[Experience of percutaneous transhepatic rheolytic thrombectomy using in treatment of postresection portal vein thrombosis].

Vessels resection in case of pancreatic head cancer may be associated with portal vein thrombosis. System AngioJet 9000 (Possis Medical Inc.) for rheolytic thrombectomy is one of endovascular device for treatment of patients with venous thrombosis. Descriptions of 3 cases with rheolytic thrombectomy using are presented in the article. Percutaneous transhepatic approach under ultrasound control was used for visualization of portal vein branches. Stent-grafts were implanted in 2 of 3 cases after thrombectomy in zone of portal vein thrombosis. Bleeding from liver puncture site was observed in 1 case in early postoperative period. There was not recurrent thrombosis in long-term postoperative period (31 months after surgery maximally). The authors consider that use of several endovascular techniques such as rheolytic thrombectomy with stenting or without it provides satisfactory clinical results in treatment of patients with postoperative portal vein thrombosis.

[The results of the Lichtenstein's hernioplasty].

The study assumes the results of 1010 Lichtenstein's hernioplasties. The goal of the investigation was to estimate the results in dependence of the type of the polypropylene implant. The "lite" mesh was used in 342 cases, the second group of 668 patients had the so called "heavy" mesh endoprosthesis. Comparing the early postoperative period, it was registered, that the patients of the 2nd group had statistically higher rates of wound inflammatory infiltrate - 2.7% in comparison with 0.6% for the 1st group. The late postoperative period was marked by the higher rate of neuralgia among the "heavy" group - 5.2% in comparison with 1.5% for the "lite" group. Thus, the use of "lite" mesh polypropylene implant proved to be much more preferable for the Lichtenstein's hernioplasty.

[Intraperitoneal ventral hernia plasty: the comparison of prosthetic materials].

Properties of abdominal wall intraperitoneal implants were assessed in vivo on 76 rabbits. Implants of polytetrafluorethilene (PTFE), uncoated mesh polypropylene and polypropylene with one- and two-side collagen coat, oxycellulose and polyoxibutirate coated implants were compared. Animals were extracted from the experiment on 14, 90 and 210 days with further implant assessment. PTFE and collagen-coated prostheses showed the least number of adhesions. Retraction was 5-14%. Prosthetic integration into the abdominal wall varied. PTFE and collagen-coated polypropylene proved to be the most appropriate materials for intraperitonel mesh hernia plasty.

[The scoring system in choice of ventral postoperative hernia repairment method].

The study is based on the analysis of 270 patients with ventral postoperative hernias. The developed original scoring system of risk factors permits to choose the optimal method of the abdominal wall repair and decrease the number of hernia recurrence.

Erratum to: The management of intra-abdominal infections from a global perspective: 2017 WSES guidelines for management of intra-abdominal infections.

[This corrects the article DOI: 10.1186/s13017-017-0141-6.].

[Stomach resection through minimal approach with use of EndoGIA apparatus]. / Rezektsiia zheludka cherez minidostup s primeneniem EndoGIA.

Our small experience of the use of the stomach resection technique through mini-approach with additional introduction of the apparatus Endo GIA through the separate puncture applied in 2 patients showed that according to its results in postoperative period, this method approximates laparoscopic resection, and in the same time it is less time consuming and cheaper. There was neither insufficiency of the anastomosis, nor pneumonias, wound complications. The patients were active since the first day after the operation, were discharged from clinic on the 7-th day pos/top and returned to normal home regime after 1,5--2 weeks.

[Pancreatoduodenal resection with application of suturing device]. / Pankreatodudenal'naia rezektsiia s primeneniem sshivaiushchikh apparatov.

Operation of Whipple (pancreatoduodenal resection) is one of the most complicated in abdominal surgery; it is accompanied by great number of postoperative complications and lethal outcomes. The authors were the first in Russia to use suturing apparates by the firm USSC in pancreatoduodenal resection. The apparates were used in 8 patients, control group consisted of 10 patients previously operated conventionally with the use of uses UO series instruments. The application of the suturing devices made it possible to cut by half the duration of the operation, to secure painless postoperative course, to unify the operative procedure and makes it available for additional medical institutions.

[Non-strain methods of hernioplasty in the treatment of postoperative ventral hernias]. / Gernioplastika bez natiazheniia tkanei v lechenii posleoperatsionnykh ventral'nykh grysh.

In the last 2 years we performed 26 nonstrain hernioplasties for postoperative ventral hernias (16 laparoscopic and 10 open operations). Indications for laparoscopic operation were hernias after "primary" laparotomy, multiple aponeurosis defects, and also demand of simultaneous operations. We preferred open plastics in recurrent hernias, repeated abdominal operations, laparoscopic hernioplasty impossibility revealed during the operation. Fast rehabilitation and their early return to work are advantages of nonstrain hernioplasty. Mean hospital stay was 7.5 days with a general disability of 22.3 days. We believe that open hernioplasty is most simple and reliable. As to laparoscopic hernioplasty, we think it less reliable.

[Lychtenstein's hernioplasty in inguinal hernmias]. / Plastika po Likhtenshteinu pri pakhovykh gryzhakh.

