Vol 67, No 3 (1986)

We observed 70 patients with various acute abdominal diseases who underwent relaparotomy in the early postoperative period (see Table). There were 43 men and 27 women; the patients' age ranged from 15 to 65 years.

We carried out a comparative study of motor-evacuatory function of the stomach and intestines in 211 patients after operations, performed by conventional methods (according to Bilrott I and II) and during pylorus-reserving resections of the stomach. The latter were performed by three different methods: by A.E. Zakharov, by Maki-Shalimov and by V.F. Naumov. Each of the mentioned methods of pylosaving operations has its own peculiarities of pyloric sphincter denervation and is accompanied by characteristic deviations of motor-evacuatory function from the norm.

We analyzed the results of surgical treatment of 128 patients (66 men and 62 women) with various forms of pancreatic necrotic process not associated with biliary tract pathology. There were 76 patients aged from 29 to 60 years old and 52 patients over 60 years old. Past medical history showed that 27 patients had alcoholism, 15 patients - gastric and duodenal ulcer, 16 - heart and vascular diseases; 23 patients had acute or chronic pancreatitis.

In surgical practice a great number of methods are used to assess the course of the wound process; however, the search for more informative tests to reveal the nature of the wound process and reparative regeneration is still relevant. One of the directions of this search is the quantitative determination of the specific components participating in the reparative tissue regeneration in the wound discharge. Such methods include the detection of protein, collagen and its derivatives, glycosaminoglycans etc. in the wound discharge.

In the literature we found reports on anti-inflammatory, analgesic, resolving effect of low-energy laser light in the red part of the spectrum, its irritating effect on receptors of the nervous apparatus, ability to induce ovulation. We have not found any works on laser beams application in treatment of tubal infertility, but taking into account the above mentioned we can assume the possibility of restoration of female reproductive function by laser treatment.

Topographoanatomical relations of the genital nerve with the mentioned ligaments and the sternum muscle were studied on 12 cadavers no later than 3 hours after death and on 4 cadavers of both sexes died between the ages of 30 and 62 years fixed in formalin (24 specimens in total). Attention was paid to the location of the genital nerve in relation to the pelvic bony formations, sternum muscle, sacrospinous and sacrococcygeal ligaments.

We examined 37 patients (18 men and 19 women) with supratentorial brain tumors. Nineteen patients had intracerebral tumors and 18 patients had extracerebral tumors. The patients were subdivided into different groups depending on the predominant localization of the neoplasm, histostructure and malignancy of the tumors, phases of the clinical course of the disease.

The aim of our study was to investigate the effect of ketamine on peripheral hemodynamics in children with surgical pathology and to develop a way to reduce the effect of ketamine on peripheral blood flow by including aminazine and droperidol in premedication. We examined 120 children aged 7 to 12 years who were in the clinic for inguinal hernia (54), hydrocele testis (30), scar phimosis (26), and white line abdominal hernia (10).

Lipid peroxidation is a chain free-radical oxidation reaction of lipids by molecular oxygen, the product of which is lipid hydroperoxide. The most important effect of lipid peroxidation products on cell membrane permeability. Peroxidation or a mechanism close to it is involved in the regulation of the transport of substances across membranes in normally metabolizing cells.

From 1974 to 1984, we followed up 210 patients (118 men and 92 women) with facial boils and carbuncles. The disease predominated in persons 16-25 years old (76%). The process was localized in the suborbital and cheek areas in 75 patients, in 37 - on the upper lip, in 18 - on the lower lip, in 12 - in the frontal area, in 38 - on the chin area, in 30 - on the corner of the mouth.

In the last 7 years, 627 victims (73% male, 27% female) with multiple and combined injuries were treated at Brezhnev Emergency Hospital. There were 53.3% of those aged 21-40 years and 17.3% of children. Open fractures accounted for 4.9%.

We studied short-term memory in patients who had suffered craniocerebral injuries using a 10-word test. Since mnastic activity depends on attention and motivational-emotional states, we examined patients' attention using the Bourdon correctional test and personality features using a multilateral personality examination.

