[Spontaneous rupture of the esophagus in a patient with chronic obstructive pulmonary disease].

A case report of successful surgical treatment of spontaneous rupture of the esophagus in a patient with chronic obstructive pulmonary disease, bronchial asthma and obesity is presented. Rupture of the esophagus occurred during a coughing without vomiting.

[Optimized approach to the surgical treatment of patients with large and giant postoperative ventral hernia].

Objective: To optimize surgical approach in patients with large and giant postoperative ventral hernias through an analysis of early and long-term results of modern techniques of hernia repair.

Material And Methods: There were 680 patients with postoperative ventral hernia over a 15-year period who underwent surgery in the Sklifosovsky Research Institute for Emergency Care and Medical Unit of the Ministry of Internal Affairs (445 (65.4%) women, 235 (34.

[Laparoscopy in emergency abdominal surgery].

Objective: To evaluate the possibilities of laparoscopy in the diagnosis and treatment of acute abdominal surgical diseases.

Material And Methods: A retrospective analysis of laparoscopic procedures in 4655 patients with confirmed or suspected acute abdominal surgical diseases for the period 2008-2017 was performed. Laparoscopy was applied to confirm or to determine unclear diagnosis.

[Magnetic resonance imaging for diagnosis of acute appendicitisin pregnant women in multi-field hospital].

Objective: Tooptimize MRI protocol in pregnant women with suspected acute appendicitis.

Material And Methods: There were 44pregnant women (gestation period 11 - 36 weeks)with suspected appendicitis.

Results: Fat-suppressed T2-weighted and diffusion-weighted imaging (DWI) was the most valuable to diagnose inflammation of appendix and surrounding tissues.

[Blunt abdominal trauma with intestinal damage].

The last decades are characterized by advanced incidence of injuries with the share of abdominal injuries 1.5-18%. Blunt abdominal trauma is characterized by high incidence of complications and mortality due to severity of injury of internal organs and difficult diagnosis.

[Diagnosis and treatment of suppurative mediastinitis - a special chapter in the history of surgery (in Russian only)].

It was reviewed a history of diagnosis and treatment of suppurative mediastinitis from ancient times to our time depending on inflammation type, localization and clinical features. An important role of national surgical school in the development of surgical treatment was emphasized.

[Treatment of postoperative ventral hernias in recipients of solitary organs].

Aim: To perform retrospective analysis of treatment of postoperative ventral hernias (PVH) in kidney and extrarenal organs recipients, to assess its safety and effectiveness.

Material And Methods: Hernia repair has been performed in 84 PVH patients for the period from May 2006 to November 2017. The main group consisted of 41 patients (24 males, 17 females, mean age 55 (44; 59)) years with PVH due to previous transplantation.

['Proper conduit' technique for chronic critical lower limb ischemia].

The authors describe the technique of using autologous superficial femoral artery after endarterectomy for redo vascular surgery in case of unusable great saphenous vein.

[Postoperative ventral hernia - unsolved issues of surgical tactics].

Currently, there is no unified opinion on some problematic issues of surgical treatment of postoperative ventral hernias. Current approaches and surgical aspects of primary and recurrent postoperative ventral are reviewed in the article.

[Laparoscopy for perforated gastroduodenal ulcers].

Aim: To assess laparoscopy in diagnosis and treatment of patients with perforated gastroduodenal ulcers.

Material And Methods: There were 273 patients with perforated gastroduodenal ulcers who underwent laparoscopy at the Sklifosovsky Research Institute for Emergency Care in 2010-2016. Sample included patients with clinical and instrumental diagnosis of perforated gastroduodenal ulcers, suspected hollow organ perforation including perforated ulcer and other acute abdominal diseases followed by perforated ulcer.

[Ileocecal intussusceptions].

Aim: To present treatment of patients with ileocecal intussusception.

Material And Methods: There were 3 patients with ileocecal intussusception for the period from June 2016 to August 2017.

Conclusion: Abdominal sonography is main diagnostic method for intestinal intussusception.

[Ectopic ACTH-syndrome caused by neuroendocrine tumor of lung].

Ectopic ACTH-syndrome is a relatively rare neuroendocrine disease. It is characterized by hypercortisolemia-associated severe complications that justifies need for timely diagnosis and radical therapy. Case report of young patient with ACTH-producing lung tumor is presented.

[Preventive anterior abdominal wall repair in recipients of renal allograft].

Aim: Retrospective analysis of safety and efficacy of preventive anterior abdominal wall repair in recipients of renal allograft.

Material And Methods: Kidney transplantation was performed in 396 patients with terminal renal failure within January 2015 - May 2017. Preventive endoprosthetics (PE) was applied in 28 (7.

[Minimally invasive treatment of rare forms of mechanical intestinal obstruction].

Aim: To develop medical algorithms for reduction of morbidity and mortality in rare forms of mechanical intestinal obstruction.

Material And Methods: 17 patients with mechanical intestinal obstruction have been operated in Sklifosovsky Research Institute for Emergency Care for the period 2010 - 2016. There were 13 women and 4 men aged 56 (44,5-74,5) years on the average.

[Ruptures of popliteal artery aneurysms].

Aim: To improve diagnosis and surgical outcomes in patients with ruptured popliteal artery aneurysm.

Material And Methods: Eight patients with ruptured popliteal artery aneurysm have undergone surgery for the period from 1999 to 2015 at the Vascular Surgery Department of Sklifosovsky Research Institute for Emergency Care. Incidence of rupture was 2.

[Treatment of abdominal aortic thrombosis].

Aim: To improve the outcomes in patients with abdominal aortic thrombosis.

Material And Methods: 83 patients with acute lower limbs ischemia caused by abdominal aortic thrombosis were enrolled. They have been treated at the emergency vascular surgery department of Sklifosovsky Research Institute for Emergency Care for 10-year period (2006-2016).

[The outcomes of different surgical procedures for thoracic injuries].

Aim: To assess the outcomes of video-assisted techniques compared with conventional procedures.

Material And Methods: 596 victims with thoracic injuries were enrolled. Video-assisted techniques were applied in 236 cases, conventional procedures - 360 patients.

[Treatment of inflammatory complications of colic diverticular disease at the emergency surgical care hospital].

Aim: To assess an effectiveness of minimally invasive and laparoscopic technologies in treatment of inflammatory complications of colic diverticular disease.

Material And Methods: The study included 150 patients who were divided into control and main groups. Survey included ultrasound, X-ray examination and abdominal computerized tomography.

[The features of diagnosis and treatment of traumatic and non-traumatic pulmonary bleeding].

Aim: To analyze an efficacy of differentiated approach for pulmonary bleeding of different etiology and severity.

Material And Methods: The study included 134 cases of pulmonary bleeding for the period 2006-2015 including 53 patients with traumatic and 81 with non-traumatic etiology. Men/women ratio was 2.