Vestnik of Experimental and Clinical Surgery最新文献

{"title":"Experimental Method of Fixing Testicle","authors":"Svetlana Yur’evna Komarova, I. Valamina, A. I. Isaĭkin","doi":"10.18499/2070-478X-2017-10-1-49-53","DOIUrl":"https://doi.org/10.18499/2070-478X-2017-10-1-49-53","url":null,"abstract":"In the following experiment proved the possibility of the use of medical adhesive \"Sulfacrylate\" for efficient seamless testicular fixation to the tissues of the scrotum. Rabbits were di vided into 2 groups. 3 rabbits (6 testicles) were the control group. The adhesive was spread on the whole surface of the rabbits' testis in this group Experimental group consisted of 13 rabbits (26 testes), in which the adhesive is applied in dot and control conducted in 15, 30, 90 and 180 days. Macroscopic and microscopic picture of the local area of the testis' adhesive fixing is characterized by a strong fixation of the scrotum and the absence of adhesions in the surrounding tissues. By 30 days fixation spot is presented with granulation tissue with organization signs, and by 90 and 180 days compounds zone has the form of a mature connective tissue with clearly limited size and without any adhesions in the surrounding tissues. Key words : testicles, fixation method, experiment","PeriodicalId":283981,"journal":{"name":"Vestnik of Experimental and Clinical Surgery","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131305328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reparative Processes in Soft Tissues. Influence of Acidity","authors":"Alexander Alekseevich Andreev, A. Ostroushko, A. O. Chuyan, A. R. Karapityan","doi":"10.18499/2070-478X-2017-10-1-64-71","DOIUrl":"https://doi.org/10.18499/2070-478X-2017-10-1-64-71","url":null,"abstract":"Wound treatment is one of the most actual problems of modern surgery due to the increase of degree of injury, and also due to a sharp increase in quantity of emergencies of natural and technogenic disasters. Injuries of soft tissues of various etiology are annually diagnosed in the USA more than for 30 million people. To date there is a deep theoretical base developed for understanding of a pathophysiology of wound healing process, however still many questions remain debatable. The regeneration process is characterized by high metabolic activity and is based on biochemical reactions for which the pH value is of great importance. Changes of pH values of a wound during wound healing process are reflected in article. The authors noted the influence of pH on proteases and its inhibitors activity, expression of vascular endothelial growth factor (VEGF), fibroblast activity, keratinocytes proliferation, microbial expansion, and also on wound oxygenation; in response to invasion and dissemination of microorganisms. Materials of the researches that determined pH influence degree on the skin graft survival are represented. Generalizing, following conclusions can be done: pH performs as a modulator in healing both acute chronic wounds; acidic milieu in the inflammation phase and the first half of the proliferation phase occurs to the most conducive, positively affecting on necrolysis and granulation formation; alkaline milieu in the second half of inflammation phase and in phase of epithelization  promotes early closing of the tissue defect.","PeriodicalId":283981,"journal":{"name":"Vestnik of Experimental and Clinical Surgery","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114926898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Allohernioplasty Laparoscopic Postoperative Ventral Hernias","authors":"Y. Ivanov, D. N. Panchenkov, A. A. Terehin, O. R. Shablovsky","doi":"10.18499/2070-478X-2017-10-1-10-20","DOIUrl":"https://doi.org/10.18499/2070-478X-2017-10-1-10-20","url":null,"abstract":"Relevance. Currently, the problem of effective treatment of postoperative ventral hernias is still not completely solved. The recurrence rate of the disease ranges from 15% to 50%, and repeat surgery causes increasing of the rate up to 20-65%. The purpose of the study is to evaluate the results of laparoscopic hernioplasty in patients with postoperative ventral hernias. Materials and methods. A retrospective analysis of the immediate and remote results of surgical treatment of 140 patients with postoperative ventral hernias. Patients of the main group (63) laparoscopic hernia repair method \"ipom\" patients in the comparison group (73) – open hernioplasty by the method of \"onlay\" and \"inlay\". Results. The use of laparoscopic hernioplasty by the method