[Possibilities of correction rheological blood svoytv at chipped and cut wounds of the breast ].

The purpose: research objective: to study influence of electromagnetic oscillations of millimetric range on rheological properties of blood at patients with chipped and cut wounds of a breast for the purpose of their correction. Methods. For the solution of a research objective we have carried out studying of changes of rheological properties of blood at the 22nd patient with the getting chipped and cut wounds of a breast without internal injury during the next postoperative period. All patient has executed primary surgical processing and drainage of a pleural cavity. At all patients the volume of blood loss has made 200-500 ml. Criteria of inclusion were: existence of the getting wound of a thorax, existence of a small gemotoraks. Criteria of an exception: blood loss existence more than 500 ml, existence of the combined and multiple damages. The main group is divided into two subgroups, in the first 12 patients with application of electromagnetic oscillations of millimetric range, have entered the second 10 people without application of electromagnetic oscillations of millimetric range. The group of comparison was made by 15 rather healthy donor volunteers of the same age and a floor. To all patients the hemotransfusion wasn't carried out, the volume of infusional therapy was comparable in both groups. Changes of a rheology of blood came to light by means of the accounting of viscosity of blood, change of an index of deformation and aggregation of erythrocytes. Conclusion. As a result of the conducted research it is established that application of electromagnetic oscillation of millimetric range for patients with chipped and cut wounds of a breast prevents development of changes of rheological properties of blood, at the same time patients well transfer this procedure that is shown by lack of side effects.

[Changes in the immune status of patients operated for splenic lesions in the late postoperative period and their relation to the development of complications].

This analysis of changes in the immune status of patients operated for splenic lesions is based on the observations of 126 subjects. Fifty of them underwent autolientransplantation and 26 conservative surgery. The main parameters of humoral and cellular immunity were measured along with changes in the microflora. Splenectomy was shown to cause changes in the characteristics of both cellular and humoral immunity. Autolientransplantation caused a significant decrease in the serum level of total complement and its C3- and C-4 fractions while the amount of circulating immune complexes increased All other parameters of the immune status remained unaltered The best outcome of the treatment was documented after conservative surgery.

[Surgical strategy for iatrogenic injuries of the spleen].

A retrospective investigation of 1226 case histories of patients operated on the stomach and duodenum was made. Organ-saving operations using laser technique were assessed. The main cause of injuries to the spleen during operation was traction of the stomach when mobilizing it. The performance of organ-saving operations for such injuries using laser technique is possible in 76% of cases.