The results of 126 bacteriological investigations performed at the Department of vascular surgery, Gomel Regional Cardiologic Dispensary in the period from 2006 to 2007 have been analysed. In all the groups of the examined patients Staphylococcus aureus was the most widespread (33,3-66,7 %) infectious agent. Pseudomonas aeruginosa was most common for the patients suffering from PAD and postphlebitic syndrome (15,4 and 19,3 %, correspondingly) and significantly less prevalent in the group with trophic lesions in varix dilatation (4,8 %). Streptococcus epidermidis was most often revealed in the patients with PAD and varix dilatation (7,7 and 10,5 % correspondingly), аnd Staphylococcus saprophyticus - in the patients with PAD (11,5 %). The carried out analysis provides the ground to consider the application of ciprofloxacin and gentamicin in the initial treatment for all the above listed diseases as the most reasonable.

Analysis of intensive care and anaesthesiological supply of urgent deliveration of pregnants suffered from combined hestosis is presented in the report. Objective clinical and laboratory criteria of hestosis are presented. Set of treatment is used for management of pregnants suffered from combined hestosis. Deliveration of pregnants suffered from severe combined hestosis is performed only under general anesthesia.

Objective: to evaluate the cost-benefit ratio of the use of invasive intraoperative hemodynamic control of peripheral blood flow during correction of multilevel lesions in chronic arterial occlusive disease of the lower extremities.Material and methods. We compared the cost of the in-hospital period of treatment among patients of 3 comparable groups: the patients of the first group underwent interventions under angiographic control, of the second — under invasive intraoperative hemodynamic control of the state of peripheral blood flow in addition to angiography, and in the patients of the third group invasive hemodynamic control of the state of peripheral blood flow was followed by pharmacological tests.Results. The use of the given method made it possible to correct the extent of the performed procedures of revascularization and to estimate the efficiency of the phases of the operation in real time. The result of interventions in the groups with hemodynamic control was a reliable increase of the ankle-brachial index (ABI index) values (p — 00001) in shorter length of segments after revascularization (p — 0.05). At the same time, the reduced extent of the correction resulted in saving 807 BYN per case.Conclusion. The use of invasive intraoperative hemodynamic control allows of reducing the extent of the reconstruction in multisegment lesions with the achievement of satisfactory clinical outcomes with lesser economic costs.

Objective: to assess the efficiency and safety of an anesthetic technique in surgical correction of congenital malformations of the lower parts of the urogenital system in children by means of the performance of the comparative analysis of perioperative adverse events and complications, consumption of the inhalation anesthetic sevoflurane and the cost of anesthesia, and also the course of the early postoperative period. Material and methods. Depending on the type of anesthesia, all patients (127 boys) were divided into 3 clinical groups: those operated under multicomponent balanced inhalation anesthesia (group 1, n = 37), under general laryngeal mask anesthesia in combination with caudal blockade with 0.25% bupivacaine solution (group 2, n = 45), under general laryngeal mask anesthesia with caudal blockade with the combination of 0.25% bupivacaine solution and adjuvant (group 3, n = 45). Results. The performed analysis has not revealed any statistically significant distinctions in the assessment of anesthesia complications but it has found some significant distinctions in the consumption of sevoflurane, depth of anesthesia and its cost, as well as the necessity for postoperative anesthesia and introduction of analgesics, which testifies to the efficiency and safety of combined anesthesia and its economic benefit. Conclusion. The most effective, safe, and economically reasonable is the technique of combined anesthesia with the application of caudal blockade with local anesthetic solution and 0.1% adjuvant of morphine solution during surgical correction of congenital malformations of the lower parts of the urogenital system in children.