of \"ipom\" allow to significantly reduce the number of early and overall postoperative complications (3.7%), duration of hospitalization (from 9.8 ± 1.3 per day to 5.4 ± 0.7 per day), the period of temporary incapacity (from 28.9 ± 3.4 days to 17.2 ± 2.3 days), as well as reduce the number of relapses (from 8.2% to 3.0%). Discussion Laparoscopic hernioplasty is an effective method of treatment of postoperative ventral hernias. The obvious advantages of laparoscopic hernioplasty are: low invasiveness, fewer complications, rapid medical and social rehabilitation of patients. There is an undoubted advantage of laparoscopic hernioplasty over an open operation with the patient several postoperative ventral hernias. Conclusion. In modern conditions, laparoscopic hernia repair can be recommended as the operation of choice in patients with postoperative ventral hernia.","PeriodicalId":283981,"journal":{"name":"Vestnik of Experimental and Clinical Surgery","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117011336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Topographic-Anatomic Justification of Various Methods Reducing Tissue Tension at Prosthetic Incisional Hernia Repair by «Sublay»","authors":"E. Zakurdaev, A. V. Chernyh, E. F. Cherednikov, M. P. Zakurdaeva","doi":"10.18499/2070-478X-2017-10-1-26-31","DOIUrl":"https://doi.org/10.18499/2070-478X-2017-10-1-26-31","url":null,"abstract":"Purpose. To develop a new relaxing incision on the anterior wall of rectus sheath and to compare its efficiency with the classical counterparts in the experiment. Materials and methods. We measured tension nodal seam with the help of a spring dynamometer on 24 cadavers. This seam was overlaid on the inner edge of the rectus abdominis in the region of the umbilical ring before and after relaxing incision. The objects of study were divided into four groups randomly. We studied the proposed wavelike relaxing incision in the first group and classical methods in other groups. Results.  Maximum relaxation nodal seam (56%) was observed when using a wavelike relaxing incision of anterior wall of  rectus sheath . Vertical relaxing incision of aponeurosis of the external oblique abdominal muscles along the lateral edge of the rectus abdominis (by O. M. Ramirez) was close in efficiency to the proposed method. It is possible to reduce tension of the nodal seam at 48%. Relaxing effect arc-shaped relaxing incision of anterior wall of rectus sheath by V.I. Belokonev was 39%. Vertical relaxing incision in a staggered pattern by U.Z. Zagirov showed minimal relaxing effect – 25%. Conclusion. Wavelike relaxing incision of anterior wall of rectus sheath which was proposed allows reducing tissue tension in hernioplasty compared to the classical methods.","PeriodicalId":283981,"journal":{"name":"Vestnik of Experimental and Clinical Surgery","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129639825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"About laparoscopic diagnosis of volvulus","authors":"A. Hasanov, M. A. Nurtdinov, G. Gololobov","doi":"10.18499/2070-478X-2016-9-4-335-338","DOIUrl":"https://doi.org/10.18499/2070-478X-2016-9-4-335-338","url":null,"abstract":"Design of investigation: Explore possibilitys of visual evaluation intestine’s vitality. Object of investigation: Intervention group: 22 patients who were operated laparoscopically. Control group: 12 patients who were operated by abdominal operation but which unused algorithm. Methods of investigation: patients were examined by traditional methods, as well as by laser. Doppler flowmetry together with domestic analyzer capillary blood LAKK-01. Results: We investigated laparoscopically microcirculation in intervention and control groups in dynamics - before and after operations of elimination of volvulus. Were valid differences in microcirculation (perfusion unit), coefficient of variation, flaksmotsy frequency, amplitude of flaksmotsy (Av), vascular tone. Were doubtful differences in terms of the effectiveness of microcirculation. Microcirculation was investigated after distortion. The investigation showed the preservation of microcirculation’s contravention in the control group. Thus investigation of microcirculation patients with volvulus by laser Doppler flowmetry together with domestic analyzer capillary blood LAKK-01 is an important component of the diagnostic, allowing to define leading pathogenetic mechanisms of contraventions. Based on the proposed method developed diagnostic algorithm and laparoscopic criteria. Key words: