A multidisciplinary surgical department has been opened on the basis of the Aksai Republican Children‘s Clinical Hospital of KazNMU named after S.D. Asfendiyarov, where operations for the treatment of peritoneal adhesions will be performed for the adult population. The patients are received by experienced specialists, associate professors, and assistants of the Department of General Surgery of the Kazakh National Medical University named after S.D.Asfendiyarov. As you know, adhesions are formed as a result of most abdominal surgeries. The disease occurs in a significant number of patients who have undergone appendicitis or gallbladder removal, and mortality from complications of acute adhesive intestinal obstruction ranges from 13 to 55 percent. Tens of millions of dollars are spent worldwide on caring for patients with these complications. The disease often leads to disability and the need for re–hospitalization. In the United States alone, according to research, there were about 290,000 hospitalizations in 2008, and the economic cost was about $1.5 billion per year. In Kazakhstan, according to a study conducted in Almaty from 2008 to 2010, 136 patients underwent surgery for acute adhesive intestinal obstruction, with a mortality rate of 10.6 percent. For more than a century, many methods and means have been proposed to prevent the formation of adhesions: intraperitoneal administration of oils, gelatin, paraffin, various liquids (glucose, salt solutions, amniotic fluid), air, oxygen, enzymes, hormones, anticoagulants, hyaluronidase preparations, etc. However, to date, none none of the listed methods and means meets the requirements of surgeons, due to inefficiency or the presence of complications in their use. To date, in Kazakhstan, as well as in the CIS countries, there is no specialized center for providing qualified care to patients of this category. As a rule, patients with SBB and OCD are taken by ambulance to on-duty hospitals, where they receive symptomatic treatment. Surgical treatment in the case of OCD consists only in dissecting adhesions and eliminating intestinal obstruction. After a while, these patients are re-admitted to hospitals with another attack of intestinal obstruction. The staff of the Department of Surgery No. 2 (General Surgery) of KazNMU named after S.D.Asfendiyarov have been conducting research on the pathogenesis of adhesive disease and its complications, the development of new methods of treatment and prevention of the disease since 1994. In the process, the group has developed and implemented a number of patented innovations in the clinic. Thus, an original method of primary prevention of visceroparietal adhesions and acute adhesive intestinal obstruction was developed experimentally and introduced into the clinic in conditions of pronounced adhesions, in which, in order to isolate the intestine from the parietal peritoneum, a plastic bag is used that simultaneously performs the function of peritoneal lavage (Patent No. 13124 RK). So, before the operation, an airtight plastic bag, 30×40 cm, is prepared. Multiple microperforations are applied on the back wall of the package. Two holes are cut out at the upper corners of the bag, through which the tube is passed so that the holes in the tube are located in the cavity of the bag, and the ends of the tube go out. During the operation, after removing the focus of peritonitis and the abdominal toilet, a plastic bag is placed on the loops of the intestine with the underside, where there are multiple microperforations. Through the contrapertures in both hypochondria, both ends of the drainage tube from the bag cavity are brought out and fixed to the skin. In the iliac region, a small incision is made through all the layers of the abdominal wall, about 2.5 cm long, through which the lower corner of the package is brought out, through the same contraperture, a separate drainage tube is inserted into the pelvic cavity to drain the abdominal cavity. The laparotomy wound is sutured in layers. After the operation, the abdominal cavity is washed by injecting antiseptic solutions in a jet through both ends of the drainage tube of a plastic bag. At the same time, through the microperforations of the bag on the lower wall, liquid is sprayed into all sides of the abdominal cavity and mainly between the loops of the intestine, according to the type of “shower” installation, which ensures complete sanitation of the abdominal cavity. At the same time, the presence of the package itself made of an inert material (polyethylene) isolates the intestine from the parietal peritoneum of the anterior abdominal wall. The indications for stopping peritoneal lavage were clean flushing water through