[Thoracic endometriosis and catamenial pneumothorax].

It was analyzed own experience of diagnosis and treatment of catamenial (menstrual) pneumothorax and thoracic endometriosis and literature review. It is shown that catamenial pneumothorax has specific clinical and instrumental signs allowing to establish the diagnosis before surgery. It was proposed surgical treatment including the removal of trans diaphragmatic way of pneumothorax development, removal of thoracic endometriosis and the establishment of reliable pleurodesis.

[Videothoracoscopic treatment of postoperative bleedings and its' complications by thoracic traumas].

35 patients, operated on the thoracic trauma (ISS - 9±3), had videothoracoscopy on the reason of the continued bleeding (n=6), clotted hemothorax (n=27) or pleura empyem (n=2). The best results were obtained in case of the clotted hemothorax thoracoscopic evacuation within 3 days after bleeding. Even the late use of videothoracoscopic procedures for the treatment of postoperative complications shortens the hospital stay in comparison with the traditional methods.

[The surgical treatment of the pleural empyem].

The treatment results of the 286 patients with pleural empyem after thoracic injuries (n=107) and closed trauma of the pleural cavity (n=179) were retrospectively analyzed. The frequency of pleural empyem was 1.39% by injuries and 1.

[Thoracic ultrasound in penetrating chest trauma: the tactics management].

The thoracic ultrasound for the detection of hemothorax and hemopericardium was performed in 655 patients with penetrating thoracic trauma. Ultrasound findings were compared with the results of surgical exploration. Sensitivity and specificity of ultrasound in detection of hemothorax was 72.

[The preoperative thoracic X-ray for tactical decisions for the thoracic injuries treatment].

Data of 379 patients with penetrating thoracic wounds were analyzed. The pathologic changes on X-ray of the thoracic cavity were registered 239 (63,1%) patients: the hemothorax was diagnosed in 44,3%, pneumothorax - in 26,8% and hemopneumothorax - in 28,9%. 154 patients had videothoracoscopic surgery and 225 patients were operated on using traditional open methods.

[Traumatic gunshot wounds of neck, thorax and abdomen].

Basing on the largest experience in the country, authors characterize the dynamics of growth, localizaton and severity of wounds from traumatic (nonlethal) weapon. Every third victim with neck wound had deep neck structures damage. Open wounds of thorax and abdomen, though performed from traumatic weapon, pose a certain life threat.

[Septic complications of penetrating thoracic injuries].

224 cases of septic complications after penetrating thoracic injuries were analyzed. Pleura empyem was observed in 105 of 7572 patients (overall number of the injured), lung abscess - in 22 cases, pericarditis was diagnosed in 108 patients, costal and sternal osteomyelitis - in 26 and mediastinitis - in 21 patients. Overall frequency of septic complication was 2,96%.

[Shock score and surgical tactics for thoracic injury treatment].

Results of surgical treatment of 216 patients with thoracic injuries were retrospectively analyzed. 111 (51,4%) were operated on with the use of open technologies, whereas the rest 105 (48,6%) patients were treated with the use of videothoracoscopy. Patients were divided into 2 groups according to the shock score value.

[Thoracoskopy in diagnosis and treatment of lung injuries].

The thoracoscopy was used at 150 patients with penetrating wounds of thorax. Severity of injury according to ISS scale was 9.02+/-1.

[Thoracoscopy in the treatment of intrapleural bleeding due to injury of chest wall vessels].

Thoracoscopy was used in the treatment of 141 patients with penetrating wounds of chest. Injuries of chest wall vessels were diagnosed at 68 (48.2%) patients.

[Video-thoracoscopy in the treatment of patients with penetrating wound of the thorax].

Thoracoscopic surgical procedures were used in the treatment of 79 patients with penetrating wound of the thorax complicated by hemothorax. Small hemothorax was diagnosed in 72.1% patients; 56.

[Thoracoscopy in surgery of thoracic wounds].

One hundred and sixty-eight thoracoscopic operations were performed in patients with closed (47.5%) and open (52.5%) trauma of the chest.

