The results of treatment of 146 patients with colorectal cancer are shown. In 52 patients underwent surgery alone. 42 patients before surgery was performed radiotherapy scheme ROD 5 gy (x 5 days) to ODS 25 gy. 48 patients was performed with combined treatment by the original method. To reduce the risk of postoperative purulent complications developed using a set of preventive measures, the use of which reduces the incidence of septic complications in 5.7%.

The efficacy of prevention of wound complications was evaluated in 152 patiens aged 33 to 76 years with large incisional ventral hernias, undergone to allohernioplasty with a use of tree methods for wound drainage, i.e. traditional vacuum drainage Redone, drainage Blake Drains and UnoVac drainage system. In cases of traditional vacuum drainage, serous inflammation was noted in 14%, infiltrate in 9%, wound abscess in 2%. In cases of using Blake Drains serous inflammation was noted in 6%, UnoVac – in 4%, while wound abscess and infiltrate were not observed at all.

In work results of treatment of patients are presented with is long not healing purulent diseases of soft fabrics. To therapy of the first group of patients (27) along with traditional treatment carried out bandagings with drawing the ozonized olive oil. As a result of research it is revealed that application of a method of a local ozonoterapy allows to accelerate considerably healing process to a wound to reduce stay terms on a hospital bed on the average by 20% with the localized is long not healing processes and for 16% with the unlimited is long not healing processes.

The article analyzes the short-and long-term outcomes of 42 male patients operated on inguinal hernia with the aid of liechtenstein’s technique. The modern classification of inguinal hernias, proposed by nyhus, has been used. Widely used prostheses "Esfil" ("linteks", St. Petersburg), and polypropylene implants modified by a coating of polyhydroxyalkanoates have been studied.It is proved that the frequency to the remote and some early stent-related complications as well as the rate of change of the linear velocity of blood flow in the vessels of the groin with the help of the Doppler ultrasound (USDg) are affected by the choice of the endoprosthesis. In this case, the best results were observed in the study group, where the implants were used, modified by PgA-coating.

The aim of thisstudy was to investigatethe efficiency ofmetabolic therapyincorrectionof cognitive impairmentin patientswith type 2 diabetes. We undertook the analysis of results of the treatment of cognitive dysfunction in 80 patients with a diagnosis of type 2 diabetes. All patients received basic hypoglycemic therapy. 32 patients (study group) received in addition to the basal glucose lowering therapy daily intravenous infusion of 10 mlcytoflavindiluted in 200 ml of a 0.9% sodium chloride solution for 10 days, followed by 2 tablets b.i.d. for 25 days.The group of comparison consisted of 29 patients given in addition to the basal glucose-lowering therapy daily intravenous infusion of 24 ml (600 mg) thioctacid diluted in 200 mL of a 0.9% sodium chloride solution for 10 days. Thereafter, they received 1 tablet ofthioctacid BV once dailyfor 30 days. The control group consisted of 19 patients who received basic hypoglycemic therapy without additional metabolic therapy.Inclusion of cytoflavin in the combined treatment ofpatients with type 2 diabetes ensured a more effective correction of cognitive impairment. There was a statistically significant improvement in optical-spatial activities (p = 0.001), attention (p = 0.001), abstract thinking (p = 0.046), and memory (p<0.001) compared to those in other groups, according to the MOS test. Positive dynamics was expressed as the improvement of the optical-spatial activities by 9,8 ± 10,3%, attention by 13,5 ± 11,8%, abstract thinking by 7,0 ± 8,9%, and memory by 23.0 ± 14 6%. The study of variations of the serum level of brain neurotrophic factor (BDNF) over time during the treatment with metabolic preparations revealedits statistically significant increase (p = 0.002) in the patients treated with cytoflavincompared with comparison (p = 0.139) and control (p = 0.078) groups. These results suggest the influence of cytoflavinon the processes of neuroplasticity under conditions of hyperglycemia, improvement of cerebral microcirculation and cerebroprotective action of this medication.

Актуальной задачей хирургии остается лечение гнойных ран. Врач сталкивается со многими проблемами в процессе их заживления. Лечение гнойной раны должно быть направлено на максимальное сокращение всех фаз раневого процесса, сокращение сроков госпитализации и амбулаторного лечения. Методика лечения гнойных ран под повязкой остается основной в клинической практике, но недостаточно эффективной. В связи с этим разрабатываются современные перевязочные средства, обладающие одновременно несколькими свойствами. В отличие от традиционных перевязочных средств современные раневые покрытия существенно отличаются по своему дизайну и свойствам и включают в себя не только привычные текстильные материалы (марля, сетка, нетканое полотно), но также пленки, пленкообразующие композиции, губки, гидроколлоиды, гели, порошки, пасты, комбинации различных материалов. Раневые покрытия – это своеобразная лекарственная форма, применение которой позволяет существенно повысить эффективность лечения.

