The ATP, phosphoenolpyruvate contents and the hexokinase activity in erythrocytes in injured persons with the pulmonary gun shot wound

The adenosine triphosphate and phosphoenolpyruvate contents in erythrocytes are enhancing before and in early terms after the operation for the gunshot lungs parenchyma damage. The study of molecular mechanisms of the lungs pathology allows to evaluate the severity of their damage, to substantiate the operative treatment tactic and the medicinal therapy principles.     

Possibilities of x-ray methods in diagnosis of an acute pancreatitis and its local complications

The ray methods of investigation were applied in 182 patients with an acute pancreatitis (AP). In 28% of patients local complications of AP were revealed: pseudocyst, abscess, pancreatic gland phlegmon, the gastric wall infiltration and ulceration, paracolic infiltrate and colonic obstruction, biliary hypertension, portal hypertension, subcapsular and parenchymatous splenic hematoma.     

The influence of sympathectomy of the superior mesenteric artery on the pancreatic blood flow

The results of performance of intraoperative rheopancreatography in 8 patients, operated on for an ulcer disease, were presented. The performance of selective proximal vagotomy and sympathectomy of a mesenterica superior had promoted the pancreatic blood flow improvement. It is substantiated in patients with secondary chronic pancreatitis, caused by the ulcer disease.     

The experience of application of peritoneal dialysis in cardiosurgery of an early age children

The experience of the peritoneal dialysis (PD) successful application in 16 children of an early age was summarized. In all the patients the terminal state with an acute cardiac and renal insufficiency was noted after cardiosurgical operation conduction using artificial blood circulation. The improvement of hemodynamical indices, renal and pulmonary function as well, were promoted by an early application of PD.     

Radical cystectomy with ileoneocystoplasty

There were examined 32 patients with cancer of bladder, to whom radical cystectomy with ileoneocystoplasty in the author's modification was performed. Operative intervention was done for the transitional cell carcinoma of bladder in T2-T4 stage. The method of the bladder formation using resection of the ileum segment 40-60 cm in length was adduced. The intestinal segment was transsected along the side opposite to mesentery, the transplant was placed in U-like fashion, the posterior wall of bladder was formed sewing together medial edges, anastomosis between bladder and ureter was performed. In 17 patients postoperative complications had occurred, mainly of septic-purulent character. Postoperative mortality was 9.4%. Radical cystectomy with ileoneocystoplasty is an effective method of medico-social rehabilitation of patients, which secures restoration of urodynamics of upper urinary ways and urination.