Transumbilical biliary drainage is optimal during reconstructive surgery.

Medication and additional survey contributed to detection of intussusception followed by intestinal obstruction in 13 (86.7%) out of 15 patients prior to surgery. All patients underwent urgent or delayed surgery. Small intestine resection was performed in 9 patients, 2 patients underwent resection of small intestine with submucosal tumor (1) and Meckel's diverticulum (1) after intussusception repair. Right-sided hemicolectomy was performed in 3 patients, sigmoid colon resection with lymph nodes dissection - in 1 patient. The cause of intussusception followed by intestinal obstruction were epithelial and stromal tumors (9), less often metastasis of melanoma (2), Meckel's diverticulum (1) and functional bowel disorders (1). Postoperative complications arose in high risk patients hospitalized after 24 hours from onset of the disease and present concomitant diseases and malignancies. 1 (6,7%) patient died.

Acute appendicitis is a disease with which the surgeon faces in providing emergency surgical care both in the most famous clinic and in the hospital far from a large city. Before acute appendicitis are equal and novice doctors, and gray-haired professors and academics. The use of modern technologies, of course, had a positive impact on the results of surgical treatment of patients with acute appendicitis. However, the problem of acute appendicitis is far from being solved. This book reflects the experience of the authors of diagnosis and treatment of patients with acute appendicitis for 40 years, which allowed to formulate General provisions of diagnostic and treatment tactics and postoperative management of patients. We hope that the book will be useful to a wide range of doctors and, of course, surgeons, especially those who are starting their professional activities. The first edition of the book in 2011 aroused a positive response and great interest among surgeons, and the published edition of the book, which seemed at first quite sufficient, was quickly exhausted. Repeated appeals to the authors to purchase this monograph were the reason for the need to prepare the second edition of the book that you hold in your hands.

The monograph devoted to the problem of acute pancreatitis consistently highlights the issues of anatomy and physiology of the pancreas, etiology, pathogenesis and classification of acute inflammation of the pancreas. Particular attention is paid to determining the severity of the course and prognosis of the disease. The clinical picture and modern approaches to treatment, including the features of suppression of secretory activity of the pancreas, taking into account the severity of the disease, are presented. The section on the tactics of protein-water-energy supply of patients with acute pancreatitis as the basis of metabolic support of patients is presented in detail. The components of complete parenteral nutrition and the duration of its implementation in acute pancreatitis were determined. Attention is drawn to the timing of minimally invasive interventions for uninfected and infected post-necrotic fluid formations, as well as the timing of drainage of purulent lesions of the pancreas and retroperitoneal tissue. The book is intended for General surgeons, residents enrolled in the specialty "Surgery", therapists, may be useful to doctors of other specialties and senior students of higher medical schools.

The training manual consistently covers the issues of the anatomy of the appendix, epidemiology, etiology, pathogenesis, classification, clinical presentation, diagnosis and treatment of acute appendicitis and its complications. The issues of surgical treatment of acute appendicitis and the prevention of postoperative complications are examined in detail. A separate chapter is devoted to complicated forms of acute appendicitis. Particular attention is paid to the organization of medical care for patients with acute appendicitis, the characteristics of the course of the disease in children, elderly patients, pregnant women. For the first time, the educational publication presents the psychological aspects of the rehabilitation of surgical patients. The assimilation of the material of the training manual is facilitated by test tasks and questions for self-control. The manual is intended for students of medical universities, clinical residents and doctors studying in the system of additional professional education, specializing in "Surgery".