[Vertical gastroplasty as a treatment method in morbid obesity].

Since November 1992 in the RRCS. RAMS 38 patients aged 16-61 years (mean body mass 149.9 kg) for obesity of 3-4 grade underwent operation of vertical gastroplasty (VGP) by E.

[Basic principles of surgical policy in complicated chronic pancreatitis].

The paper presents some experience with surgical treatment of 183 patients with complicated forms of chronic pancreatitis. The type of a surgical intervention depended on the pattern of pancreatic morphological changes. Operations of internal drainage of the pancreas in 103 patients with ductal hypertension provide the largest percentage (92.

[Results of use of sandostatin in pancreatoduodenal resections].

From February 1995 to July 1996 pancreato-duodenal resection has been performed in 12 patients in RCS (7 men and 5 women, mean age 53.6 years). The operation was indicated in malignant tumors of the pancreatic head, big duodenal papilla, distal part of common bile tract (9 patients); benign diseases of pancreas (3 patients).

[Biochemical and ultrastructural changes in the periodontium during the chronic administration of pro-oxidant xenobiotics].

Effects of chronic administration of xenobiotics pro-oxidants on the state of periodontal tissues, level of free-radical oxidation of lipids, and antioxidant provision were studied. Diphenin and delagil were found to promote biochemical and morphological changes similar to the manifestations observed in periodontitis. A conclusion is made about an important role of nonenzymatic free-radical oxidation of lipids and biopolymers in the pathogenesis of periodontitis.

[Antioxidant vitamins and age-related retinal dystrophy].

Importance of free radical oxidation in development of age-dependent dystrophy of retina was studied. The newly developed hypothesis of the disease pathogenesis suggests that an increase in the rate of photosensitized free radical oxidation occurred in retina tissue due to a deficiency in reduction equivalents in these patients as well as to a lack of exogenous antioxidants. Complexes of vitamins-antioxidants were advanced for treatment of the patients with sclerotic maculodystrophy.

[Diagnosis and treatment of neoplastic diseases of extrahepatic bile ducts and major duodenal papilla].

Fifty-three operations were conducted on 48 patients for tumors of the extrahepatic bile ducts and the major duodenal papilla. Early diagnosis of this pathological condition is very difficult, which affects directly the results of treatment; 18% of patients underwent radical operations. Modern diagnostic methods--computer tomography, ultrasonic examination, and endoscopic retrograde pancreatocholangiography made it possible to detect neoplastic diseases in all of the examined patients.

[Long-term results in surgical treatment of chronic pancreatitis].

The work analyses 141 patients who were operated on for primary chronic pancreatitis which was caused by alcohol abuse in 84.4% of cases. The patients were divided into 2 subgroups according to the damage to the pancreas: 1--with dilatation of the pancreatic duct (49.

[The role of lipid peroxidation in the pathogenesis of periodontitis].

The authors analyze the role of the factors promoting a disruption of the physiologic antioxidant system, such as nervous stress, hypodynamia, bioantioxidant insufficiency, and inadequate pro-oxidant supply, to the development of peroxidation mechanisms of periodontitis initiation. The suggested concept implies that the general etiologic factors responsible for disruption of the physiologic system of lipid peroxidation inhibition create a background low-level antioxidant protection of the periodontal tissues. Under such conditions the local factors (dental deposit, plaques, microorganisms) conducive to neutrophil migration to the gingiva and gingival fluid lead to a break out of lipid peroxidation in soft tissues of the periodontium; this break out is induced by free radicals (O2- et al.

[Effect of antioxidants on the indices of free-radical lipid oxidation in the testes of rats of different ages and on the reproductive capacity in chronic multiple antioxidant deficiency].

The free-radical oxidation level of lipids in the rat's testicles of different age under the conditions of chronic and multiple antioxidant insufficiency has been studied, as well as the reproductive ability of male rats, kept at the nonantioxidant ration. The increase of free radical oxidation lipids in the testicles of animals with chronic multiple antioxidant insufficiency and the decrease of their reproductive ability has been observed. The antioxidant complex in such conditions had a defensive effect.