Vol 2, No 2 (2009)

The analysis of data of three-dimensional visualisation at 17 patients with tumorous formations of adrenals is carried out. Authors undertake attempt of definition of the optimal access with rather short trajectory which is in conditions good echoаvailability, and also reducing to a minimum risk of damage of the main vessels. At use of three-dimensional data for planning trajectories and a choice of a zone of an aspiration indicators of sensitivity, accuracy and specificity have made 93,6, 95,3 and 100%, accordingly.

Оn the basis of the analysis of references, classification of possible postoperative complications, frequency of their occurrence are presented, anesthesiology risks are discussed at thoracal operations, the emphasis is placed on the analysis of mechanisms of development, variants of preventive maintenance and treatment of a postoperative empyema of a pleura. Authors present own experience conducting patients with the pleura empyema, based on 1118 thoracal the operations spent with 2003 for 2007 in unit of surgery of lungs and mediastinum RSCS by acad. V.Vahidova. Analyzed results of complex treatment of 59 patients with an acute postoperative empyema of a pleura, are disassembled the errors which have led to its development, variants of medical tactics and results of treatment are specified.

Analyzed results of treatment of 88 patients with phlegmons and abscesses of soft tissues by application endoscopic hydropress sanation and a program drainage. The algorithm of rendering assistance is offered patients taking into account features of the pathological process, differing small traumatizing, by high efficiency and good cosmetic results of treatment.

The work is based on the results of treatment of 346 sick urolithic illness with an accompanying chronic pyelonephritis. To all patients it is spent remote with great dispatch-wave lithotripsy. It is proved that carrying out lithotripsy against the traditional medicamentous grant not only doesn`t eliminate, but even aggravates a condition of the immune status. Inclusion in a traditional medical complex of pharmacological modulators “Licopid”, “Derinat” and also their combinations causes correction immunologic frustration, reduces risk of a becoming infected of uric ways, improves a clinical condition of patients.

Authors present experience endovascular is treatments of extensive angiodysplasias and hemangiomas of the person and a neck, existing approaches to treatment of the given pathology are reconsidered. The estimation is given method application endovascular is to selective microembolization of eisodic vessels in complex treatment of angiodysplasias and hemangiomas of the person and a neck at their difficult anatomic localisation and relapses of disease after before the spent treatment.

To carry out analysis results of treatment 2250 patients with differents forms infection of soft tissues. Combination of clinic of system inflammatory reaction to moderate augmentation C-reactive protein over 30 mg/l, olygopeptides more 0,34 unit, lactoferrin over 1900 ng/ml, breach balance of cytokines with prevailing TNF in combination with conservation systemic inflammatory response syndrome more 72 hourses after the equivalent operation and beginning conservative treatment.