[Various aspects of preoperative diagnosis and treatment of patients with mechanical jaundice and hepatic insufficiency].

Treatment of 265 patients with mechanical jaundice is analyzed. From the first day all the patients were given the intensive infusion treatment in order to reduce intoxication, hepatic insufficiency and to prepare for operation. In 88 patients the complex of diagnostic and curative measures included sorption methods (hemosorption and lymphosorption). It allowed to make the exact diagnosis within the first 2-3 days, to determine the level of biliary block, intoxication degree and severity of hepatic insufficiency. The patients were prepared for operation within 7 days which gave better results and made the treatment 10-12 days shorter.