[Extracorporeal reconstruction of arteries of a transplant of the liver for its subsequent implantation and surgical aspects of arterial anatomy the hepatoduodenal area].

Orthotopic liver transplantation (OLT) remains the only and radical method of treating patients with terminal stages of chronic diffuse hepatic diseases (cirrhoses), of patients with various congenital metabolic lesions of the liver, autoimmune diseases characterized by lesions of bile ducts, as well as series of both primary and secondary tumorous hepatic lesions. Liver transplantation is one of the most complicated operative interventions. Difficulty of OLT is determined by multifactorial and well-coordinated work of various medical services at the pre-, intra- and postoperative stage of management. One of the important components of success in transplantation consists in providing adequate arterial blood flow of the transplanted organ, which is achieved by extracorporeal reconstruction of the transplant. Variants of arterial blood supply of the liver are observed in each third donor. These anatomical peculiarities increase probability of a surgical error, which is considerably higher if not taking into consideration the complicated anatomy of the donor organ and its misalignment with the anatomical peculiarities of the recipient. Surgeon's responsibility is especially great during taking out the liver from the donor, as well as during its preparation for implantation. Procurement of the liver and pancreas from the same donor for transplantation to two different recipients may be accompanied and followed by the so-called conflict of interests which the surgeon has to decide in favour of the both during procurement of the organ for its extracorporeal processing. The sequence of the presented surgical manipulations on hepatic and pancreatic vessels, as well as anatomical reference points make it possible to preserve the vessels of the maximum length for the both organs. A wide variety of the structure of hepatic vessels may be divided into three types, depending upon the number of the sources of arterial blood supply.

[Organizational principles of prophylactic medical examination quaility control in the Armed Forces]. / Organizatsionnye osnovy upravleniia kachestvom dispanserizatsii v vooruzhennykh silakh.

The authors suggested new organizational and methodical approaches to a prophylactic medical examination (PME) and its quality control. There were distinguished and analyzed organizational and medical aspects of the profound medical examination (PrME) and dynamic observation (DO). The process of planning, interaction and analysis of PME results as well as the importance of the medical-and-statistical indices as indicators of PrME and DO quality were described. The analysis showed the substantial role of medical standards in the PME. Being in fact peculiar models of the PrME and DO for doctors, they serve as medical and methodical documents. The authors offered the standards of the PME of servicemen and reserve soldiers (retirees), the principles of their use, which allow taking into consideration individual peculiarities of each person examined.

[Methodical basis for creation of the military telemedicine system in the Russian Federation Armed Forces]. / Metodicheskie osnovy sozdaniia sistemy voennoi telemeditsiny v Vooruzhennykh Silakh Rossiiskoi Federatsii.

Today the telemedicine (TM) is the perspective and rapidly developing direction in the health service. It also concerns the military medicine. In the RF Armed Forces' interests the work on creation of military telemedicine system within the framework of experimental-and-designers' work "Telemed" is conducted. During the development of software to realize the functions of military telemedicine system and to provide the development of its functional potentials the work was done connected with problem description in order to realize all medical technologies for each direction of its application. To solve this problem there are enough specialists in the field of computer and informative technologies capable of bringing the diagnostic and consultation possibilities of district (naval) and Central Military Hospitals as well as republican and regional centers closer to the solution of medical problems of distant garrisons.