What influences the standards of "quality" of carotid endarterectomy?

This paper analyzes the short-term results of 463 consecutive primary reconstructive operations on the carotid bifurcation based on the standards of "quality". In 383 (82.7%) cases, the patients were operated on for stenosis of the internal carotid artery (ICA); 60 (13%) patients had combination of stenosis and kingking of the ICA and 20 (4.

[Tissue pressure in patients with phlebogenic edema].

This paper describes the results of tissue pressure measurement according to the Emmet technique in the subcutaneous fat at phlebogenic edema in 31 patients with lower extremity varicosity. The changes in the pressure were recorded over a length of 5-10 after needle impaction. The rate of tissue fluid resorption was measured.

The short-term results of internal carotid reconstructions by absorbable suture material.

Analysis was made of the results of 11 internal carotid reconstructions using polydioxanone (PDS) sutures 6 months after intervention performed in 10 patients. All operations on the carotid bifurcation were accomplished using 5/0 PDS continuous suture. Nine eversion carotid endarterectomies and 2 internal carotid reconstructions were performed for Kinkiking.

[Quality of life of patients after antireflux surgery].

The purpose of our research was to study the patients' quality of life after different traditional and laparoscopic, partial--180, 270 and complete 360 surgical operations in cases of diaphragm esophagus hole hernia and the gastroesophageal reflux disease (GERD).

[Dislocation of the closing element of the disk mechanical graft at aortic valve replacement].

Presented herein is the first case of dislocation of the closing element of the artificial low-profile aortic valve to the abdominal aorta, which happened during replacement. Toward completion of extracorporeal circulation a 37-year-old man showed the signs of aortic insufficiency because of dislocation of the closing element. After resumption of extracorporeal circulation repeated replacement was accomplished.

[The impact of cardiac status and arterial hypertension on the results of surgical treatment of patients over 70 years with abdominal aortic aneurysms].

The recent decades were marked by a noticeable growth of the number of patients over 70 years with abdominal aortic aneurysms (AAA). As a rule, in view of the high incidence of coexistent cardial pathology and arterial hypertension in patients of this age group with AAA, the risk of the forthcoming operation may be fairly high. The aim of the work was to study the effect of the initial cardial status of the patients and lesion of the target organs in arterial hypertension on the results of surgical treatment of patients over 70 years with abdominal aortic aneurysms.

[Lower limb chronic venous insufficiency: contemporary problems in diagnosis, classification and treatment].

The paper presents a brief analysis of contemporary problems in management of patients with lower limb chronic venous insufficiency (CVI). During the last decade occurrence of complicated CVI tended to diminish resulting from well-directed efforts in improvement of diagnostic and therapeutic methods, active participation of different specialists in management programs. The paper addresses the questions of assessment planning dependent on CVI manifestation and role of various diagnostic modalities (morphological and functional).

Diagnosis of occlusive lesions of upper extremity arteries in patients with thromboangiitis obliterans.

The study accrued 84 patients suffering from thromboangiitis obliterans (TO) examined and treated at the A.V. Vishnevsky Institute of Surgery, RAMS, over the period 1988 to 2002.

[Vasonit retard in the treatment of intermittent claudication in patients with obliterating diseases of the lower extremities].

This paper deals with an open no incomparable study of the efficacy of vasonit retard in the treatment of intermittent claudication in patients suffering from arterial pathology. The efficacy and tolerance of vasonit retard were investigated for two months at the A.V.

[Perioperative management of focal liver diseases by ofloxacin].

Perioperative use of ofloxacin for prophylaxis was investigated in 20 patients with focal hepatic formations (hemangioma, adenocarcinoma, echinococcosis). First dose of ofloxacin (200 mg) was given intravenously 15 min before operation. After operation ofloxacin was used intravenously (400 mg daily) for 5 days.

[Clinical and laboratory efficacy of the novel difluoroquinolone Sparflo (sparfloxacin) in therapy of skin and soft tissue infections].

Results of clinical trial of new difluoroquinolone--Sparflo (sparfloxacin, Dr. Reddy's Laboratories Ltd) are presented. Sparfloxacin was used in the treatment of 24 patients at the Department of Wounds and Wounds infections (11 patients) and at the Department of burn wounds (13 patients) of the A.

[The clinical laboratory assessment of vancomycin (Edicin) efficacy in treating suppurative wounds of the skin and soft tissues, burn wounds and the infectious complications of burns].

Clinical and bacteriological efficacies of vancomycin (Edicin, LEK) in the treatment of 17 patients with wound infection and 13 patients with thermal affections were studied. The clinical efficacy in the group of the patients with purulent wounds of the soft tissues amounted to 94.1 per cent and that in the patients with thermal affections was 92.

[The survivability time of central nervous system cells].

Our investigations show that vital functions of some neurons and glial cells may survive for 4-8 hours after death and disappear in parallel with destructive changes in cells. Up-to-date morphological techniques demonstrate that neurons and other cells of the CNS preserve biological activity not for several minutes as believed so far but up to 4-8 hours. It is too early to judge about functional importance of this phenomenon and further investigations into this problem are necessary.