Through the use of the investigation of microcirculation, diagnostic algorithm and laparoscopic criteria managed to improve the diagnosis of volvulus.","PeriodicalId":283981,"journal":{"name":"Vestnik of Experimental and Clinical Surgery","volume":"121 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117271681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determining the level of resection of the intestine in experimental acute intestinal obstruction using bioimpedance","authors":"A. V. Rodin, Родин Антон Викторович, S. Bazhenov, Баженов Сергей Михайлович, S. D. Leonov, Леонов Сергей Дмитриевич, V. Privolnev, Привольнев Владислав Владимирович, Y. Korneva, Корнева Юлия Сергеевна","doi":"10.18499/2070-478X-2016-9-4-304-313","DOIUrl":"https://doi.org/10.18499/2070-478X-2016-9-4-304-313","url":null,"abstract":"Relevance. One of the most important stages during surgical treatment of acute intestinal obstruction is the determination of irreversible damages of the intestine. The aim of this study was to improve outcomes of surgical treatment of acute intestinal obstruction through the reducing of a removable part of the intestine during bowel resection in the case of its necrosis. Materials and methods. An experimental investigation was performed on 64 Wistar rats 180-230 g. Medial laparotomy was carried out on animals and acute strangulation intestinal obstruction in the small intestine was modeled by applying a thick ligature onto the small intestinal loop 1,5-2,0 cm long together with the mesentery. The pathological process was created for periods of 1 h (n=11), 3 h (n=13) and 6 h (n=12). The normal level of the impedance of the intestine wall on 13 rats was found. Another group of animals contained 15 rats with modeled strangulation obstruction in the small intestine. Pathological process was created for a period of 3 h. The small intestinal segments were then resected at different distances from strangulation site and anastomoses were formed. Invasive bioimpedancemetry was performed by a device “BIM-II” for measuring the electrical impedance of biological tissues (Patent of Russian Federation № 2366360). The measurement of the impedance of physiological solution in vitro was performed as a test of the device. After bioimpedancemetry histological examination was performed. Results and discussion. The impedance index of physiological solution was 0,46 kΩ. Study of changes in impedance indices in the afferent and efferent portions of the small intestine showed that the indices decreased towards the strangulation zone, the lowest indices recorded at the interface of the strangulation zone. Histological examination of the small and large intestine in zones with impedance indices below 2 kΩ in the course of acute intestinal obstruction showed signs of necrosis of different severity. The maximum impedance level in these regions was 1.99 kΩ. No signs of necrosis were detected in the intestinal zones with impedance above 2 kΩ, irrespective of the period of the pathological process. The impedance index above 2 kΩ served as the criterion for resection of the intestine. Histological examination of the intestinal anastomoses created in resection of the intestine in the course of acute intestinal obstruction with consideration for impedance indices and of anastomoses created in resection of the organ within a priori viable tissues showed no appreciable differences in the histomorphology of healing. Conclusions. The impedance index of the intestinal wall of afferent and efferent portions of the intestine above 2 kΩ in the course of acute intestinal obstruction served as a criterion for determination of the level for resection of the intestine. Key words: experiment, acute intestinal obstruction, viability of the intestine, bioimpedancemetry.","PeriodicalId":283981,"journal":{"name":"Vestnik of Experimental and Clinical Surgery","volume":"120 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127417241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative evaluation of interleukin-6 in the liver tissues, bile duct, blood serum and urine in patients with obstructive jaundice of benign etiology","authors":"Jabbar Metulla ogly Hajiyev, Elman Gulu oglu Taghiyev, N. J. Hajiyev","doi":"10.18499/2070-478X-2016-9-1-33-38","DOIUrl":"https://doi.org/10.18499/2070-478X-2016-9-1-33-38","url":null,"abstract":"The purpose of the study - The comparative assessment analyzes of IL-6 content in the liver tissue, serum and bile duct in the dynamics of the surgical treatment of 67 