[Surgical treatment of sacrococcygeal epithelial fistula and dermoid cysts].

The results of surgical treatment of 246 patients in Department of Proctology of Ivano-Frankivsk regional clinical hospital in 2000-2008 yrs were analyzed. There were 232 men and 14 women ageing 18-46 years old. There were admitted to the hospital 38 (15.4%) patients for coccygeal epithelial fistula (CEF) abscess and 6 (2.9%)--for atypical localization of CEF. In 12 (5.8%) patients dermoid cyst of sacrum region was diagnosed. Radical excision of all CEF with suturing of the cutaneous--subcutaneous layers edges to the yellow ligaments edges or periosteum of cristae sacralis medianae in the wound bottom was performed in 76 (84.6%) patients. In 32 (15.4%) patients, after radical excision of CEF, the operation was concluded by mildly approximating interrupted suturing with the wound tamponade, using the gauze band. In 12 (4.9%) patients the radical excision of dermoid cyst with suturing of the skin edges and subcutaneous layer to the wound bottom was made. The abscess revision and restricted necrectomy was performed, the wound was managed, using open method, in 38 (15.4%) patients, suffering CEF abscess. Radical operative intervention was performed in 2 - 4 months. The disease recurrence had occurred in 3 (1.28%) patients due to performance of insufficiently radical excision of ECF.

[Evaluation of quantum therapy for the treatment of stable angina]. / Otsinka efektyvnosti vplyvu kvantovoï terapiï na perebig stabil'noï stenokardiï.

A total of 68 patients have been examined. Of these, 21 had functional class (FC) I stabile angina, 23 presented with FC II angina, 24 had FC III angina. Instituted in the control group patients (n = 30) was standard antianginal therapy (SAT). Laser therapy against the background of SAT employed has been found to improve the functional state of the myocardium, enhance tolerance to physical loads, improve indices for intracardiac hemodynamics. He-Ne laser irradiation has an analgecizing effect. Patients with FC I-III exertional angina can derive benefit from laser therapy due to its cardioprotective effect. Positive hemodynamic shifts were accompanied by improvement in general health of patients manifested by lower frequency of angina attacks and episodes of pain-free ischemia of the myocardium. Laser therapy had an effect on relation between painful and painless ischemia of the myocardium as evidenced by a predominant decrease in pain-free episodes of myocardial ischemia, this being regarded as a prognostically favourable fact.