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Surgical treatment of patients with urolithiasis and chronic pyelonephritis with corrective immunotherapy.

A.M.ZEMSKOV, D.V.HROMOV

Centr jendohirurgii i litotripsii, g. Moskva

Voronezhskaja gosudarstvennaja medicinskaja akademija im. N.N.Burdenko

The search is based on treatment results of 346 patients with urolithiasis accompanying with pyelonephritis. All patients had carried out distance of the shock-wave lithotripsy. It was proved that lithotripsy with traditional drug benefit aggravate state of immune status. Inclusion in traditional drug course pharmacological modulators such as likopid, derinat and their combination helps to correct immunological disorders, reduces risk of urinary tract infections and improves patients clinical state.

Key words: urolithiasis, chronical pyelonephritis, immunotherapy

List of references:

Aljaev Ju.G. i dr. Prognosticheskie faktory jeffektivnosti distancionnoj litotripsii. Dostizhenija i perspektivy razvitija urologii. Materialy jubil. nauch.-prakt. konf., 6 okt. – Ekaterinburg 2000 g. Ekaterinburg 2000; 119-121.

Belovaja A.N., Sitnikov N.V., Ponomarev V.K. Profilaktika infekcionno-vospalitel'nyh oslozhnenij v posleoperacionnom periode pri provedenii distancionnoj udarno-volnovoj litotripsii edinstvennoj pochki. Diagnostika, lechenija i jekspertiza bol'nyh s urolitiazom: materialy nauch.-prakt. konf. M 1995; 56-57.

Derevjanchenko V.I., Zozulja D.M. Oslozhnenija litotripsii. Materialy Plenuma pravlenija Vseros. obw-va urologov. Perm' 1994; 202-203.

Isaenko V.I. I dr. Litotripsija pri mochekamennoj bolezni. Materialy Plenuma pravlenija Ros. Obw-va urologov. Sochi, 28-30 apr. M 2003; 152.

Kalugina G.V., Klushanceva M.S., Anikeeva L.F. Nekotorye parametry immuniteta pri hronicheskom pielonefrite u vzroslyh. Urologija i nefrologija 1985; 2: 6-9.

Lopatkin N.A i dr. Profilaktika i lechenie oslozhnenij distancionnoj litotripsii. Urologija i nefrologija 1991; 3: 3-7.

Lopatkin N.A., Dzeranov N.K. Pjatnadcatiletnij opyt primenenija distancionnoj litotripsii v lechenii mochekamennoj bolezni. Materialy Plenuma pravlenija Ros. obw-va urologov. Sochi, 28-30 apr. M 2003; 5-25.

Perepanova T.S. Dzeranov N.K. Principy protivovospalitel'noj terapii pri mochekamennoj bolezni (MKB). Materialy Plenuma pravlenija Ros. obw-va urologov. Sochi, 28-30 apr. M 2003; 248.

Stepanov V.N. i dr. Vospalitel'nye oslozhnenija distancionnoj udarno-volnovoj litotripsii. Plenum Vseros. obw-va urologov. Perm' 1994; 244-245.

Using antiadhesional barrier methods in the surgical treatment of postoperative ventral hernias.

A.V.CHUKARDIN, A.N.REDKIN

Dorozhnaja klinicheskaja bol'nica na st. Voronezh - 1 OAO «RZhD»

Voronezhskaja gosudarstvennaja medicinskaja akademija im. N.N.Burdenko

The method of isolating hernioplasty with antiadhesional barrier means have been developed. This method was applied to 32 patients (group1). All results were compared with the ones in the group 2. Patients from the second group had a surgery with reticulated explants, which isolated from abdominal cavity organs by soft tissue. (40 patients). To evaluate surgical features of operations with antiadhesional barrier means (ABM) we studied the following parameters: duration of the intraoperative phase of installation ABM and its influence on the overall duration of the operation; the severity of pain in the early days of the postoperative period; the duration of the recovery period of bowel function in the immediate postoperative period.

Key word: antiadhesive barrier means, post-operative ventral hernia

List of references:

Beburishvili A.G., Mihin I.V., Vorob'ev A.A. i dr. Sovremennye protivospaechnye bar'ernye sredstva v profilaktike recidivov ostroj spaechnoj kishechnoj neprohodimosti. Materialy III mezhdunarodnoj konferencii «Aktual'nye voprosy jendoskopicheskoj hirurgii». M 2008; 134-135.