[The dynamics of the immune response and severity of the intoxication in peritonitis patients with open and closed management of the peritoneal cavity]. / Dinamika immunnogo otveta i tiazhesti intoksikatsii u bol'nykh peritonitom pri otkrytom i zakrytom vedenii briushnoi polosti.

A comparative evaluation of clinico-immunological examinations of 45 patients with diffuse purulent peritonitis treated by the open method of management of the abdominal cavity and 46 patients treated by the traditional closed method was made. Pathogenetic grounds of the effectiveness of the open method of management of the abdominal cavity in patients with peritonitis are presented. Immunological alterations are shown allowing the evaluation of the severity of the state of patients in the postoperative period. They should be taken into account when prescribing the immunocorrective therapy.

[Surgical treatment and prevention of bronchial fistula after pneumonectomy]. / Khirurgicheskoe lechenie i profilaktika bronkhial'nykh svishchei posle pnevmonéktomii.

Bronchial fistulas made their appearance in 22 patients after pulmonectomy for different diseases of the lungs. Various methods of closing the bronchial fistulas (++trans-sternal, transpleural, contralateral ones) were used. Based on an analysis of clinical observations the authors have developed the strategy and methods of surgical measures as well as prophylactics of complications.

[Causes of repeated lung surgery]. / Prichiny povtornykh operatsii na legkikh.

Up to 9% of patients need to be operated on the lungs for a second time. Repeated operations on the lungs should be conducted in specialized clinics and only by an experienced thoracic surgeon. Improvement of the results of repeated operations depends on the skill of the anesthesiologist, the thoroughness of the preoperative management and examination, and skilled postoperative management.

[Autotransplantation of splenic tissue after splenectomy]. / Autotransplantatsiia selezenochnoi tkani posle splenektomii.

The authors have performed heterotopic autotransplantation of the spleen tissue into the greater omentum pocket as a suspension or tissue sections in 14 patients with emergency splenectomies. The method of autotransplantation is described. No complications resulting from autotransplantation were noted.

[Treatment of combined injuries]. / Lechenie sochetannykh travm.

An analysis of 120 patients with multiple trauma is given. The authors believe that the question of diagnostics of the injuries, the succession of using diagnostic methods should be solved collectively. A conclusion has been made that urgent surgery in complex with resuscitation measures must be performed in patients with internal hemorrhage, increasing intracranial hematoma, tamponade of the pericardium, increasing hemopneumothorax.

[Diagnosis and treatment of suppurative mediastinitis]. / Diagnostika i lechenie gnoinogo mediastinita.

An analysis of 57 clinical observations has shown that purulent mediastinitis is one of the particular complications of traumas of the esophagus, peripharyngeal phlegmons, phlegmon of the oral cavity floor. The method of choice for the treatment of purulent mediastinitis is active surgical tactics--optimal drainage of the mediastinum with running irrigation.

[Laparostomy in diffuse suppurative peritonitis]. / Laparostomiia pri razlitom gnoinom peritonite.

The authors describe results and the technique of treatment of diffuse fecal and purulent peritonites by an open method in 15 patients. Three patients died. Small intestinal fistulas were observed as complications of laparostomy in three cases.

[Differential diagnosis of the cavitary form of lung cancer and lung abscess]. / Differentsial'naia diagnostika polostnoi formy raka i abstsessa legkogo.

Data on the clinical picture and diagnosis in 9 patients with the cavitary from of lung cancer are presented. The differential diagnostic criteria of the abscess and cavitary form of lung cancer are analyzed in detail. The authors show the role of clinico-rentgenological examinations for more exact diagnosis of the main disease.