a drainage tube from the pelvic cavity and restoration of intestinal motility after surgery. On 5-7 days (according to indications) after the operation, the tube is first removed from the cavity of the bag, then the bag itself, which is freely removed by the end, which is brought out in the iliac region. The drainage tube from the pelvic cavity is removed the next day. In addition, new technologies for peritoneal lavage, a new probe model, a drainage device, a method for accelerated X-ray diagnostics, prevention of surgical wound suppuration, a device for dynamic laparoscopy, a hernioplasty method, prevention of postoperative complications during gastric resection, and a method for modeling acute adhesive intestinal obstruction have been patented. As a result of the use of the above methods and methods in the surgical treatment of peritonitis, it was possible to reduce the number of postoperative complications by almost 3 times, including; wound complications 9.5% versus 30.4%, intraperitoneal – 7.1% – 19.6%, and extraperitoneal – 11.9% – 16.7%. Postoperative mortality in the main group was 6% (3), in the control group 29% (21). Consultations are conducted on all surgical issues. Operations on abdominal organs (adhesive peritoneal disease, diseases of the small and large intestines, etc.); Surgical diseases of the stomach (duodenal ulcer and stomach ulcer); Liver and biliary tract (acute and chronic calculous cholecystitis – endoscopic and open surgery, liver cysts, mechanical jaundice, etc.); Pancreas (false and true cysts); Hernias of the anterior abdominal wall (inguinal, umbilical, femoral, postoperative, ventral); Proctological operations – hemorrhoids, anal fissures, paraproctitis; Urological operations (varicocele, cryptorchidism, etc.); Vascular surgery – Varicose veins and its complications (PTFS, trophic ulcers, lymphadema); Thyroid surgery – nodular goiter, cysts; Operations for benign neoplasms (lipomas, atheromas, hygromes, fibroids) of soft tissues. The Department of General Surgery was established in 1934. The first head of the department was A.N.Syzganov, an academician of the Academy of Sciences of the Kazakh SSR, an Honored Scientist of the Kazakh SSR, who made a great contribution to the development of methods of surgical treatment of tuberculosis, oncological and cardiological patients. He created a large scientific school of clinical surgeons in Kazakhstan. He was the first director of the Institute of Clinical and Experimental Surgery in Alma Ata. A street and the Kazakh Institute of Clinical and Experimental Surgery (now the National Scientific Center of Surgery JSC) in Almaty are named after A.N. Syzganov. Later, the department was headed by prominent scientists who made a great contribution to the development of surgical science and practice: professors K.Ch. Ch. Chuvakov, K.Ch., Dairov, A.B., Golovachev, V.L., Durmanov, K.D. Over the years, well-known professors A.A.Suleimenov, A.S.Idrisov, and T.S.Kasenov worked at the department. Following the traditions, the main scientific directions of the department remain scientific developments in the field of surgical infection, emergency surgery, surgical gastroenterology, surgery of the hepatopancreatobiliary zone, thoracic surgery. Professional cooperation between doctors of Aksai Clinical Hospital and staff of the Department of General Surgery of S.D.Asfendiyarov KazNMU on the study and implementation of the latest medical achievements in practice is constantly developing and improving. For many years, the department has been conducting research and development to solve the urgent problem of “Improving the methods of prevention and treatment of adhesive disease and its complications.“ Currently, for the treatment of this formidable pathology and the prevention of its complications – acute adhesive intestinal obstruction, not only their own surgical methods are used, but also all new achievements used in the world (mesogel, spragel, Kolgara, etc.). Joint research work with doctors of practical healthcare is an essential factor contributing to the growth of their professional qualifications not only as a specialist, but also serves as a good motivation for scientific advancement. But the most important thing in this integration is the results of this work, which are primarily aimed at improving the effectiveness of treatment, improving the method, method, and generally solving certain problems in medicine. Thus, on the basis of the Aksai University Clinic, the provision of highly qualified surgical care to the population of Almaty has begun, where there are all possibilities for consulting and therapeutic work, both in a polyclinic and in a hospital setting. KazNMU Press Service