[Surgical treatment in parasternal diaphragmatic hernias]. / Khirurgicheskoe lechenie pri parasternal'nykh diafragmal'nykh gryzhakh.

The article presents an analysis of experiences with surgical treatment of 26 patients with parasternal diaphragmatic hernias for the period from 1969 till 1999. In most cases (88.5%) right localization was noted. The abdominal mediastinal lipomas were the most frequent cause of the hernias (88.5%). The presence of hernias is considered by the authors as an indication to operation. The thoracotomic and thoracomyorectal accesses were used, the latter being the optimal one. No recurrent hernias were noted in the patients after operation. There were no lethal outcomes.

[Risk factors in the development of fibro-cavernous pulmonary tuberculosis and its outcomes]. / Factory riska v razvitii fibrozno-kavernoznogo tuberkuleza legkikh i ego iskhodov.

A number of social and clinical factors has been revealed which contribute to the development of fibrocavernous pulmonary tuberculosis in patients under the present conditions (alcoholism in 56%, inadequate treatment 52%, serious concurrent diseases 48.2%, unsatisfactory material and living conditions 51.1%). The decisive role in the development of this form of tuberculosis in subjects aged over 50 years was played by serious concurrent diseases and in younger subjects by sociomedical factors: previous staying in labour-reformatory establishments (70%) and alcoholism and narcomania (90%).

[Surgical treatment of developmental defects of the lungs]. / Operativnoe lechenie porokov razvitiia legkikh.

Developmental defects of the broncho-pulmonary system made up 14,9% in relation to all the patients with chronic nonspecific diseases of the lungs. Operations were performed on 454 patients. Among them 327 patients had different kinds of hypoplasia, 45 patients had rare defects and 72 patients were with dysontogenetic malformations. Most patients with developmental defects of the lungs must be treated surgically.