[Treatment of duodenal fistulas].

Successful treatment of non-formed duodenal fistulas using original obturative-aspiration device is reported. This simple device is described in details. Overall 122 patients with external non-formed intestinal fistulas were treated, 11 (9.1%) of them had duodenal fistulas. Traditional methods of treatment were used at 5 of 11 patients; original method was applied at 6 patients. Four of five patients treated with traditional methods died at postoperative period due to various complications. All the 6 patients treated with original method cured completely.

[Treatment of patients with fistulas on eventrated intestinal loops].

Treatment of 119 patients with unformed intestinal fistulas on eventrated loops is analyzed. Traditional method of treatment was used at 67 (56.3%) patients, 31 (46.3%) of them died. Original method of treatment was performed at 52 (43.7%) patients, 3 (5.8%) of them died. Fistulas on eventrated loops were diagnosed at 12 (10.1%) of 119 patients. Original method of treatment permits to reduce the rate of complications, lethality and hospital stay.

[Optimization of diagnosis and methods of liver resection in alveolar echinococcosis]. / Optimizatsiia diagnostiki i metodov rezektsii pecheni pri al'veoliarnom ékhinokokkoze.

36 resections of the liver were carried out. 66.7% of them were hemihepatectomies and extended hemihepatectomies due to sever parasitic lesions of the liver parenchyma. During resections of the liver ultrasonic scalpel and high frequency electrocoagulation, compression of the hepatoduodenal ligament under the control of the intraoperative sonography were performed. In 4 patients (11.1%) complications were observed: hepatic insufficiency (2 cases), injury of inferior vena cava (1 case) and infrahepatic abscess (1 case). Lethality made up 3.8% (1 patient died due to development of acute hepatic insufficiency after extended right-sided hemihepatectomy.

[The effect of pancreatic islet cell implantation on the course of diabetic nephropathy]. / Vliianie implantatsii ostrovkovykh kletok podzheludochnoi zhelezy na techenie diabeticheskoi nefropatii.

The influence of the implanted allo- and xenocultures of the pancreas islet cells upon the course of nephropathy was studied in 61 patients with insulin-dependent diabetes mellitus. These cells were found to have a positive influence upon the functional state of the kidneys in patients with diabetic nephropathy especially at its initial stage.

[The diagnosis and surgical treatment of cavernous hemangiomas of the liver]. / Diagnostika i khirurgicheskoe lechenie kavernoznykh gemangiom pecheni.

The authors have examined 80 patients with cavernous hemangiomas. The disease was diagnosed on the basis of an ultrasonic investigation, computed tomography and laparoscopy. Solitary hemangiomas were diagnosed in 78 patients, multiple ones in 2. In 64 patients the size of hemangiomas was more than 5 cm, in 16 patients they were less than 5 cm. Radical resections of the liver were made in 32 patients (59.3%), palliative--in 22 patients (40.7%). Complications after the liver resections took place in 15.5% of the patients, lethality was 6.2%. Complications following the palliative operations were noted in 72.7% of the patients, lethality was 9%.