their marked polymorphism, and tendency to bleed and degenerate. These ulcers do not differ from the usual ulcers in the values of the secretory activity of the stomach and the duodenogastric reflux, but possess characteristic morphologic criteria.

[Corrective and reconstructive operations in post-vagotomy syndromes].

Among 322 patients with postvagotomy syndromes who were examined by the authors, 133 were subjected to reconstructive and corrective operations. Most of the patients (73.7%) who underwent surgery for the second time suffered from peptic, recurrent, and persisting ulcers due to vagotomy.

[Therapeutic procedures in the middle lobe syndrome].

From study of the case records of 113 patients with isolated affection of the middle lobe or lingular segments of the left lung the authors believe that nonspecific inflammatory diseases of the lungs are the most frequent cause of the development of the syndrome. Tomography and bronchography of the involved lung play the principal role in the diagnosis of the middle-lung syndrome. The etiological factor is verified by the findings of tracheobronchoscopy.

[Surgical treatment of total anomalous drainage of the pulmonary veins].

The article discusses the results of radical correction of total anomalous drainage of the pulmonary veins in 5 patients; 4 had the supracardial and 1 patient--the cardial type of the anomaly with drainage of all pulmonary veins into the coronary sinus. Some details of the surgical intervention are described; some findings of the examination in late postoperative periods (2.0 +/- 1.

[Endoscopy in the evaluation of rare forms of gastric ulcers].

The endoscopic examination made in 49309 patients with long standing "gastritis" history has revealed 1476 patients (2.99%) with ulcers of gastric localization. The diagnosis of ulcer disease of the stomach had been previously established only in 17.

[Ways of preventing dumping syndrome after surgical treatment of stomach and duodenal ulcer].

An analysis of results of the examination and surgical treatment of 310 patients have shown that in patients with high predisposition to dumping-syndrome the following operations should be used: Billroth-I resection of the stomach (for gastric ulcers), selective proximal vagotomy or vagotomy with draining operations (for duodenal ulcers). Indications for the above operations should be determined with special reference to the state of the secretory and motor-evacuatory function of the stomach.

[Recurrent peptic ulcer after vagotomy].

The examination of 38 patients with recurrent and peptic ulcers after vagotomy (reconstructive operations were fulfilled in 25 out of them) has established that the main cause of recurrent and peptic ulcers developing after vagotomy is the preserved elevated secretory activity after operation and high content of gastrin in the blood. Surgery is thought to be the main method of treatment of such patients.

[Echography and cholescintigraphy in the diagnosis of calculous cholecystitis].

The authors note high significance of results of echocholescintigraphy in diagnosis of acute and chronic calculous cholecystitis. Preoperative echographic diagnosis of destructive changes in the gall bladder wall was shown to be possible.

[Reconstructive surgery of the terminal aorta and arteries of the lower limbs in patients over 60].

The authors made an analysis of the treatment of 112 patients aged over 60 with occlusive lesions of the aorta and main arteries. Unilateral reconstructions were performed in 92 patients with lesions of the aorto-iliac segment, as less traumatic operations with involvement in the blood flow of deep femoral artery with femoro-popliteal occlusions. Total postoperative lethality was 9,8%.