T., 39 years old, considers herself ill since the beginning of 1983. She had a severe cough, at first dry, later with mucopurulent sputum. During the year she was treated as an outpatient, taking antibiotics and cough pills. In December 1983, she was admitted to a hospital in Kazan, but her condition did not improve. In spring 1984 her cough sharply intensified again, body temperature increased, amount of sputum increased, shortness of breath, which at times became suffocation, general weakness, sweating, poor appetite and weight loss became disturbing. Past illnesses: measles, scarlet fever.

After sustained penetrating wounds of the cornea and corneoscleral region, cilia are sometimes found in the anterior chamber of the eye that were not found and removed during the primary surgical treatment of the wound. They are usually extracted with forceps through a limbal incision with a conjunctival flap. The technique of this operation is complicated, because it is necessary to manipulate under the conditions of the emptied anterior chamber of the eye; in addition, the cilia may be lost in the iris stroma. An operating microscope and micro instrumentation are required for the operation.

We examined 42 patients (6 women and 36 men) with tuberculosis. The average age was 43.2+1.8 years; bacilliform patients accounted for 45.2%. Infiltrative tuberculosis was diagnosed in 14 patients, focal in 9, disseminated tuberculosis in 4, tuberculoma in 5, pleurisy in 5, fibrous cavernous tuberculosis in 3, and cirrhotic pulmonary tuberculosis in 2. Tuberculostatic therapy was administered at moderate therapeutic dosages. The duration of continuous chemotherapy in most patients ranged from 2 to 4 months.

We observed 4 patients with foreign bodies in the esophagus of complex cruciform configuration. The duration of foreign bodies in the esophagus before esophagoscopy for various reasons was 6, 9, 16, and 23 days. In all cases, the foreign bodies were radiologically located in the frontal plane above the level of the second physiological constriction of the esophagus and their ends protruded beyond the esophageal walls. Concomitant complications and severity of patients' condition were in direct correlation with the duration of foreign bodies' stay in the esophagus. All patients under endotracheal anesthesia underwent esophagoscopy to remove foreign bodies.

There are more than 100 known ways of connecting tendon ends, but all of them have one significant disadvantage: the suturing causes significant traumatization of the tendon ends, which leads to the formation of rough scar tissue adhesions between the suture and the surrounding tissues. To reduce the traumatic nature of the intervention, the distal end of the injured tendon is retrogradely tightened with a temporary U-shaped suture to the place where the tendon ends are connected, and the latter are fixed with an eight-shaped suture.

The human being is the main object of medicine and art. In the pursuit of a holistic understanding of him, medicine and art cannot do without each other, a fact that is particularly evident in the history of fine art, the evolution of which is inextricably linked to the anatomical and physiological knowledge of artists.

January 21, 1986 was the 100th birthday of Konstantin Mikhailovich Bykov, one of the most prominent pioneers of Kazan Medical School. The life and activity of the remarkable scientist is an example of selfless service to the national science.

The book is a generalization of the results of many years of research by Professor A. Ratner, the team of the Department of Pediatric Neuropathology at Kazan Institute for Advanced Training of Physicians, and specialists of various profiles (obstetricians-gynecologists, radiologists, pediatricians, morphologists) working with him on the problem of natally conditioned lesions of the nervous system.

L. P. Pavlova, M.D. (Kiev), M.D., delivered a report on clinical examination in urology. She drew attention to the role of clinical examination in the prevention of urological diseases and their transformation into chronic forms, in the timely treatment of patients with urological pathology.

The III session of the Coordinating Council of the Volga Region for Postgraduate Training of Physicians was held in Kuibyshev on November 28-29, 1985. The meeting was attended by Deputy Ministers of Health for Personnel of Tatar, Chuvash, Mari and Mordovia ASSR, heads of personnel departments of Kuibyshev, Gorki, Ulyanovsk and Kirov Regional Health Departments, Vice-Rectors for Academic Affairs of medical institutions of the region, deans of Faculties for Advanced Medical Training (FEMT), representatives of the MH RSFSR, heads of health authorities and medical institutions of Kuibyshev region and Kuibyshev city.