[Impact of abdominal cavity open EHF irradiation on activity of adhesive process in peritonitis].

In experiment on 45 rats a purulent peritonitis was simulated. There was established, that on background of a standard therapy for peritonitis application of abdominal cavity open irradiation of extreme high frequency (EHF) have promoted rapid stabilization of the lipid metabolism indices and the blood coagulation system, the reduction of intensity of lipids peroxidal oxidation processes and severity of systemic inflammatory reaction. Under the influence of complex treatment the severity of adhesive process was reduced in 5.4 times, comparing with such in animals, to whom a standard treatment was conducted only. The revealed pathogenetic aspects of the adhesions formation witnesses the expediency to add EHF irradiation to complex therapy of peritonitis.

[Prophylaxis of adhesive process in patients with extended peritonitis].

The results of treatment of 378 patients, suffering extended peritonitis, were analyzed. For prophylaxis of adhesions formation intraoperatively an adequate surgical correction and measures, directed on elimination of endotoxicosis, were applied; postoperatively--the preparations, suppressing the adhesions formation, were applied. Conduction of intracorporeal and extracorporeal therapy extremely high frequency irradiation in complex of treatment have promoted a trustworthy improvement of motor-evacuatory function stomach and intestinal due to impact on system of coagulation and blockade of the oxidative reactions cascade, as well as due to bacteriostatic effect.

[Study of "contrast labels"--a solution of the problems of early diagnosis of ileus caused by adhesions?]. / Issledovanie "kontrastnoi metkoi"--reshenie problemy rannei diagnostiki spaechnoi neprokhodimosti?

The expediency of using a new radiocontrast "contrast label" method of examination was studied in 82 patients with suspected ileus caused by adhesions. The method is based on ascertaining the joining of the contrast labels at the site of the obstruction after their oral administration at an interval of one hour. The method is substantiated and described, and the indications are clearly formulated, the main one is suspected ileus. It is shown that the "contrast label" method is simple in techniques, informative, and has some advantages over X-ray examination with the prescription of a barium meal.

[X-ray contrast examination in surgery of adhesive intestinal obstruction]. / Rentgenokontrastnoe issledovanie v khirurgii spaechnoi kishechnoi neprokhodimosti.

The nature, frequency, and informative value of contrast X-ray examination of the gastrointestinal tract after oral administration of liquid barium in the adhesive disease and adhesive ileus were studied in two groups of patients (123 and 162 persons). Signs such as prolonged retention of the contrast medium in the small intestine and "sagging" of the intestine with the appearance of an X-ray contrast level in the absence of gases above it are of most diagnostic significance. Goal-oriented X-ray contrast examination made it possible to reduce the time needed for preoperative diagnosis, reduce the number of operative interventions in which the intestinal lumen is opened, and improve the immediate outcomes of treatment; mortality reduced from 19.8% to 10.5%.