[New approaches for prevention of complications after Lichtenstein surgery]. / Novye sposoby profilaktiki oslozhnenii posle operatsii Likhtenshteina.

OBJECTIVE: To describe the new approaches for prevention of complications after hernia repair. MATERIAL AND METHODS: We have proposed the method of combined hernia repair including 2 new techniques to prevent complications after Lichtenstein surgery. The results of 100 surgeries over 5 years (2017-2021) for oblique inguinal hernias were analyzed. Patients were divided into 2 groups by 50 patients depending on surgical technique. We assessed the incidence and severity of postoperative complications, as well as duration of inpatient treatment. RESULTS: According to visual-analogue scale of pain syndrome, local pain intensity in the main group was 1.3 times less than in the control group in 1 hour after surgery, after 1 day - almost 2 times less, after 5 days - 1.7 times less. After 3 months, 1 (2%) patient in the control group had persistent local pain. In the main group, no patient had chronic pain (p<0.05). In the control group, ultrasound of postoperative wound area revealed serous fluid in the mesh area in 36 (60%) patients by the 6th day after surgery. In the main group, there were no ultrasound signs of seroma in any case. Incidence of complications was significantly lower in the main group (p<0.05). Mean length of hospital-stay was significantly less in the main group (6.2±1.1 and 7.1±1.2 days, respectively), p<0.05. CONCLUSION: The proposed new modification of Lichtenstein procedure is an effective method for prevention of the most common postoperative complications.

Empiric selection of antimicrobial therapy in case of purulent diseases of hand.

The article presents the data dedicated to comparative analysis of the structure of purulent diseases of the hand, the appointment of empirical antimicrobial therapy to military personnel in terms from 2005 to 2015. There was revealed the dependence between late hospitalization (after 5-10 days). and the frequency of deep hand infection, the spread of infection to the surrounding tissues, increase in the number of complications, reoperations, and duration of treatment. A comparative evaluation of results of treatment, depending on the nature of ongoing antibiotic therapy is revealed. A scheme for the appointment of empirical antimicrobial therapy in patients with complicated forms of purulent diseases of the hand is offered.

[Children's department and child care institutions of the Central military, hospital of People's commissariat during the Great Patriotic War].

The article presents historical data about paediatric health care delivery and escort of children of the Command of the Red Army during their evacuation from Moscow in 1941. Data on foundation of kindergartens of People's commissariat in 1942-1943, their support and foundation of children's department in the hospital is given. Special subdivision governed by the head of child care institutions of the hospital was formed for managing child care institutions.

[Surgical service at the Central Military Hospital of People's Commissariat of Defence shortly before the Great Patriotic War].

Authors present the article historical data on the foundation and development of surgical service at the 1st Therapeutic Red Cross Hospital (Central Military Hospital of People's Commissariat. of Defense) since its organization. The structure of the hospital surgical service and organization of surgical activity during the pre-war years is presented. Provided information about outstanding surgeons who was working in the hospital.