[Clinical questions of extremal processing of Mirizzi syndrome].

In this article two clinical cases of Mirizzi syndrome is presented. In the observation examined reactive processing of Mirizzi syndrome I with severe overall system reaction to endogenous infection. The data characterizing the current version of Mirizzi syndrome V b is considered in the second observation. Timely diagnosis of Mirizzi syndrome and determination of the most appropriate method of treatment can reduce the risk of intraoperative injury.

[Abdomino-anal resection of the rectum (indications, technique, immediate and long-term results)]. / Briushno-anal'naia rezektsiia priamoi kishki (pokazaniia, tekhnika, neposredstvennye i otdalennye rezul'taty).

Abdomino-anal resection of the rectum with the descending is not an alternative variant of the intra-abdonimal resection with suturing devices. Each of these methods has indications and contraindications. In treatment of rectum carcinoma the observation of oncological principles is thought to be principal. The abdomino-anal resection of the rectum with the descending gave best results when the tumor was localized at the level of 6-7 cm from the anus. The application of the proposed modification might reduce the number of complications and lethality.

[Complex system of differentiated prediction of strokes]. / Kompleksnaia sistema differentsirovannogo prognozirovaniia mozgovykh insul'tov.

On the basis of the data on 2287 patients with cerebral strokes (CS) and 800 individuals without this disease, and using discriminant and probability methods, the authors have identified 158 supposed risk factors (RF) of CS development. They have also established the specificity of RFs which depends on the nature of CS, as well as ascertained the dependence of informative value of these factors on the size of samples and the degree of percentage reflection by the main demographic indicators of the studied population. RFs are classified as controllable and uncontrollable. The authors have selected 50 risk factors with 2-5 gradations ranging from the normal to the maximal pathology and reflecting various aspects of CS etiopathogenesis. This work has resulted in the creating of a mathematical model of SC development. On the basis of this model and using the Bayes' theorem the authors have developed a system intended for predicting CS and its nature by 50, 25, and 15 RFs which is implemented by means of universal, micro- or minicomputers and tables which make it possible to predict with a 88.8% accuracy the development of CS as well as to determine the most rational individual prophylaxis of threatening stroke which is achieved through an accurate balancing in the system of controllable and uncontrollable RFs.

[Indications for early operation in acute gastric hemorrhage]. / Pokazaniia k rannei operatsii pri ostrom zheludochnom krovotechenii.

Under study were 1392 patients with acute gastric hemorrhage in order to analyze indications for early operations. A table of indications is made with the help of Wald's consecutive analysis. It was found that when the operation was indicated and fulfilled the mortality rate was significantly lower than when the patient was not operated upon.

[Mallory-Weiss syndrome]. / Sindrom Mallori-Veissa.

The Mallory-Weiss syndrome is thought to occur more frequently than it is diagnosed. For its diagnosis fibrogastroscopy should be used widely. The surgical tactics for the disease is to be changed--to be more conservative, since arrest of the bleeding is possible by non-operative methods in a considerable number of patients (31,5%).

[Surgical tactics in hemorrhage from the upper segments of the digestive tract]. / Khirurgicheskaia taktika pri krovotechneii iz verkhnikh otdelov pishchevaritel'nogo trakta

The results of surgical treatment of 100 patients with hemorrhage from the upper digestive tract (except gastric cancer and hepatic cirrhosis, complicated with bleeding esophageal varices) are discussed. The role of gastrotomy is emphasized, while vagotomy and drainage operations do not seem to be greatly warranted in treatment of chronic and acute gastroduodenal ulcers complicated with bleeding.