Vol 3, No 3 (2010)

The article presents the recommendations of optimal preparation algorithm for way and method of performing closure colostomy operation, individual way and method of operation. Basic principles of performing closure colostomy operations as well as criteria of data monitoring with respect to natural passage rehabilitation are considered. One can see comparison of after effects depending on the method of operational access. The data and results of operation on 161 patients with colostomy are given. Good and satisfactory results were obtained in treating this category of patients, with minimum complications in treating patients with severe colostomy.

Features of the sizes, volume, the form and thyroid gland topography (GT) at persons of Central Black Earth region according to ultrasonic and intrasurgical researches are studied. New laws on topographical anatomy of a back surface of lateral shares GT that it is necessary to consider both at performance of ultrasonic researches and during operative interventions are received. Revealed new patterns of topographic anatomy of the posterior lateral surface of the shares of the thyroid, it is necessary to consider both the performance of ultrasound examinations, as well as during surgical interventions.

Article is devoted questions of surgical treatment of not compensated glaucoma of various degrees by means of the modified technique of performance of classical filtering operation. The offered method of preventive maintenance of a cicatrisation
of filtrational area is based on application of a principle of a denervation at surgical intervention performance. The pathomorphologic mechanism of more expressed hypotensive effect offered antiglaucomatous operations is studied in experiment. The proposed method is technically simple, safe and contributes to the stabilization of visual functions and ophthalmotonus, which improve the quality of life of patients with glaucoma.

Morpho-functional characterization of the wound process during platelet-rich plasma application to evaluate the regeneration processes using this method of treatment. Histochemical techniques combined with classical histological methods give the opportunity to monitor the state of the wounds on morphological indicators. The use of platelet-rich plasma stimulates collagenization, epidermization, angiogenesis, promotes more rapid formation of qualitative scar.

The results of treatment of 118 patients with confirmed diagnosis o of nonclostridial anaerobic phlegmons of the facial and neck, are analyzed. The most frequent immune disorders in septic patients are: decrease in lymphocyte count, both T (54%) and В (39,1%) populations, decrease of T-helpers and T-suppressors (57,6%) count and phagocytic coefficient (45,4%). Standard immunoglobulins were used in the treatment: «Intraglobin» and «Pentaglobin» (Biotest, Germany). Analyze of the control immunogramms showed the reliable improvement of immune indices and normalization of T-cell counts.

The article analyzes the results of treatment of 48 patients with complications (failure of union and aseptic necrosis of the femoral head). Total hip arthroplasty, they were held after osteosynthesis of the various latches. Date hip replacement ranged from several months to several years of receiving a fracture of the femoral neck. When treating patients with fractures of the
femoral neck were applied total endoprosthesis import manufacturers (De Puy, MATHYS, Zimmer). Cement-free fixation implants (press-fit) set 29 (60,4%) patients, cement fixation - 19 (39,6%). To select the type of implant used a system of clinics Lahey (U.S.). The results of arthroplasty in the period from 1 to 2 years were studied in 46 patients (95,8%) patients. In all 48 patients, when performing hip, had problems as expressed by scar tissue. These difficulties eventually led to an increase in the duration of the operation, that arthroplasty is undesirable, because it increases the risk of infectious complications. But despite the above difficulties, we believe that only the hip joint during the development of complications can rehabilitate the patient as quickly as possible and to restore its quality of life.

In work the analysis of surgical treatment deep a thermal head and a neck injury is carried out. Traditional methods of operative treatment in the early period often not-are effective. Long existence wounds defect involves a great risk of occurrence of heavy complications, up to vitals. A method of a choice of elimination of extensive defects of a head and a neck is operative treatment with use free tissue flaps. This method is fairly atravmatichen, allows a reasonable time to adequately
restore the integrity of the integumentary tissues.

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Studied the morphological changes in the pancreas of rats with acute experimental pancreatitis induced by the second Vipera berus snake venom and phospholipase A2, and If the instrument is complex sandostatin and antiserum to snake venom.
These results demonstrate the high efficiency of complex «sandostatin and antiserum to snake venom» as evidenced in the absence of animals mortality, pancreatic necrosis using smaller doses of sandostatin and antiserum to snake venom.

A Mexicor’s effect onto microcirculation disorders, endothelial dysfunction, and free radical lipid oxidation has been assessed in 166 male Vistar rates having experimental total peritonitis complicated by intraabdominal hypertension. All animals have been selected into three groups: intact, control, and basic respectively. An intraabdominal injection of 10% concentration of fecal mixture was used to cause peritonitis. Thereby intraabdominal hypertension was created by double fold plasty of the abdominal wall aponewrosis. A 10mg/kg Mexicor injections during 7 days were used in the basic group rates. During the treatment it was noticed that Mexicor injection increased microcirculation characteristics in the colon wall by 45,5%. It also lead to drop of free radical lipid oxidation characteristics by 1,8 times, NO concentration in 1,6 times, and intraabdominal
pressure in 1,4 times comparing to the control group.

Despite the fact that the treatment of umbilical hernias is a common and relatively simple operation, there is no single standard. Traditionally used surgical interventions allow recurrences to 40% during the first year after surgery, with a small difference in hernia of large and small sizes. The solution of this problem is associated with the spread of prosthetic methods. The article summarizes the experience of treating 558 patients with umbilical hernias, including 318 patients for whom prosthetic hernioplasty by the original method was used. It is noteworthy that their treatment was carried out in the outpatient ambulatory surgical center. Due to this fact the author concludes that the possibility of organizing a broad and qualitative planned renovation of patients, suffering from umbilical hernias, in outpatient centers is real.