patients with obstructive jaundice. In all patients, the cause of obstructive jaundice was choledocholithiasis. Materials and metods - The degree of hepatic dysfunction was determined based on blood markers of cholestasis and cytolysis of hepatocytes. The I degree hepatic dysfunction was observed - in 21 patients, II degree hepatic dysfunction - in 14, III degree hepatic dysfunction - in 10, and IV degree hepatic dysfunction – in 9 patients. In 13 patients on the background of obstructive jaundice were observed purulent cholangitis. Results and discussion - Comparison of IL-6 in the liver tissue, ductal bile, blood, serum and urine in patients with varying degrees of hepatic dysfunction showed that serum characterized the lower their levels of this indicator than in the liver tissue, bile and urine, and most of this cytokine defi ned in bile . In the presence of purulent cholangitis greatest observed accumulation of IL-6, liver tissue, bile and urine compared to serum. Conclusion - Local and systemic levels of IL-6 may serve as markers for assessing the severity of the pathological process, conservative therapy planning, monitoring of treatment effi cacy, and clinical course. Key words obstructive jaundice, choledocholithiasis, interleukin - 6, hepatic dysfunction.","PeriodicalId":283981,"journal":{"name":"Vestnik of Experimental and Clinical Surgery","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114424961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alexander Vishnevsky (To the 110th anniversary of his birth)","authors":"A. Andreev, Андреев Александр Алексеевич, A. Ostroushko, Остроушко Антон Петрович","doi":"10.18499/2070-478X-2016-9-4-339","DOIUrl":"https://doi.org/10.18499/2070-478X-2016-9-4-339","url":null,"abstract":"А.А.Вишневский – выдающийся хирург с мировым именем, замечательный педагог, известный государственный и общественный деятель, директор Института Хирургии, академик АМН СССР, заслуженный деятель науки РСФСР, лауреат Международной премии им. Лериша, Ленинской и Государственной премий СССР, Герой социалистического труда, Член Международной ассоциации хирургов, почетный член Чехословацкого научного медицинского общества им. Я.Пуркине, общества врачей Швеции, Пьемонтского общества врачей, профессор, генерал-полковник медицинской службы, Депутат Верховного Совета РСФСР 6–8-го созывов. Награждён 3 орденами Ленина, 4 орденами Красного Знамени, 2 орденами Отечественной войны 1-й степени, орденами Красной Звезды, «За службу Родине в Вооружённых Силах СССР» 3-й степени, а также иностранными орденами и медалями. А.А. Вишневский родился 24 мая1906 г. в Казани, в семье видного отечественного ученого-хирурга Александра Васильевича Вишневского. С 1924 по 1929 гг. учился на медицинском факультете Казанского университета. После окончания университета А.А.Вишневский непродолжительное время работает на кафедре нормальной анатомии Казанского университета. В1931 г. добровольно вступает в ряды Красной Армии и назначается преподавателем кафедры нормальной анатомии Военно-медицинской академии в Ленинграде. В 1936 годы защищает докторскую диссертацию. С 1939 года Александр Александрович – руководитель хирургического отделения Всесоюзного института экспериментальной медицины; с 1940 по 1941 гг. – профессор Центрального института усовершенствования врачей. Во время Великой Отечественной войны последовательно занимая должности хирурга армии, главного хирурга Брянского, Волховского, Карельского, Резервного и 1-го Дальневосточного фронтов. После окончания войны – главный хирург Приморского, а с1947 г. – главный хирург Московского военного округа. В1947 г. назначается заместителем по научной работе, а в1948 г. – директором Института хирургии АМН СССР. С1956 г. одновременно является главным хирургом Министерства обороны СССР. С 1956 года А.А. Вишневский – заслуженный деятель науки РСФСР. С 1957 года – академик АМН СССР. В 1963 году генерал-лейтенанту медицинской службы Вишневскому А.А. присвоено воинское звание «генерал-полковник медицинской службы». В 1966 году Александру Александровичу присвоено звание Героя Социалистического Труда с вручением ордена Ленина и золотой медали «Серп и Молот». В 1971 г. А.А. Вишневскому присуждена Государственная премия СССР. А.