[Treatment of acute hepatic failure in mechanical jaundice]. / Lechenie ostroi pechenochnoi nedostatochnosti pri mekhanicheskoi zheltukhe.

On the basis of experience in the treatment of 1,276 patients who were operated on for various forms of obstructive jaundice and acute hepatic insufficiency, the author recommends including in the therapeutic complex, besides the commonly accepted therapy, hemo- and lymph sorption, combined anesthesia including electroanalgesia, and controlled dosed decrease of pressure in the biliary system during and after the operation. With the use of this complex of treatment in obstructive jaundice complicated by acute hepatic insufficiency, lethality fell from 13.1% to 5.9%.

[Surgical treatment of intrahepatic forms of cholestasis]. / Khirurgicheskoe lechenie vnutripechenochnykh form kholestaza.

Intrahepatic forms of cholestasis were detected in 2,9% of patients operated upon for hepatobiliary pathology. The optimum method of the surgical treatment of cholestatic forms of hepatitis and early stages of liver cirrhosis is considered to be periarterial nephrectomy of the proper hepatic artery in combination with omentohepatodia-phragmopexy which was successfully fulfilled in 50 patients.

[Correction of the blood coagulation mechanism in the surgical treatment of mechanical jaundice]. / Korrektsiia gemokoaguliatsionnogo mekhanizma pri khirurgicheskom lechenii bol'nykh s mekhanicheskoi zheltukhoi.

Under study were the indices of hemocoagulation, fibrinolysis and indices of the venous blood clot in 30 cholelithic patients without jaundice and in 51 patients with mechanical jaundice before surgery and in the dynamics of the surgical treatment. Recommendations are given for the correction of the hemocoagulation mechanism during the surgical treatment in patients with mechanical jaundice.