[Vacuum-assisted laparostomy in complex treatment of patient with peritonitis and internal biliary fistula].

Negative pressure wound therapy (NPWT) is one of the newest methods used in the treatment of wounds. It allows speeding up and optimizing the healing process and reducing the cost of treatment. Negative pressure stimulates proliferation of granulation tissue, provides a continuous evacuation of fluid and effectively cleans wound surface. The authors introduce the reader to the results of treatment of patient with peritonitis and internal duodenal fistula using a vacuum-assisted laparostomy.

[The application of topical negative pressure in the complex treatment of acute suppurative diseases of soft tissues].

Negative pressure wound treatment (NPWT) is one of the newest methods used in the treatment of wounds. It allows speeding up and optimizing the healing process and reducing the cost of treatment. Negative pressure stimulates proliferation of granulation tissue, provides a continuous evacuation of fluid and effectively cleans wound surface. The authors present to the reader the results of treatment of acute suppurative diseases of soft tissues with the method of topical negative pressure.

[Correction of enteral insufficiency syndrome in general peritonitis]. / Korrektsiia poiavlenii sindroma énteral'noi nedostatochnosti pri rasprostranennom peritonite.

Efficacy of enteral ozone lavage in combined treatment of patients with general peritonitis is analyzed. It is demonstrated that intestinal lavage with ozone-enriched physiological salt solution through nasointestinal probe in postoperative period eliminates effectively bacterial contamination of the intestine, decreases toxicity of enteral contents and leads to significant improvement of functional characteristics of the small intestine and results of treatment.

[Antibiotic prophylaxis, antibiotic therapy and microbiological situation in surgical unit]. / Antibiotikoprofilaktika, antibiotikoterapiia i mikrobiologicheskaia situatsiia v khirurgicheskom statsionare.

The clinical and economic efficacies of antibiotic prophylaxis in the surgical unit of the Hospital were confirmed by the results of the analysis of 1313 case records of the patients operated during a year for acute appendicitis and acute cholecystitis. At the same time it was shown advisable to use antibiotic therapy in the patients with various pathological processes. The dynamics of the microbial dissemination in the surgical unit and some other units of the Hospital, as well as the dynamics of antibiotic resistance of the microflora, its interrelation with the volume of the antibacterials used and their rotation are described.

[Early diagnosis of intra-abdominal complications after surgery on the stomach and the duodenum]. / Ranniaia diagnostika vnutribriushnykh oslozhnenii posle operativnykh vmeshatel'stv na zheludke i dvenadtsatiperstnoi kishke..

Ultrasonic examination early after surgery permits to visualize "zone of surgery", to evaluate stomach, duodenum or their stump, to diagnose motor-evacuatory and purulent-septic complications, to determine policy of their treatment. Dynamic ultrasonic examinations permit to realize daily monitoring of "surgical zone" and timely correction of therapy, to reduce number of x-ray and endoscopic examinations after surgery that leads to improving of treatment results.

[Choice of the policy, terms, and method of surgery in acute cholecystitis]. / Vybor taktiki, srokov i metoda provedeniia operatsii pri ostrom kholetsistite.

Results of treatment of 763 patients with different forms of cholecystitis were analyzed. It was revealed that complex ultrasonic examination with dopplerography identifies the form of acute cholecystitis, allows to, predict technical difficulties in cholecystectomy and define optimum method of surgery. Comparative assessment of time of surgeries, rate of conversion of surgical approach, number of intra- and postoperative complications, lethality demonstrated that early urgent surgeries in acute cholecystitis before formation of inflammatory paravesical infiltrate in patients without high anesthesiological risk were similar to ones in elective surgeries and surpassed results of delayed surgeries. Early urgent surgeries permit to decrease hospital stay of patients with acute cholecystitis and reduce cost of treatment.