To develop surgical tactics and to improve results of treatment of patients with a leakage in the next postoperative period after a holetsistektomiya. Material and methods of research. We analysed results of surgical treatment of 2247 patients who trans- ferred a holetsistektomiya in clinic of SamMI in the period of 2010 – 2014 year. In the early postoperative period it were marked out leakage at 52 (2,31%) the patient. For the purpose of identification of a leakage applied the following methods of research: Ultrasonography, KT, fi-stulografiya, ERPHG. Results. For an assessment of a postoperative leakage used the modified classification of L. Morgenstern (2006), for definition of damages of magistral bile ducts used E.I. Galperin's classification (2002). Consid-ered not only a daily output of bile on a drainage of an abdominal cavity, but also liquid congestion volume in projections of a bed of a gall bladder, and also availability of free liquid in an abdominal cavity according to ultrasonography. Conclusions. Leakage frequency after holetsistektomiya makes 0,74% (after THE – 2,44%, after LHE – 1,08%, after MHE – 2,47%). "Small" damages of bilious channels and 25,26% cases – damage of the main bilious channels were sources of a postoperative leakage in 54,72% of supervision. In 20,02% cases the source isn't established. Ultrasonography is an initial method of diagnostics of a postoperative leakage. At a leakage of 1 degree, lack of signs of irritation of a peritoneum and symptoms of intoxication it is necessary to adhere to tactics of active dynamic supervision. At a leakage of 2-3 degrees repeated intervention – a lapa-roscopy, a laparotomy is shown.
The hepatoprotective activity of Ferula asafoetida resin gum in comparison with legalon was investigated in paracetamol hepatitis experimentally. It has been established that the gum of Ferula asafoetida resin prevents the development of cholestatistic and cytolytic syndromes, hyperbilirubinemia, hypoproteinemia. In terms of its pharmacological activity, the gum of Ferula asafoetida resin is not inferior to legalon. Obtained results recommend further studies of the pharmacological properties of the gum resin of Ferula asafoetida and the development of its officinal drug form
The article describes modern methods of diagnosis and treatment of acute cholecystitis and its complications in cholelithiasis. In the literature, data on the problem of treating choledocholithiasis are contradictory. The question of evaluating the effectiveness of various treatment technologies remains open and requires further in-depth study. The introduction of new methods and technologies in the treatment of patients with choledocholithiasis not only did not bring clarity to the solution of issues related to the tactics of treating such patients, but, on the contrary, increased the contradictions.
The question of modern possibilities of complex diagnostics of thyroid nodules is considered. Despite the large number of studies conducted, it is not always possible to correctly establish an accurate morphological diagnosis of thyroid nodules, which indicates the need to improve existing and search for new, more informative diagnostic methods. In this regard, reports on the use of measurements of tissue pressure in the thyroid gland for the differential diagnosis of various pathologies of this organ are very promising.