[Potentials of computed-tomography colonography with added investigations of the abdominal cavity and small pelvis in the diagnosis of diseases of the colon, assessment of dissemination of the pathological process].

The aim of the investigation was an assessment of potentials of computed-tomography colonography (CTC) in diagnosis of diseases of the colon. CTC was made in 125 patients. The investigation was performed after special preparation of the patients for purgation of the colon. The patient was in the supine and prone position. After introduction of room air in the colon the axial sections were laid from the diaphragm cupola to the pelvic floor. The obtained data were estimated and the reconstructions were fulfilled using special software. Pathological alterations or anatomical specific features of the colon were detected in 86 out of 125 cases (68.8%), in 26 of the cases (28.6%) a conclusion was made of malignant tumors in the colon according to the data of CTC. The data obtained by CTC were compared with the data of fibrocolonoscopy, rectomanoscopy, irrigoscopy and histological investigation. In most cases the coincidence of the findings was noted.

[Modern methods of treatment of inguinal hernias].

Surgical methods of treatment have been analyzed with special reference to wide introduction of new technologies. Altogether there were 4424 operations for inguinal hernias. Traditional plasty of the posterior wall of the inguinal canal with autotissues was used in 2136 patients. Lichtenstein operations were fulfilled on 521 patients, laparoscopic transabdominal preperitoneal hernioplasty--on 1614, complete preperitoneal hernioplasty--on 153 patients. The analysis made has shown that an introduction of modern surgical technologies into clinical practice allowed reduction of the percentage of complications and recurrences. The share of operations by the "tension-free," method was as high as 52%.

[Methods for surgical prophylaxis of the development of acute gastroduodenal ulcers]. / Metody khirurgicheskoi profilaktiki obrazovaniia ostrykh gastroduodenalnykh iazv.

The results of the use of prolonged novocaine blockade with the aim of prevention of the development of acute gastroduodenal ulcers in 57 patients are presented. In 21 case, the prolonged blockade of the vagus nerves was used, in 36--that of the ligamentum teres hepatis. After the operation, the proteolytic activity and acidity of gastric juice were studied. All the patients underwent gastroduodenofibroscopy with biopsy and target pH-metry. Under the influence of novocaine blockade, the proteolytic activity decreased, pH increased. At endoscopy, no acute erosive-ulcerous lesion of mucosa was revealed. Thus, a high effectiveness of the use of prolonged novocaine blockade has been proved.

[Novocaine block of the round ligament of the liver in the treatment of various diseases of the abdominal organs]. / Novokainovaia blokada krugloi sviazki pecheni v lechenii nekotorykh zabolevanii organov briushnoi polosti.

The inclusion of novocain blocade of the round ligament of the liver in the complex of conservative treatment of 312 patients with diseases of the gallbladder, pancreas, stomach and duodenum results in more rapid subsidence of the pain syndrome and a stable therapeutic effect. The simplicity and safety of the method allow to recommend the novocain blocade both in the hospital and in ambulatory conditions, as well as in remote and almost inaccessible localities, on ship vessels in far trips.

[Clinico-anatomical basis for the blockade of the round ligament of liver in combined treatment of acute pancreatitis]. / Kliniko-anatomicheskoe obosnovanie blokady krugloi sviazki pecheni v kompleksnom lechenii ostrogo pankreatita.

Clinico-anatomical studies enabled the authors to substantiate the optimum variant of the novocaine-medicamental blockade of the round ligament of the liver. Its employment in the complex treatment of 45 patients with acute pancreatitis improved the results of conservative therapy.