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Biomedical subjects

A M Koplatadze

Publications and source records attributed to A M Koplatadze.

At least 19 recordsLinked to original sources
PubMed2000

[Treatment of acute paraproctitis by latex ligature method].

A new procedure of operation in acute paraproctitis with transsphincteral purulent canal is proposed. The method is based on deferral transection of sphincter's portion by latex ligature, which ensure minimal diastasis of muscular ends and prevents the development of anal sphincter insufficiency. 35 patients with different forms of transsphincteral purulent canal were operated by this technique. There were other recurrences or anal sphincter insufficiency.

Acute Disease↗
PubMed1995

[Surgical policy in emergency proctology].

The article deals with 6-year experience of a department of emergency proctology accommodating 65 patients. Introduction into clinical practice of modern therapeutic tactics, highly effective medicaments, and top-duality anesthesiological service made it possible to cure radically 84.6% of patients with acute paraproctitis and 82.1% of those with acute hemorrhoidal thrombosis. Postponed radical operations are of undeniable advantage in the management of such patients. As a result of them complication incidence reduced from 10.7 to 2.2% in acute paraproctitis and from 39 to 6.1% in acute hemorrhoids. In this connection the achievement of the best end results seems logical--the absence of recurrences in surgical treatment of acute suppuration of an epithelial coccygeal passage and acute thrombosis of the hemorrhoids, and a low incidence of recurrences (1.8%) after operations for acute paraproctitis.

Acute Disease↗
PubMed1994

[Anaerobic paraproctitis].

The authors had 80 patients, most of them (90%) of an old age, with anaerobic paraproctitis. Delayed hospitalization was encountered in 62 cases, in 16 of these cases an erroneous diagnosis had been established. Severe concomitant diseases complicated the course of anaerobic paraproctitis in 80% of cases (in each group of three patients one had diabetes mellitus). The authors describe characteristic clinical manifestations and the course of various forms of anaerobic paraproctitis, the results of bacteriological examination, and the order in which the surgical treatment is applied. They suggest a scheme of drug therapy which is maximally approximated to cleansing of a microbial cenosis, including ultraviolet irradiation of the blood. All these measures allowed the mortality rate to be decreased from 33.3% to 17.7%.

Acute Disease↗
PubMed1994

[Radical surgical treatment of patients with complicated forms of acute paraproctitis].

The authors discuss the results of surgical treatment of 412 patients with complicated forms of acute paraproctitis. They found that one-stage radical surgical treatment may be performed in most patients. With strict observance of indications for each type of operative measures, careful surgical techniques, and effective treatment of the purulent operative wound, not only may the period of treatment be shortened but, which is most important, the incidence of postoperative complications may be considerably reduced and the best end results of the management of this most serious group of patients be achieved. But the authors also do not exclude the tactics of two-stage treatment.

Acute Disease↗
PubMed1991

[The malignant degeneration of caudal teratomas in adults].

The experience with surgical treatment of 226 cases of caudal teratoma showed malignant transformation of the lesion to be frequent than generally believed (1.8%). Radical surgery was carried out in 3 out of 4 cases with malignant transformation of presacral cysts, combined procedures being employed in two of them.

Adult↗
PubMed1990

[Treatment of patients with bleeding hemorrhoids].

The article discusses the choice of the optimal therapeutic tactics, the volume of preoperative examination, and the rational techniques of surgical treatment in 65 patients with profuse bleeding from the hemorrhoids. It is shown that digital examination, proctosigmoidoscopy, as well as adequate examination of the whole large intestine must be undertaken without fail in this group of patients. Assessment of the volume of blood loss, its correction under hemoglobin control, and consideration for the patient's general condition allows radical operative treatment to be conducted in the majority of cases (96.4%). Good results were produced with the use of advanced surgical techniques of hemorrhoidectomy.

Adult↗
PubMed1990

[Injuries and foreign bodies of the rectum].

Analysis of experience in the treatment of 43 patients with traumas of and foreign bodies in the rectum showed that the mechanism of the trauma and the degree of destruction are criteria of the choice of optimal therapeutic tactics. The authors show that nonoperative treatment is sufficiently adequate in superficial injuries, which account for almost 50% of all traumas. Surgical debridement is absolutely necessary in deep traumas; relieving colostomy is expedient in destruction of the rectal wall. The total mortality rate was 2.8%.

Adolescent↗