[Results of combined surgeries for cancer of the colon complicated with stomach and duodenal fistulas].

Positive results of combined surgeries in locally advanced cancer of the colon complicated with gastric fistula (3 patients) and duodenal fistula (1 patient) are presented. Effective treatment of these patients requires complex examination, good preoperative preparation, perfect anesthetic management, adequate operation and intensive postoperative (including antibacterial) therapy.

[Use of sodium hydroxybutyrate in surgery on patients with diffuse purulent peritonitis]. / Primenenie oksibutirata natriia pri operativnykh vmeshatel'stvakh u bol'nykh s razlitym gnoinym peritonitom.

Sodium hydroxybutyrate is recommended as an anesthetic drug for the main narcosis as possessing the antishock and antihypoxic effect on the basis of an experience with the surgical treatment of 146 patients with diffuse purulent peritonitis in extremely critical states which were estimated as a hypodynamic form of septic shock.

[Treatment of acute respiratory insufficiency in cardiac surgery]. / Lechenie ostroi dykhatel'noi nedostatochnosti v kardiokhirurgii

An analysis of the main causes of acute respiratory insufficiency as a frequently observed and severe complication of the early postoperative period after open-heart surgery is presented. To permit differentiated employment of respiratory resuscitation measures, subcompensated and decompensated forms of acute postoperative respiratory insufficiency were distinguished on the basis of clinical and laboratory data. The most efficient methods of treatment of this complication are described, including the employment of helium, ultrasonic inhalator, therapeutic intubation, bronchoscopy, long-term automated artificial pulmonary ventilation. A combined employment of the modified methods of respiratory resuscitation permitted to improve the course of acute respiratory insufficiency and to reduce the mortality nearly three-fold.