[Valvular pyloroplasty in the treatment of pyloroduodenal ulcers]. / Klapannaia piloroplastika v lechenii oslozhnennykh piloroduodenal'nykh iazv.

Original method of treatment of complicated pyloroduodenal ulcers is proposed. The results of different organ-saving operations in complicated pyloroduodenal ulcers were analyzed in 136 patients aged from 15 to 89 years. Evaluation of the results was based on the data obtained during study of secretory and motor-evacuatory function of the stomach, state of gastric and duodenal mucous membrane, degree of duodenogastric reflux. Gastroscopy in remote period after organ-saving operations enabled visual evaluation of state of anew formed pyloric canal. Results of treatment of complicated pyloroduodenal ulcers by different methods of pyloroplasty demonstrate the advantages of valvular pyloroplasty.

[Diagnostic laparoscopy in pregnant women]. / Diagnosticheskaia laparoskopiia u beremennykh.

54 laparoscopic examinations were performed in 52 pregnant women when acute surgical diseases of the abdomen were suspected. When the suspicions of acute surgical diseases in pregnant women are substantiated, diagnostic laparoscopy has high diagnostic potential and is safe for the mother and fetus. This method permits to avoid unnecessary open operations, and also to perform simple operations through laparoscope.

[Nonoperative treatment of liver superficial injuries]. / Neoprativnoe lechenie poverkhnostnykh povrezhdenii pecheni.

The study is based on the results of conservative and operative surgical treatment of 184 victims with open and closed, isolated and combined injuries of the liver. The patients' age was from 15 to 80 years. All patients were examined and treated in 1991 to 1996 in Moscow clinical hospital No 67. Conservative treatment for superficial injuries of the liver were carried out in 72 patients. 112 patients underwent urgent operations. Conservative treatment included: examination, control diagnostic laparoscopy and introduction of control drainage followed by dynamic laparoscopy. Operative treatment included: laparotomy, revision of the abdominal cavity, sutures or resection of the liver, surgical treatment of the other abdominal organs. Comparative analysis of two methods of treatment demonstrated possibility and necessity of the use of conservative treatment for superficial injuries of the liver, especially in combined traumas.