Extensive introduction of breathing resuscitation, artificial lung ventilation, tracheostomy into clinical rehearse has actually led to the emergence of patients with tracheal damage and formation of cicatricial stenosis in them. The amount of such customers inside our nation doesn’t have inclination to decrease, despite the progress of resuscitation and anesthesiology.The authors assessed the main researches specialized in pathophysiological systems and international category of diverticulitis, examined multiple-center retrospective and randomized prospective studies. Modern-day diagnostic and therapeutic methods, specific unsolved problems in indications for surgeries and their method, plus the part of surgical interventions in avoidance of recurrences and severe problems of diverticulitis are demonstrated.Connective muscle dysplasia (CTD) is an urgent issue, particularly in youthful and employable people. Harm to cardiovascular system and, in certain, aorta is prevalent element deciding the incidence of numerous problems and mortality in clients with CTD. The writers report medical procedures of aortic hypoplasia in an adolescent client with connective muscle dysplasia syndrome and combined lack of coagulation facets.We report the outcomes of available surgical correction of a giant false aneurysm of this distal anastomosis in long-term duration after iliofemoral bypass surgery. Preoperative diagnostic procedures caused it to be feasible to determine the most suitable therapy method. Aneurysm resection had been accompanied by distal anastomosis repair from the right with prosthesis 10 mm. Postoperative imaging is provided. The writers determined the effectiveness of revascularization strategy.Today, how many endovascular treatments is steadily developing. As an example, there have been 40.005 endovascular treatments in 2018. Most customers tend to be discharged within 1-2 times after intervention due to its effectiveness and minimal invasiveness. Nonetheless, physicians do not always note local postoperative problems. Multidisciplinary method in follow-up and treatment of such customers is very important. In specific, we speak about understanding of doctors of polyclinics about possible problems after arterial puncture. Effectiveness and favorable result of medical procedures of neighborhood postoperative complications after arterial puncture are reported into the manuscript.Duodenal replication cyst (DDC) is an uncommon kind of abdominal malformation (2-12% of most intestinal duplications). There are lots of problems in analysis and management of DDC. We present an instance of successful endoscopic transluminal treatment of DDC in a 30-year-old female. She reported of epigastric discomfort, nausea and nausea, diet of 5 kg in the last 3 months. Laparoscopic cholecystectomy for gallstone infection had been done eighteen months just before entry. Examination revealed a cyst 52×60?35 mm in descending section of duodenum. There clearly was a calculus in the cyst. Transluminal endoscopic cyst fenestration ended up being performed. Histological assessment verified DDC. Relating to manage duodenoscopy information, cyst had been collapsed. The patient remains asymptomatic 3 months after surgery. DDC is an uncommon infection of gastrointestinal tract, that ought to be differentiated first with choledochocele Todani type III and intraluminal duodenal diverticulum. Endoscopic therapy is an adequate alternative to standard interventions in certain cases.Two patients with locally advanced gastric cancer tumors tend to be reported. Both patients underwent colonoscopy in preoperative period. Preoperative evaluation revealed synchronous colorectal cancer. Preoperative colonoscopy in patients with gastric cancer ensured timely analysis of synchronous colorectal cancer tumors and adequate minimally invasive treatment with positive results.We assessed the possibility and effectiveness of transaxillary gas-free method for minimally unpleasant Zenker’s diverticulectomy. A 64-year-old client with big Zenker’s diverticulum (6 cm) and pathognomonic signs is presented. Transaxillary gas-free minimally invasive diverticulectomy ended up being carried out using an endoscopic linear stapler. Surgery time had been 137 min. There were no actual postoperative complications including recurrent laryngeal nerve injury immune related adverse event . X-ray examination after 2 postoperative times revealed no signs of anastomotic leakage, and so the client ended up being permitted to drink and consume fluid meals from the third time. Individual was discharged from the 7th day. Minimally invasive surgical technology ensures effective and radical transaxillary diverticulectomy in patients with Zenker’s diverticulum. The advantages of this method are good and step-by-step exposition of medical field, including recurrent laryngeal neurological, much more exact and less unpleasant manipulations and better aesthetic result. The technique may be see more an alternative to traditional and endoscopic diverticulectomy for a particular number of customers. However, knowledge buildup and additional potential researches are expected. To find out the essential optimal period of surgical procedure after earlier swing. There have been microbiota assessment 186 clients with considerable ICA stenosis and past unilateral stroke when it comes to period 2008-2014 at the Pletnev Hospital (Moscow). Surgical method was used in 136 (73.1%) patients (group I), conservative treatment at the neurological division – in 50 (26.9%) clients (group II). We examined neurologic and intellectual standing in both teams, regression of signs according to the duration after stroke, early and long-term postoperative effects.
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