Prevention and treatment of necrosis of the downward transposed intestine following abdomino-anal resection of cancer

The article analyzes an experience with treatment of 83 patients with necrosis of the descended gut after 1128 sphincter-preserving resections of the rectum. The rectum resection if performed at high professional level and the drug correction of coexistent diseases were found to reduce the amount of necroses of the descended gut up to 4%. In 33.7% of the patients inflammatory phenomena in the small pelvis were arrested with satisfactory functional results.     

Aspiration puncture biopsy in the preoperative diagnosis of adrenal tumors

The results of fine-needle aspiration puncture (AP) and cytologic examination in the preoperative period in 4 patients with various lesions of the adrenals are discussed. AP was conducted under local anesthesia and control by ultrasonic examination; no complications occurred. Analysis of the cytologic findings allowed preoperative morphological verification of the process, as a result of which the initial clinical diagnosis was changed in 2 of the 4 cases. With an exactly established preoperative cytologic diagnosis a rational therapeutic tactics can be chosen, and the necessity of using complicated examination methods, diagnostic laparotomy among others, obviated.