Khirurgiia
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There were 849 children with various forms of acute appendicitis under observation in 1988. Generalized and circumscribed peritonitis was found in 44.2% of cases. The new clinical approach-based introduction of a previously elaborated surgical tactics showed it to be rational. The changing conditions led to a wider use of diagnostic laparoscopy, rejection of the "lavage" system in the postoperative period, and introduction of the method of laparostomy which is simpler and more effective.
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Comparative Study
[Anesthesia in the surgical treatment of fractures of the proximal end of the femur].
The article generalizes experience in anesthesiological management of 178 elderly and old-aged patients with fractures of the proximal segment of the femur in endoprosthesis with a Mura-Cito prosthesis, 3-flange nail, Shesterni's fixation device, arched nail, etc. In contrast to endotracheal anesthesia and local anesthesia with neuroleptanalgesia potentiation, prolonged epidural anesthesia in 51 patients produced adequate intra- and postoperative anesthesia without causing respiratory complications and depression and facilitated early activation of the patient. Prolonged epidural anesthesia had advantages over other types of anesthesia in this category of patients.
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Experience in the treatment of 317 patients with cancer of the colon is discussed. Surgery was conducted in 226 patients, 91 patients received combined treatment (operation and intravenous injection of radioactive colloidal gold). ⋯ The main cause of death was peritonitis (4.1%) due to incompetence of the anastomosis. Combined treatment of patients with stage III cancer of the colon improves somewhat the late-term results of management.