[CLINICO-ANATOMICAL EVALUATION OF MIRIZZI SYNDROME].

Presentation of diagnostic capabilities of Mirizzi syndrome in a surgical hospital given its pathological anatomy. Were analyzed 70 case-records of patients with different types of Mirizzi syndrome who were sorted out to groups, relying on extended classification, comprising 6 types. The advantages and disadvantages of diagnostic methods used in Mirizzi syndrome were examined. The evaluation of output data of a number of diagnostic studies promotes concretization of diagnosis. When uninformative results of ultrasound is received the performance of additional diagnostic procedures is necessary. Differential diagnosis between inflammation and cancer of the extrahepatic biliary tract is a complex task. Choosing a less traumatic and dangerous reconstructive surgery depends on the results of preoperative diagnosis.

[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.

[Substantiation of clinical application for hernioplasty of reticulate prosthesis with antimicrobial properties].

A new reticulate hernioprosthesis has been developed and proposed for clinical use. The adhesive high molecular polymer coating containing silver nanoclusters was applied on the lavsan network. After implantation the polymer was dissolved in the tissue fluid and formed the hollows between the threads facilitating invasion of the connective tissue into the network. The prolonged antimicrobial effect was proved to stay in the wound tissue as long as 5 days. Silver nanoclusters prevent the formation of microbial biofilms and development of suppuration around the prosthesis. Its unique properties are confirmed by positive results of its clinical use.

[Clinical forms of cholangiogenic infection in surgical practice]. / Klinicheskie formy kholangiogennoi infektsii v khirurgicheskoi praktike.

The acute cholangiogenic infection may have a favorable course or acquire a purulent or septic form. Chronic cholangiogenic infection often having subclinical features is sometimes septic and is responsible for the transition of bacterial cholangitis from the complication to the independent disease. Of greatest significance are septic forms of cholangiogenic infection because of high lethality. The diagnosis and treatment of cholangiogenic infection include the determination of the character of bile duct obstruction, state of immunity, character of microflora and kind of toxemia.

[Surgical treatment of injuries and cicatricial strictures of the bile ducts using changeable transhepatic drainage]. / Khirurgicheskoe lechenie povrezhdenii i rubtsovykh striktur zhelchnykh protokov s ispol'zovaniem smennogo transpechenochnogo drenazha.

Results of 62 reconstructive and restorative operations performed on 47 patients with scarry strictures and injuries of main bile ducts are analyzed. A group of 17 patients was chosen, a spare transhepatic drain being used in 18 operations. It was established that bougieurage, dilatation of the strictures and a continuous frame drainage with the stricture of hepaticocholedochus as long as 20 mm or recurrent strictures of hepaticojejunoanastomosis provided stabilization of scarring and epithelization of the stricture zone. A favorable result of the treatment is determined by the duration of the frame drainage not less than for 2 years.