[Injuries of the heart and pericardium]. / Raneniia serdtsa i perikarda.

In the peace time wounds of the heart occur in 13-15% of penetrating injuries of the chest. Of leading importance in diagnostics of heart wounds is the triad of symptoms: hemorrhage, tamponage of the heart, wound in the heart projection. The main task in the treatment of heart wounds is to suture the wound.

[Errors in the diagnosis of traumatic ruptures of the diaphragm]. / Oshibki v diagnostike travmaticheskikh razryvov diafragmy.

Traumatic ruptures of the diaphragm were analyzed in 18 cases. The main causes of errors in the diagnosis of the injury were considered to be the following ones: 1. the underestimation or misunderstanding of different clinico-roentgenological forms of injuries of the diaphragm and resulting peculiarities of the course of the disease; 2. simultaneous injuries of the abdominal cavity organs; 3. the underestimation of severity of the trauma.

[The surgeon's procedure in appendicular infiltrates]. / Taktika khirurga pri appendikuliarnom infil'trate.

The surgeon's tactics in appendicular infiltrate should be chosen following a complete examination of the patient and careful observation. Appendectomy is indicated in loose appendicular infiltrate. Conservative therapy is a method of choice for the treatment of a dense appendicular infiltrate. Periappendicular abscess should be opened and drained.

[Clinical course, diagnosis and treatment of thoraco-abdominal injuries]. / Klinika, diagnostika i lechenie torakoabdominal'nykh ranenii.

High incidence of diagnostic errors in thoracoabdominal wounds is due to the critical state of the patients, insufficient clinical examination and underestimation of localization of the wound hole. Errors in diagnosis result in the incorrect sequence of surgical procedures, time loss during the arrest of bleeding, use of traumatic operative accesses.

[Postoperative ventral hernias]. / Posleoperatsionnye ventral'nye gryzhi.

An analysis of the observation of 107 patients has shown the etiological factors of the appearance of postoperative ventral hernias to be varied: lowered resistance of the patient's organism to infection, choice of an irrational operative access, insufficient hemostasis, carelessness in handling with tissues during operation, severe concomitant diseases, erroneously chosen method of anesthesia. Peridural anesthesia is recommended for the operative treatment of ventral hernias.