[Postoperative reflux in treatment of complicated forms of duodenal ulcer disease].

There were examined 46 patients, in whom operative treatment of perforative duodenal ulcer was conducted. Organ-preserving operations were performed in conjunction with selective proxymal or truncal vagotomy. In far-remote terms after the operation in 12 patients gastrooesophageal reflux have occurred, DeMeester index have constituted 17.

[Electrocardiotherapy using pericardoscopy].

The standard transvenous electrocardiostimulation (ECS) is currently used in many specialized hospitals. The authors offered and launched systematic application of simple but available technique of epymiocardiac ECS using pericardoscopy since middle of 80th. According to this principle, the authors developed some diversities of manipulation which are distinctive due to their availability, reliability and supersafety.

[Combined reconstructive hernioplasty for small and middle-size hernia of the abdominal wall].

The results of prosthetic hernioplasty, performed in 61 patients for a small- and middle-size abdominal wall hernia (AWH) were analyzed. In a control group in 18 (29.5%) patients the IPOM-procedure was applied and in the main group in 43 (70.

[Antihelicobacteric therapy for the patients with recurrent complicated postoperative gastroduodenal ulcer: indications, principles of conduction, efficacy].

After performance of organ preserving operations the cytotoxic stamms of H. pylori were revealed in 47 (94%) patients with recurrent ulcer. after gastric resection--in 27 (58.

[Treatment of trophic ulcers using the method of constant vacuum extraction].

The results of application of constant vacuum extraction, a new method of the lower extremities trophic ulcers treatment, are adduced. There was shown the method efficacy in the treatment of the varicose disease complications, there were noted the reduction of the wound healing terms in comparison with such using conventional methods of treatment, the advantages and peculiarities of the method as well.

[Regional blood flow in stomach in duodenal ulcer disease complicated by under-compensated or decompensated gastric exit stenosis].

The state of the gastric mucosa regional blood flow and microcirculation in 148 patients with duodenal ulcer disease, complicated by sub-compensated or decompensated stenosis of gastric outlet, was studied. The lowering of indexes in various parts of stomach, along curvature minor especially, was revealed. These date substantiate the necessity of application of the organ-preserving operation with the ulcer excision and the dilating pyloroduodenoplasty performance in late stage of stenosis.

[A method for determining the tonus of the stomach wall in patients with duodenal peptic ulcer complicated by organic pyloroduodenal stenosis].

Method of gastric wall tone determination before the operation in patients with gastroduodenal ulcer disease, complicated by pyloroduodenal stenosis (PDS) was elaborated. There were examined 86 patients with sub- and 62 with decompensated PDS using method of electrogastrography and of the intragastric pressure registration--using method of the opened catheter. Three degrees of the gastric motor function disorder were delineated.

[Surgical treatment of thoracic esophageal obstruction of neoplastic genesis].

The results of operative treatment of 126 patients with esophageal cancer, localized on different level, were analysed. In 73 of them the thoracic esophagus affection was revealed. Radical operations were performed in 46 and the palliative--in 27 patients.

[Translocated gastroduodenal anastomosis in surgical treatment of penetrating duodenal ulcer].

The method of operative treatment of complicated duodenal ulcer disease consisting gastroduodenostomy, translocated by 3-4 cm medially and lower from the ulcer crater and strengthened by a spur on a small curvature side.

[Aspects of excision of the perforative duodenal ulcer complicated by penetration and stenosis].

The results of treatment of 259 patients with perforative duodenal ulcer, complicated by penetration and stenosis, were analysed. The original methods of ulcer excision are proposed. Excellent and good late follow-up result was noted in 159 (84.

[The comprehensive prevention of suppurative wound infection in the postoperative period in diabetic patients].

The strict acceptance of the radicalism principles while the purulent inflammation origin eliminate, an accurate sanation and early placement of suture on the operation wound, its adequate and active drainage in combination with expedient local with the help of foamy aerosol "Dioxizol" and stable compensation of hyperglycemia, correction of the homeostasis disorders are necessary in the treatment of diabetes mellitus patients with local purulent-necrotic disease of the soft tissues.

[Use of different methods of quantum hemotherapy in the treatment of suppurative wounds in middle-aged and aged patients].

The experience with the use of the different methods of quantum hemotherapy in the treatment of elderly and senile patients with purulent-inflammatory diseases of the soft tissues has been summarized. Comparative characteristic of their effectiveness is presented. The authors consider the most expedient the use of intravascular quantum hemotherapy and combined methods.

[Analysis of the outcome in surgical treatment of cancer of the organs of the pancreatoduodenal region].

The surgical treatment results of the hepatopancreatoduodenal zone cancer in the clinic from 1987 till 1992 are adduced. Of 91 operated patients in 31 of them the radical or conditionally radical operations were done. The modifications of their own of conventional methods were applied.

[Combined selective proximal vagotomy in the surgical treatment of duodenal ulcer].

Preservation of adequate blood supply to a gastric wall and resistance of mucosa of the gastroduodenal region with simultaneous full-value parasympathetic denervation of its acid-producing zone in performance of selective proximal vagotomy contributes to decrease in incidence and pronouncement of ischemic disorders in motor-evacuatory function of the stomach at the early postoperative period, effective and stable reduction in acid production, shortening of duration of the postoperative treatment and rehabilitation of the patients, prophylaxis of ulcer recurrences.

[The immune protection of the gastroduodenal area after the surgical treatment of duodenal peptic ulcer].

The complex study of the indices of local immune and natural resistance in the parietal mucus of the gastroduodenal zone and general immunity in 174 patients with duodenal ulcer disease before and after surgical treatment was performed. Pronounced suppression of local immunity, presence of autoimmune processes having influence on its indices were noted. After the organ-preserving operations with an ulcer excision, the immune indices restored more rapidly than after gastric resection and vagotomy without an ulcer excision.

[Serum gastrin level after surgical treatment of duodenal ulcer hemorrhage].

The serum gastrin content in patients with ulcerous duodenal bleeding was studied in the process of surgical treatment. A significant decrease in the hormone concentration with increase in the volume of acute blood loss was noted.

[Status of the protective mucous barrier of the stomach after organ-sparing operations for duodenal ulcer].

A protective mucous barrier of the stomach was studied in 153 patients with duodenal ulcer disease. Before the operation in 70 patients, decrease in concentration of protective factors of gastric mucus, especially in complicated form of ulcer disease was noted. More complete restoration of a protective barrier was noted after organ-preserving operations with excision of ulcerous substrate (in 54 patients) than after those without its excision (in 29).

[Organ-preserving operations in the treatment of retroampullary duodenal ulcers].

The authors treated 106 patients with retroampullary duodenal ulcer. Resections were performed in 16, the organ-preserving operations--in 89 patients. In 58 (64.