Основной функцией любого хирургического шва является обеспечение достаточно плотного, герметичного и надежного соединения ушиваемых тканей и удержание их в фиксированном положении с постоянной компрессией в течение всех этапов заживления раны, включая послеоперационный отек. Это предопределяет особые требования к прочности и эластичности шовных материалов, способности надежно фиксироваться хирургическим узлом. Вместе с тем шовный материал должен быть биосовместимым, атравматичным, не иметь капиллярности и фитильности, сохранять свои свойства при стерилизации и в процессе хранения. Прогресс в хирургии желудочно-кишечного тракта, связанный с применением новых мощных антибактериальных препаратов, новых шовных материалов, аппаратного формирования межкишечных анастомозов, к сожалению, не решил проблемы несостоятельности швов. Несмотря на значительные успехи современной абдоминальной хирургии, одним из тяжелейших осложнений в раннем послеоперационном периоде после резекций и реконструктивных операций на полых органах брюшной полости является несостоятельность швов анастомоза. Несмотря на разработки, в этой проблеме до настоящего времени ряд положений еще не изучен в достаточной степени. Не выяснено влияние на качество кишечного шва травмы слоев кишечной стенки и состояния кровообращения в краях раны при различном ходе лигатуры в области шва. В связи с этим только лишь совершенствование способа наложения кишечного шва или формирования анастомоза не является единственным условием достижения успеха в решении этой сложной проблемы.

The main function of any surgical suture is to provide a sufficiently dense, tight and secure connection sutured tissues and keeping them in a fixed position with a constant compression during all stages of wound healing, including postoperative edema. This predetermines the special requirements for strength and elasticity of the sutures, surgical ability securely in a knot. However, the suture should be biocompatible, non-invasive, and does not have a capillary wick, maintain their properties during sterilization and during storage. Progress in surgery of the gastrointestinal tract associated with the use of powerful new antibacterial drugs, new suture materials, hardware, forming intestinal anastomosis, unfortunately, has not solved the problem of insolvency joints. Recovery continuity and healing of the anastomosis is dependent on the type of suture material, and its mass immersed in the tissue. Protective reaction to the suture as a foreign body, is aimed at the seizure of ligatures in the lumen of a hollow organ that accompanied the development of erosions, or organization through their connective tissue anastomosis. This healing process is lengthy, is an inflammatory reaction and determines immediate outcome formed anastomosis and in the long term – its functional state. Many authors emphasize that the most pronounced reaction of rejection as well as the organization of ligatures happening on nonabsorbable suture. All this justifies the desire of surgeons to use biodegradable filaments has an obvious advantage.

В статье проанализированы непосредственные результаты хирургического и комбинированных методов (2) лечения 146 больных раком прямой кишки за период с 2002 по 2009 год. Больные были разделены на 3 группы: контрольная (52 человека), 1 исследуемая группа (42 человека), 2 исследуемая группа (48 человек). Изучены непосредственные результаты комбинированного лечения больных раком прямой кишки при различных режимах предоперационной лучевой терапии. Комбинированное лечение больных вызывает незначительные сдвиги в аутомикрофлоре больных, не приводит к увеличению транслокации эндогенной микрофлоры из просвета прямой кишки, не увеличивает частоты эндогенного инфицирования брюшной полости и полости таза, не вызывает значительного роста показателей послеоперационной гнойной хирургической инфекции. Использование разработанного комплекса профилактических мероприятий при комбинированном лечении больных позволяет контролировать риск развития послеоперационных гнойных осложнений.

The defeat of the lower limbs is one of the most serious complications of diabetes, leading to neyroosteoartropatii. Diabetic foot syndrome significantly reducing the quality of life of patients. According to various reports from 20% to 50% of all hospital admissions of patients with diabetes is associated with damage to the feet.

In article questions of modern treatment of hernias of a forward belly wall with use as plastic local to fabrics, and with use mesh are taken up. In work features of a current of the postoperative period and character of complications after application of various kinds tension plastic are reflected. In the presented work the characteristic applied at plastic of hernias is given now a forward belly wall modern mesh, and also ways of their arrangement depending on anatomo-topographical features of an organism, the size of a hernia and hernial defects. The questions connected with the reasons of occurrence of hernias of a forward belly wall are considered(examined), is specified that plastic of hernias with application mesh allows to lower risk of occurrence of hernias considerably. Modern movement gerniology forward is connected with application mesh which allow to lower early and late postoperative complications, to restore work capacity, to lower kojko-day and to improve quality of a life of patients.