Complications of surgery on the pancreas]

The authors carried out 198 various operations for chronic pancreatitis and carcinoma of the pancreas. Postoperative complications occurred in 105 (53%) patients. Twenty-four (12%) patients died. Right resections of the pancreas were complicated by incompetence of the stump sutures when the remaining part of the gland was large and its tissue changed mildly. In left resection the stump of the gland was sutured completely after wirsungography and complete assurance that the pancreatic duct was not obstructed. In impaired patency of the duct pancreato-digestive anastomoses were established. Tampons and tubes were left in the abdominal cavity in 95-97% of pancreatic resections. Healing occurred through the formation of pancreatic fistulas which closed under the effect of nonoperative treatment.     

Early bronchoscopic and morphological diagnostics and prognosis in thermal inhalation trauma

Thermal injury is diagnosed by fibrobronchoscopy within the first 5 days after inhalation burn trauma in 73 patients (34% of the total number of patients hospitalized during the last 2 years). Pathological changes of the mucosa with predominant multiple ulceration at different levels of the tracheobronchial tree are detected in 44% patients and in more than 70% patients with acute respiratory deficiency. These changes determine variation and severity of thermal inhalation injury in the patients, and, together with morphofunctional characteristics, provide objective basis for the early diagnostics and prognosis. Translated fromByullelen' Eksperimental'noi Biologii i Meditsiny, Vol. 124, No. 8, pp. 221–225, August, 1997     

Prolapse of the urethral mucosa in girls

In the recent 9 years 39 girls aged from 2 to 10 years were treated at the clinic for prolapse of the urethral mucosa. Among them 24 had circular and 15 had segmental prolapse. The disease was encountered most frequently between 6 and 10 years of age, predominantly in the summer. Complex treatment was started with nonoperative measures which were followed by operation if the prolapse persisted or recurred. Spontaneous reduction of the mucosa occurred in 6 of 22 children who were treated by nonoperative measures, in 3 cases the effect was temporary and a recurrence developed. Operative excision of the mucosa was carried out in 36 girls. The results were good. The article discusses the etiopathogenesis of the disease and analyses the morphological changes in the removed urethral mucosa.