The purpose of the study is to analyze and systematize main causes of secondary spine deformations forming in patients who had operations due to thoracic and lumbar spine damages. Material and Methods. The analysis of poor surgical results of 155 patients previously operated due to various thoracic and lumbar spine damages has been conducted. All patients had complications associated with secondary spinal column deformations at various time after the intervention. Standard investigation included the analysis of patients' complaints, their previous history, somatic, neurological and orthopedic status. Results. The intensity of spinal column deformation was defined due to the character and level of primary trauma structurally characterized predominantly by unstable damages. However as it has been found in this research the main cause of this complicated pathology lied in the number of tactical and technical pitfalls of primary surgical treatment. Conclusion. Surgical operations due to secondary post-traumatic deformations in most cases are laborious and are accompanied by significant surgical trauma therefore systematization and analysis of the main causes of poor results of primary spine surgery may contribute to the preventive treatment of this type of pathology.
Shulga А.Е., Zaretskov V.V., Ostrovsky V.V., Arsenievich V.B., Smolkin A.A., Norkin I.A. Towards the causes of secondary post-traumatic deformations of thoracic and lumbar spine // Saratov Journal of Medical Scientific Research, Vol. 11, Issue 4, 2015, pp. 570-575

Objective. The present study examines the value of intraoperative neurovisualization as an imaging tool for decision making in the management of traumatic nerve injuries. Materials and methods. 43 patients with traumatic nerve lesions were examined by electrodiagnostic study, ultrasonography and contrast neurography. Results. A complex intraoperative examination have been used to guide surgical decision making in patients with peripheral nerve injuries of limbs. Conclusion. The results of complex intraoperative examination became the basis of diagnosis and treatment algorithm for surgical treatment of peripheral nerves injuries.
Aitemirov Sh.M., Ninel V.G., Korshunova G.A. Intraoperative neurovisualization in the surgical treatment of peripheral nerve injuries // Saratov Journal of Medical Scientific Research, Vol. 11, Issue 2, 2015, pp. 178-182

The research goal is evaluation of influence of changes in diagnostic & treatment possibilities and surgical approach on the results of treatment of patients with ulcerative gastro-duodenal bleedings (GDB). Material and methods: An analysis of the treatment results of 1885 patients suffering from ulcerative GDB, which have been treated in the surgery department of the "State clinical hospital No.6" in Saratov has been done. The information about the patients suffering from GDB has been retrieved from the digital archives, which were filed from 1991 to 2009. The patients have been divided into five groups according to five periods of work, each one differ by its own diagnostic & treatment possibilities and approaches. The evaluation was based the amount of operations, the number of different types of operations, the efficiency of endohemostasis, the amount of bleeding relapses and the lethality. Results: The introduction of computer prognosis for bleeding relapse, the increase in the number of endoscopic hemostatic methods, the application of Laser Doppler Flowmetry (LDF) for the evaluation of reliability of hemostasis, the use of dynamic endoscopy and testing probe for bleeding relapse in the state of prerelapse syndrome with the combination of preventive measures on the source of bleeding and antisecretory therapy have led to the decrease of overall lethality from 6,5% to 1,9%, and the postoperative lethality from 9,1% to 1,7%. Conclusion: The analysis of treatment results by periods made it possible to have an overview on different factors as they undergo changes during these periods, evaluate weak points in the current treatment tactic and set a direction for further investigations.
Shapkin Y.G., Potahin S.N. The dynamics of main indicators for the treatment of ulcerative gastroduodenal bleedings — the analysis of several years studies // Saratov Journal of Medical Scientific Research, Vol. 10, Issue 3, 2014, pp. 456-460

The aim: to improve the results of treatment of degenerative hip’s diseases in children by means of pathogenetic pattern. Methods and Materials. 56 children with Legg — Calve — Perthes syndrome aged from 4 to 12 years and 20 children of control group without hip’s diseases have been studied. Results. The modern principles of surgical treatment of Legg — Calve — Perthes syndrome in children have been identified. Conclusion. The results of surgical treatment of patients with a different degree of pathological process depending on a type of surgery (osteoplastic surgery, formation of vascularizing autotransplant, varus osteotomy, rotational intertrochanteric osteotomy) have been presented.
Rubashkin S.A., Sertakova A.V., Gerasimov V.A., Anisimov D.I., Vasilieva G.A, Bakhteeva N.Kh. The modern principles in treatment of Legg – Calve – Perthes syndrome in children // Saratov Journal of Medical Scientific Research, Vol. 9, Issue 4, 2013, pp. 729-734

