[Objectivization of the diagnostics and control of treatment of paresis of the gastrointestinal tract in diffuse peritonitis].

The work is devoted to objectivization of the diagnostics and control of treatment of paresis of the gastrointestinal tract in diffuse peritonitis. The method of selective electrogastroenterocolonography after digitization of the data makes it possible to characterize the functioning of the gastrointestinal tract in figures which can be compared with quantitative characteristics of endogenous intoxication. So the direct relation between the degree of the gastrointestinal tract paresis and endogenous intoxication was proved. The method of selective electrogastroenterocolonography allowed an objective control of the treatment using sorption technologies, low amplitude electrostimulation and parenteral feeding with Dipeptiven. Its success was proved by a less number of complications (from 45% to 27%) and less lethality (from 21.2% to 16.6%).

[The diagnosis and treatment of enteroparesis in patients with acute pancreatitis].

Two leading moments in endotoxicosis of acute pancreatitis pancreatogenic and enterocologenic should be emphasized. A new noninvasive method is proposed for objective determination of the degree of enteroparesis in patients with acute pancreatitis. A conversion of the gastroenterocolonogram curves into digital parameters gave quantitative data which help to reveal the form of acute pancreatitis. the degree of endogenous intoxication and shows the course of the treatment.

[Use of polyfepan in the treatment of suppurative wounds]. / Primenenie polifepana pri lechenii gnoinykh ran.

An analysis of application of medical lignin (polyfepan) in treatment of purulent wounds of different etiology in 60 patients is presented. Good clinical effects of polyfepan in treatment of purulent wounds allow putting secondary sutures or approximating the wound margins at earlier terms. It gives no complications, is well endurable by the patients and easy in use. All these qualities allow polyfepan to be recommended for the local treatment of purulent wounds as a sorbent.

[Long-term regional anesthesia in closed chest injuries complicated by rib fracture]. / Dlitel'naia regionarnaia anesteziia pri zakrytoi travme grudi, oslozhnennoi perelomami reber.

Prolonged regional anesthesia used for relieving pain was given to 65 patients with closed traumas of the chest complicated by fractures of the ribs. The method was shown to be effective, simple and safe. It may be used both at the hospital and at prehospital stage. The prolonged regional anesthesia allowed reducing the amount of pulmonary complications from 4.5% to 1.7%.

[Plastic surgery of the arteries of the lower limbs with autologous vein and its association with lumbar sympathectomy]. / Plastika arterii nizhnikh konechnostei autovenoi i ee sochetanie s poiasnichnoi simpatektomiei.

In surgical treatment of patients with arterial occulsion of the lower limbs an autovein was employed as a transplant in 66 patients. In 22 patients reconstructive operation was performed after preliminary lumbar sympathectomy. Restored patency of the operated segment with restoration of foot artery pulsation was noted in 53 patients. Late results were followed up for 1--6 years in 32 patients. Major blood flow was maintained in 24 patients (75%). Other conditions being equal, reconstructive operations yield better results, if lumbar sympathectomy was preliminary performed.