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Was effectuated an interview of 95 physicians of regional military-medical committees of Kirovskaya area. For the question, whether military-medical expertise (MME) was given in IHE, affirmative answer gave 10.9% of respondents. A rather low (16.4%) was percent of physicians, got education in MME during postgraduate courses. Analyze has shown that nowdays the education of physicians on the topic of MME is effectuated predominantly in the course of work, conversance of judicial consequences of expertise is insufficient. It is found that physicians underestimate value of MME and don't perceive it as a self direction.

The frequency and indications to colostoma formation are shown that were performed during the recent military conflicts in 40-70% of the wounded with large intestinal injuries. The authors state the indications to colostoma formation in the injuries of extra- and intra-abdominal parts of rectum and colon as well as the conditions when colostoma could be avoided. Different methods of colostoma formation and technical details are presented. In field surgery it is reasonable to apply the more simple methods. The operation defects, colostoma complications, measures of their prevention and treatment are discussed in details. The authors distinguish the complications developed in the early postoperative periods and colostoma diseases having independent significance and which become manifestative in 2-3 months after operation.

Today the use of artificial neuronic nets (ANN) is the most perspective method in the prediction of clinical course and in the choice of correct therapeutic tactics. The experimental complex "Axon" with the software was created in the hospital that permitted to predict the course if gastric and duodenal ulcers. We introduced the data of 909 patients that contained the anamnesis, results of objective examination and late results of the treatment. These data has become the base for training and formation of ANN similar to the structure of human cerebral cortex. Having received the information about a new patient and using the previous experience of therapy of 909 patients mentioned above the trained ANN gives an accurate information concerning this patient. It is presented in the form of protocol of prognosis of ulcer clinical course, the probability of complication development, the results of conservative and surgical treatment. The protocol includes the conclusion with recommendations on the choice of therapeutic tactics.

1070 patients underwent radical operations for stomach carcinoma in the Vishnevsky Central Military Clinical Hospital for the period of time from 1969 to 1993 (85.4% from the number of admitted patients in whom the cancer was revealed for the first time). Subtotal distal stomach resection was performed in 627 (58.6%) patients, subtotal proximal resection--in 78 (7.3%), gastrectomy--in 365 (34.1%), combined operations were conducted in 193 (18%) patients. After subtotal distal resection the complications developed in 12.6%; the lethality constituted 5.4%. After subtotal proximal resection and gastrectomy with vertical anastomosis 23.3% have died, with invagination anastomosis--9.7%. 5-year survival after radical operations in stomach carcinoma was documented in 38.9%, 10-year survival--in 28.6% of the patients.

The article deals with a complex management of 128 patients who suffered purulent peritonitis. This complex consisted of a two-step washing of abdominal cavity and decompression of small intestine during operation; intra-aortal management of medications, lymphosorption, hyperbaric oxygenation after operation. Number of fatal cases--4.

The article studies the possibilities of radionuclide method in disclosing the basic postgastroresectional syndromes: dumping syndrome, duodenogastric reflux and afferent loop syndrome. After resection of stomach 92 patients were examined throughout a period from 1 to 10 years. During dynamic scintigraphy of liver characteristic changes were disclosed in biliary secretory system which could have diagnostic significance. This method gives the possibility to determine the frequency, duration and volume of duodenogastric reflux. It was found out that Roux's [correction of Rue's] method of resection have resulted in minimal number of duodenogastric refluxes. Dynamic scintigraphy of stomach is useful for studying evacuative function of the resected stomach and for afferent loop syndrome diagnosis, which sometimes is more informative than a wide-spread barium sulfate roentgenological method.