The research goal is to confront the duration of withholding operative therapy of obstructed inguinal hernias with peculiarities of medical and social and psychological status of patients. Materials and methods: 186 patients with inguinal hernias aged from 25 to 60 years were examined. Duration of withholding operative therapy was determined from the moment of officially established diagnosis to the moment of admission to surgical hospital. Results: Medical aid to patients with inguinal hernias who went to the hospital by themselves is no more than 29% and in most cases (53,6%) diagnosis is officially established while staying in health care institutions with other diseases, 94,6% of patients realized the fact that full recovery from inguinal hernias was possible only after surgical procedures. Conclusion: In the first year after establishment of diagnosis consent to surgical treatment of inguinal hernias is associated with the age under 30, higher education, the presence of partially or entirely unreduced inguinal hernia, prevalence of such qualities of charac- ter as psychasthenia, paranoia, hypomania. In five-six years after official establishment of diagnosis patients aged over 50 years with higher education and prevailing of such qualities of character as hypohondria, depression, psychasthenia give their consent to surgical treatment of inguinal hernia regardless of its type and size.
Tolstokorov A.S., Lyakishev V.V., Selezneva T.D. Influence of socio-psychological status peculiarities on patients with obstructed inguinal hernia while concerning surgical treatment // Saratov Journal of Medical Scientific Research, Vol. 9, Issue 2, 2013, pp. 328-332

The purpose of the investigation is to evaluate the long term results of surgical treatment in children with esotropia, operated according to new scheme of muscle procedures. Materials. The retrospective analysis of surgical treatment in 50 children with esotropia was made. The new scheme of muscle recession / resection was used. Results. The duration of monitoring was 1-5 years. More then half of all patients has ortotropia, even in cases with 25° primary deviation angle. Almost 40% of patients has increasing of visual acuity of amblyopic eye and binocular functions. Conclusion. The new scheme of muscle recession / resection allows to receive ortotropia after surgical treatment in large esotropia and avoid the reoperations. Using of the new scheme of strabismus surgery don't increase the quantity of secondary exodeviation
Zhukova О.V., Stepanov V.K., Zolotarev А.V. The long term results of pediatric esotropia surgery performed according to new scheme of muscle recession / resection // Saratov Journal of Medical Scientific Research, Vol. 7, Issue 4, 2011, pp. 857-859

The review presents data about etiology and pathogenesis of cerebral palsy in children and its clinical manifestations. The effectiveness analysis of main surgical methods to correct equinus foot deformity in children with cerebral palsy has been conducted. The article comes to conclusion that at present surgical methods eliminating all pathologic deformity units are incompletely presented. In this connection high recurrence frequency after using traditional treatment methods is registered. Development of surgical intervention adequate to pathologic foot state in children with cerebral palsy is a perspective direction in treatment of given category of patients
Krasnov A.S. Surgical treatment of equinus foot deformity in children with cerebral palsy (review) // Saratov Journal of Medical Scientific Research, Vol. 7, Issue 3, 2011, pp. 699-703

In the literature review the groups of the most applicable surgical interventions in treatment of patients with habitual shoulder dislocation are cited. The tendency to increase an application of arthroscopic operations seek to eliminate some realizing factors of dislocation of the humeral head is observed
Dlyasin N.G., Norton A.I., Gramma S.A., Gorshkov V.Ju., Derevjanov A.V. Modern Treatment Methods of Habitual Shoulder Dislocation (Literature Review) // Saratov Journal of Medical Scientific Research, Vol. 6, Issue 3, 2010, pp. 687-692

The scientific article provides information about 340 patients with osteochondrosis of lumbosacral spine subjected to the surgical intervention. According to the results the research work presents comparative characteristics of surgical methods of hernia of disks (percutaneous puncture laser nucleotomy, microdiscectomy, lamineсtomy). Indications and contraindications for each method of surgery have been revealed. follow-up results of different surgical techniques have been evaluated in 178 cases using different indicators of life quality
I.O. Bulgakov, I.E. Poverennova Comparative characteristics of surgical techniques in treatment of hernia of disks at lumbosacral level // Saratov Journal of Medical Scientific Research, Vol. 6, Issue 1, 2010, pp. 144-147