Aim. To present the treatment results of patients with liver echinococcosis using abdominisation method to eliminate the fibrous capsule cavity.Methods. Method of fibrous capsule abdominisation was used in 73 patients with liver echinococcosis. Primary echinococcosis was diagnosed in 68 patients, relapse - in 5. An important condition for the surgery success is a thorough examination of the residual capsule to detect biliary fistulas and in case of their presense - a reliable suturing of the fistula with the subsequent control of their hermeticity and drainage. The fibrous capsule cavity and subphrenic space were drained using fascines drainage through which the fibrous capsule cavity was irrigated with ozonated sodium chloride solution and 0.02% dekasan solution.Results.. Postoperative complications occurred in 4 patients, and were presented with bile leakage, pleuritis and wound infection. There were no fatal cases. During the course of treatment biochemical tests results of patients who underwent fibrous capsule abdominisation, and patients in whom the fibrous capsule elimination was performed by capitonnage and intussusception were compared. The best results were found in patients with fibrous capsule abdominisation. Abdominisation method is reasonable for cysts of medium and large sizes (up to 15 cm in diameter), and in cases when the cavity elimination has a risk of blood vessels and bile ducts damage.Conclusion. Our research showed the possibility to perform fibrous capsule cavity abdominisation in liver echinococcosis, this method does not worsen liver functional state compared with capitonnage and intussusception.

Despite the improvement of the technique of surgery and treatment, the frequency of complications after appendectomy with an atypical location of the appendix varies from 10 to 30 %. The aim of the work is t o evaluate the effectiveness of the use of regional lymphostimulation and ozonated solutions in the prevention of complications after appendectomy with an atypical location of the appendix. Materials and methods. 45 patients with an atypical location of the appendix were subjected to analysis (a prospective study). 2 groups were identified: the first (comparison group) included 21 patients who underwent process removal and traditional treatment in the postoperative period. The second, main group, included 24 patients who had regional lymphostimulation, irrigation of the process bed and the operating wound with an ozonated sodium chloride solution at the time of surgery. Results. In the comparison group, there was suppuration of the wound in 4, and infiltration in 2, intestinal paresis in two and early adhesive intestinal obstruction in one. A relaparotomy was performed. In the main group, one suppuration and infiltration of the postoperative wound were noted. There were no fatal outcomes. Conclusion. The use of regional lymphostimulation and ozonated solutions can reduce the frequency of complications and the length of hospital stay in acute appendicitis with an atypical location of the appendix.

Aim. To determine the effectiveness of indirect antibiotics and lymphotropic therapy for the systemic inflammatory response syndrome correction in patients who underwent abdominal surgery.Methods. There were two groups with systemic inflammatory response syndrome in the postoperative period: 212 patients with various diseases of the abdominal cavity, who received conventional systemic complex therapy, and 146 patients whose complex treatment included antibiotics and lymphotropic therapy (administration of the cephalosporin antibiotics with lymphotropic mixture into the tibia subcutaneous tissue with the prior venous stasis creation). In both groups, patients with destructive forms of cholecystitis and appendicitis complicated by local or general peritonitis dominated. The dynamics of systemic inflammatory response syndrome clinical indicators, as well as laboratory parameters were assessed: the white blood cells count, leukocyte intoxication index, C-reactive protein and blood albumin. The data obtained on the 1st, 3rd and 5-6 days after surgery were analyzed.Results. In both groups clinical and laboratory symptoms positive dynamics was noted, which was more pronounced in the main group. In the control group leukocyte intoxication index increased on the third day and then decreased, but did not reach normal values on 10th day, while in the main group leukocyte intoxication index decreased already on the third day with its full normalization to 10th day. A faster normalization of white blood cell count, albumin level and C-reactive protein concentration decrease are also observed in the main group. Using indirect lymphotropic therapy was associated with reduction of postoperative complications and lethality rates.Conclusion. Lymphotropic therapy is an effective method of the systemic inflammatory response syndrome correction and can be recommended for the postoperative management of patients with abdominal surgery.

Acute appendicitis still predominates among surgical diseases. Despite the improvement in the technique of surgical intervention and treatment, the frequency of its complications ranges from 2 to 14%, which requires improvement of measures to prevent complications during operations and in the postoperative period. The aim of our work was to evaluate the effectiveness of the use of regional lymphatic stimulation and ozonized solutions in the prevention of complications after appendectomy with an atypical location of the appendix. Material and methods. The analysis included 45 patients with an atypical location of the appendix. Retrocecal was found in 25, retroperitoneal – in 12, and mesoceacal – in 8 patients. To assess the preventive measures used, 2 groups were identified. The comparison group consisted of 21 patients who received traditional treatment after surgery (to prevent complications antibiotics – ampicillin 1.0 g 4 times or gentamicin 80 mg 2 times a day for 4–5 days), pain relievers and infusion therapy. The main group included 24 patients who received regional lymphatic stimulation of the transitional fold of the peritoneum of the ileocecal region and the mesentery of the ileum, irrigation of the bed of the removed process and the surgical wound before suturing with ozonized sodium chloride solution with an ozone concentration of 8–10 μg/ml. In the diagnosis of appendicitis, clinical, laboratory (leukocyte count, leukocyte intoxication index) signs of the disease, and ultrasound were used. Results. In the comparison group, after surgery, suppuration appeared in 4 patients, wound infiltration was in 3 cases, early adhesive intestinal obstruction emerged once. Relaparatomy was performed with a favorable outcome. In the main group, one case of suppuration and infiltration of a postoperative wound was observed. By the time of discharge, all complications have been cured. There were no lethal outcomes. The hospital stay in the comparison group was 8.1 ± 0.37 bed-days, in the main group – 6.6 ± 0.12. Conclusions. The use of regional lymphatic stimulation can reduce the incidence of complications and shorten the length of hospital stay.