Familial bullous disease of the lungs as a cause of spontaneous pneumothorax

Problems of surgical treatment of familial spontaneous pneumothorax, which is a manifestation of a hereditary form of bullous disease of the lungs, are discussed. Study of 2 families showed that the disease is inherited according to the autosome-dominant type with incomplete penetrance and/or variation expressivity. Operation was performed on 5 of 9 patients. Bullectomy and pleurodesis by means of parietal pleurectomy were conducted. Follow-up for periods of 1 to 27 years showed surgical treatment to be effective.     

Resection of the esophagus in patients with sequelae of chemical burns

Indications for resection of the esophagus in cicatricial constriction were elaborated on the basis of 58 cases of resection of cicatricially changed thoracic esophagus. Comparative analysis of gastric secretory and motor-evacuative function after two variants of esophageal resetion (after Dobromyslov-Torek and with preservation of the trunks of the vagus nerves) showed the efficacy and expediency of leaving intact the vagus nerves in resection of a cicatricially changed esophagus in the presence of appropriate indications.