The choice of plastic treatment of inguinal hernias is stile a problem. The rate of relapses in conventional methods of hernioplasty averages 8%. The commonest complications are nerves' injuries and damage to the arterial and venous vessels of the spermatic cord. The hope for the decrease of complications rate is based on implementation of "unstretched" surgery. The rate of relapses after endoscopical hernioplasties varies from 0.8% after transabdominal preperitoneal hernioplasty to 3.2%--after intraperitoneal one. Laparoscopic methods for hernioplasty are technically complicated and expensive. The authors used Lychtenstein's hernioplasty as an alternative to laparoscopic hernioplasty methods. The technique is described according to which 76 operations were carried out. The method is much easier than laparoscopical one. The course of the early postoperative period is comparable with that one after laparoscopical operations. It is stressed that Lychtenstein's hernioplasty should be considered as a method of choice in majority of patients with inguinal hernias.

[The effect of absorbent materials with drugs on wound healing]. / Vliianie absorbiruiushchikh materialov s lekarstvennymi preparatami na ranevoi protsess.

Absorptive hydrophilic materials (MAH) containing dioxydin and terrilytin as drug components were studied in experiments on guinea pigs infected with K-11 strain of E. coli. The results showed that the wounds in animals who did not receive treatment were cleaned by the 14th day, while the wounds in animals treated by applications of MAH with dioxydin and terrilytin became clean on the 3rd day, i. e. 5 times quicker. Absorptive hydrophilic materials containing dioxydin and teriilytin were easily handled, easily applied and removed, they did not injure the granulation tissue, and intensified growth of peripheral epithelialization. Thus, experimental study showed absorptive hydrophilic materials containing dioxydin and terrilytin to be highly effective in the treatment of purulent wounds, which allows them to be recommended for clinical use.

[Method of pancreatoduodenal resection and intraoperative prevention of acute pancreatitis]. / Tekhnika pankreatoduodenal'noi rezektsii i intraoperatsionnoi profilaktiki ostrogo pankreatita.

In the period from 1988 to 1991 the authors carried out 27 pancreatoduodenal resections with 11.1% mortality. From analysis of the results they formulated the main technical principles of this operation and suggested a complex of intraoperative measures for prevention of acute postoperative pancreatitis. The complex included application of a 5-fluorouracil-containing covering of the pancreas at the stage of exposure of the complex which will be removed; individualization of the methods for treatment of the pancreatic stump depending on the diameter of the pancreatic duct; the use of prolene in forming the pancreaticoenteroanastomosis; intraoperative administration of cephalosporins and dioxidine followed by antibacterial therapy; application of microsphere with cytostatics to the pancreas at the operation end for prolongation of pancreatic secretion suppression.

[Video-assisted surgical interventions on the thyroid gland]. / Videoassistirovannye operativnye vmeshatel'stva na shchitovidnoi zheleze.

Results of endovideosurgical treatment of thyroid diseases in 137 patients are analyzed. Ultrasonic scissors allow surgery from mini-approach 2-3 cm long, to refuse ligatures and drainages, to suture surgical wound with intracutaneous cosmetic suture, to discharge patients in 3 days after surgery. All the patients had uneventful postoperative period.

[Complications of Lichtenstein's plastic reconstruction of inguinal canal]. / Oslozhneniia plastiki pakhovogo kanala po Likhtenshteinu.

Results of standard strained" methods of hernioplasty are not satisfactory. Laparoscopic methods permit to reduce significantly rate of postoperative complications. Technical difficulty and high cost of videoendoscopic technologies make general use of endoscopic plastic surgery in our country problematic. Lichtenstein's plastic reconstruction of inguinal canal is an alternative method. 350 hernioplasties were performed: 342 in men, 8 in women. Simultaneous bilateral hernioplasty was carried out in 51 patients. 73 patients underwent surgery for recurrent inguinal hernias. Age of patients ranged from 18 to 83 years. Polypropylene net, perforated polytetraphtorlene plate or bilayer perforated polytetraphtorlene plate were used as plastic material. Rate of recurrences was 0.9%. Lichtenstein's plastic reconstruction is the method of choice in the treatment of all type of inguinal hernias.

[One-row continuous suture in abdominal surgery]. / Odnoriadnyi nepreryvnyi shov v abdominal'noi khirurgii.

One-row continuous suture (OCS) was used in 3605 patients while placing anastomoses in different parts of the digestive tract, extrahepatic bile ducts and pancreas as well as suturing after gastrostomy and choledochotomy. Two techniques of OCS were used. In 526 patients OCS was used for biliary tract surgery with complications rate 1.3%. In surgery of the stomach and small intestine OCS was used in 2606 patients; the insufficiency rate of stomach and small intestine anastomoses was equal (0.04%). In surgery of colon and rectum OCS was used in 405 patients; insufficiency rate was 1.5%. In surgery of the pancreas this suture was used in 70 patients without complications after surgery. Analysis of the data shows high reliability of OCS for anastomoses in abdominal surgery and allows to recommend its wider use in clinical practice.