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Biomedical subjects

O I Miminoshvili

Publications and source records attributed to O I Miminoshvili.

At least 19 recordsLinked to original sources

[An early ileus after operations performed on the intestine].

The results of treatment of 87 patients, in whom an early ileus have occurred after performance of operations on the intestine, were analyzed. The main unresolved problems are a timely diagnosis and adequate tactics of treatment. There was proposed the method of their own of the short intestinal loop syndrome prophylaxis after performance of the small intestine extensive resection. Complications have had occurred in 12.6% of patients, postoperative mortality was 3.4%. Elaboration of effective methods of the adhesions process prophylaxis after performance of operations on the abdominal cavity organs constitutes perspective trend for further investigations.

Adult↗

[Treatment and prophylaxis of early intestinal adhesion and ileus disease].

Results of treatment of early adhesion ileus in 87 patients were analyzed, as well as efficacy of prophylactic measures concerning adhesions formation using original methods in 69 patients in 2-5 years after the operation. In addition to conventional methods of surgical treatment existed there was elaborated the method of formation of two-barrel enterostomy. In 11 (12.8%) patients the complications have occurred, postoperative mortality was 3.4%. After performance of prophylactic measures for adhesions formations good results were achieved in 81.1% of examined persons and the fair--in 13.8%.

Adult↗

[Formation of intraabdominal abscess after performance of intestinal surgery].

Experience of surgical treatment of 69 patients with intraabdominal abscess, formed after various intestinal operations performation, was summarized. In 28 patients the abscesses puncture was applied as well as their opening using traditional method. Complications had occurred in 15.9% of patients, postoperative mortality was 5.8%. Application of modern technologies of diagnosis and treatment constitutes perspective trend of the treatment results improvement in such patients.

Abdominal Abscess↗

[Restoration of the colon continuity in patients with ascendostomy after Gartmann operation with rectal supraanal resection].

Results of performance of reconstructive-restoration operation in 7 patients with ascendostomy were analyzed. Of them in 4 as the first stage supraanal rectal resection was performed and in 3 - Gartmann operation. There was proposed the method for colonic continuity restoration after Gartmann operation performance, in which pancreatic stump is mobilized along its posterior wall, securing nutrient vessels up to highest point and lower surface of the pelvic peritoneum sheet. The pelvic peritoneal sheet is dissected from the peritoneal cavity side under guidance of surgeon hand and the rectoscope tube, introduced into rectal stump. During performance of second stage in all the patients massive adhesions were revealed. Postoperative complications were absent.

Adult↗

[Specifics of restorative surgeries in patients with unilateral colostomy].

In 194 patients with one--barrel colostoma experience of the reconstructive-restoration operations stage) performance was summarized. The surgical tactics was studied depending on the main disease nature, peculiarities and complications of the first operative treatment, presence of accompanying diseases, terms of the restoration operation performance, length of colonic stump. Period from the moment of radical intervention performance to restoration operation had constituted from 5 months to 12 years. It is recommended to apply the end--to the stump side anastomosis after performance of the Gartmann type operation and in presence of a short stump--the colonic descendence into the rectum stump. Method of colonic descendence via the rectum stump after the tunnel formation using perineal access was proposed. The most frequent complications were observed after the Dyuahmel type of operation performance. For successful surgical treatment the authors recommend conduction of measures directed for prophylaxis of purulent--inflammatory complications, application of rational surgical tactics, adequate blood supply of transplant.

Adolescent↗

[Surgical treatment of experimentally induced diabetes mellitus].

Peculiarities of course of diabetes mellitus (DM) in animal, simulated using alloxan, were suggested. There was given comparative characteristic of efficacy of deportalization operation, transplantation of pancreatic cellular-tissue culture and transplantation of pancreatoduodenal complex in treatment of DM basing on results of biochemical, hormonal and histological investigations.

Animals↗

[Methods for treating chronic coprostasis].

The indications for choice of a method for treatment of chronic colonic stasis have been developed. Use of direct, transrectal electrostimulation of the colon with simultaneous recording of mechanoelectrocolograms was effective in 85% of the patients. Intraoperative definition of a level of colonic resection contributed to prevention of the development of long-term disease recurrence.

Chronic Disease↗