[Use of nickel-titanium alloys in plasty of the anterior abdominal wall].

The work presents results of the surgical treatment of postoperative hernias of the abdominal wall using explants of titanium nickelide in 48 patients. Data of biopsy of the anterior abdominal wall muscles in these patients are given. The anatomo-morphological and functional incompetence is shown.

[Treatment of complete pancreatic ruptures and their complications].

24 victims with complete ruptures of the pancreas underwent operations of the occlusion of pancreatic ducts, distally to the site of injury. There were no lethal outcomes in these cases. 16 patients were examined in follow-up period from 2 to 10 years, no signs of endocrine insufficiency were revealed in any case; moderate exocrine insufficiency was detected in 2 patients.

[Occlusion of pancreatic ducts in pancreonecrosis].

The article deals with the results of treatment of acute experimental necrosis of the pancreas by occlusion of its duct system with Adgenol. This led to authentic reduction of the level of trypsin, amylase, and middle mass molecules and improvement of the microhemocirculation parameters. The microscopic organization in the regional lymph nodes was normalized 3 hours after occlusion of the pancreatic ducts.

[Acute pancreatitis after gastric surgery].

After operation on the stomach in 1,602 patients (3.9% mortality) acute postoperative pancreatitis (APP) developed in 60 of them. Twenty patients died from APP.

[The surgical treatment of malignant tumors of the head of the pancreas and of the periampullary area].

Under analysis are results of pancreatoduodenal resections in 71 patients. In patients with mechanical jaundice lymph drainage with sorption and return of lymph into the vascular bed was used during the preoperative preparation. Occlusion of the duct system of the pancreas stump with glue KL-3 was performed on 62 patients, in 9 patients choledochocholecysto-anastomosis was used in order to improve the quality of the biliodigestive opening.

[Deep hernioplasty through preperitoneal approach].

A total of 1,390 herniotomies for the repair of inguinal hernias were carried out in 1980-1987. In 257 operations the anterior wall of the inguinal canal was reinforced. Recurrences occurred in 11.

[Increasing the effectiveness of lymphosorption in patients with mechanical jaundice].

Drainage of the thoracic lymph duct and lymphosorption used in 120 patients with mechanical jaundice has reduced the degree of hepatic insufficiency in the preoperative period and improved results of operative interventions. This was especially appreciable in a group of patients with a benign mechanical jaundice. Elimination of toxic substances from the lymph during lymphosorption was greater when using a vibration column, sorbent impregnation by sodium caffeine+-benzoate and ethanol treatment of the lymph.

[Surgical tactics in acute cholecystitis].

More active surgical tactics is recommended in acute cholecystitis, which consists in a tendency to solve the question of an emergency operative intervention in the first 24 hours after admittance to the clinic and the performance of postponed operations on the 3rd-5th day. This leads to increase of surgical activity, decrease of the frequency of complicated forms of acute cholecystitis and total and postoperative mortality and postoperative complications, and a shorter period of hospital stay.