А. Вишневский умер 14 ноября 1975 г.","PeriodicalId":283981,"journal":{"name":"Vestnik of Experimental and Clinical Surgery","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121172333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship of the anatomical features of the structure of the main veins with clinical manifestations of venous pathology and osteoarticular system of the lower limbs","authors":"G. V. Yarovenko, Яровенко Галина Викторовна, S. Katorkin, С Е Каторкин, P. N. Myshentsev, П. Н. Мышенцев","doi":"10.18499/2070-478X-2016-9-4-270-274","DOIUrl":"https://doi.org/10.18499/2070-478X-2016-9-4-270-274","url":null,"abstract":"A comprehensive survey of 293 patients with concomitant diseases HZV and SLM. Doppler ultrasound was performed and angioscanning on «Aloka 4\" devices, «Logic 7» and «SonoScape». Clinical Analysis of movements performed on a hardware-software complex \"MBN-Biomechanics\" and included podometrics, goniometer and functional electromyography. Warp stop evaluated digital fotoplantografiey. A typical anatomy of the venous system was detected in 156 (53.2%) patients. In 147 (50.1%) found the relative failure of the valve common femoral (OBV), thigh (PCI) or tibial veins. In 23 (7.8%) patients showed a doubling of the superficial femoral vein (PBB) with a total diameter of WSP 16,3 ± 2,5 mm. Dilatation of deep vein recorded in 31 (10.6%) patients. WSP transposition was observed in 13 (4.4%) patients. The subcutaneous venous system most frequently detected in-shaped division of the great saphenous vein (GSV) at the mouth - 30 (10.2%) patients or doubling - 24 (8.2%). Vienna Leonardo was detected in 10 (3.4%) and Vienna Giacomini in 23 (7.8%) patients. Patients with C3 and C4 classes chronic venous insufficiency nontraumatic strain (CVI) were detected in 59 feet (68.6%) and 51 (79.6%), arthritic joints stop - 25 (29.1%) and 21 (32 ,8%). When classes C5-C6 foot deformities II-III degree in violation of the spring, balancing and jogging diagnosed in 65 (94.2%) cases. This greatly reduces the efficiency of the musculo-venous pump. Formed arthrogenic congestive syndrome. Anatomical features of the lower limbs and associated pathology of the musculoskeletal system contribute to worsening of clinical manifestations of chronic venous insufficiency. When choosing methods of diagnosis and treatment strategy requires an integrated interdisciplinary approach.","PeriodicalId":283981,"journal":{"name":"Vestnik of Experimental and Clinical Surgery","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116871740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Algorithm for the Diagnosis and Treatment of Patients with Chronic Opisthorchiasis Complicated with Obstructive Jaundice","authors":"A. J. Ilkanich, V. Darvin, N. Klimova, T. Vardanyan","doi":"10.18499/2070-478X-2016-9-1-24-32","DOIUrl":"https://doi.org/10.18499/2070-478X-2016-9-1-24-32","url":null,"abstract":"Relevance The chronic opisthorchiasis is endemic parasitic disease of the West Siberian region. Сhronic opisthorchiasis in 41.6% of cases, followed by biliary hypertension. Creating a diagnostic and treatment algorithm of surgical complications of chronic opisthorchiasis is actual. The purpose of the study Development and evaluation of the effectiveness of treatment and diagnostic algorithm at patients with chronic opisthorchiasis complicated with obstructive jaundice. Materials and methods. The study included 91 patients with chronic opisthorchiasis complicated with obstructive jaundice. Patients are divided into study and control groups. In the study group we applied developed diagnostic and treatment algorithm. We used ultrasound, magnetic resonance cholangiopancreatography (MRCP) and endoscopic retrograde cholangiopancreatography (ERCP). In order to decompress the biliary tract used endoscopic, percutaneous transhepatic and surgical drainage of the bile ducts. Results and their discussion Determined five types of architectonic biliary tract in chronic opisthorchiasis. MRCP sensitivity was 97.7%, specificity 83.3% overall accuracy of 96%. The sensitivity of ERCP in the study group was 97.4%, specificity of 100%, the overall accuracy of 97.7% in the control group 92.1%, 100% and 92.7%, respectively. Endoscopic decompression was effective in 84.0% of patients of study group and 80.6% of control group. Conclusions The analysis indicate high information of MRCP and ERCP. Developed diagnostic and treatment algorithm improves the efficiency of endoscopic methods of diagnosis and treatment. Key words Chronic opisthorchiasis, obstructive jaundice, magnetic resonance cholangiopancreatography","PeriodicalId":283981,"journal":{"name":"Vestnik of Experimental and Clinical Surgery","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114202029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}