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K N Salamov

Publications and source records attributed to K N Salamov.

At least 19 recordsLinked to original sources
PubMed2001

[Determination of colon resection limits in diverticulosis].

Results of surgical treatment of 112 patients with colon diverticulosis are analyzed. It is established that during operation it is necessary to perform such scope of resection which permits to create anastomosis between colon parts without their discoordination. The risk of complications from anastomosis decreases to 3.7%. The creation of anastomosis with significant discoordination leads to high risk of its insufficiency. It is desirable to resect the colon's parts with moderate discoordination. When the extension of of resection margins due to parts with moderate discoordination is dangerous, it is possible to create the anastomosis with ileo- or colostoma. In this case the risk of inflammatory complications remains, but conservative treatment of these complications in the conditions of feces efflux is effective.

Adult↗
PubMed1998

[Proximal colostomy in multistage treatment of complicated colonic diverticulosis].

On the basis of experience in surgical treatment of 128 patients with colonic diverticulosis who had a proximal colostoma which was formed earlier for acute complications of the process, it is shown that colostomy is inadequate as an independent method for the management of complicated diverticulosis. Resection or exteriorization of the involved segment of the large intestine is necessary in such cases. The formation of entero-enterostomy is hazardous and inexpedient in that event.

Adult↗
PubMed1993

[Congenital angiodysplasias of the large intestine].

Angiodysplasia is a rare disease of the intestinal vessels. One of its types is the congenital form (so-called hemangioma or vascular hamartoma) which is mostly encountered at young age. Forty-eight patients with congenital forms of angiodysplasia of the large intestine were treated at the Scientific Research Institute of Proctology, RF Ministry of Health, beginning from 1962. According to morphological structure, there were 26 cases of the cavernous type, 11 of the capillary type, 11 of the mixed forms. In 46 of 48 patients the rectum and sigmoid were involved in the pathological process. Intestinal bleeding of various degree and intensity, occurring in 40 patients from early childhood, was the principal symptom in the clinical picture of the disease. The endoscopic picture of congenital angiodysplasia of the large intestine has characteristic macroscopic signs. Irrigoscopy and angiography are also very valuable and informative methods in the diagnosis of this form. Surgical interventions were performed on 28 patients, which accounted for 58.3% of the total number of patients with congenital angiodysplasia. Profuse bleeding leading to stable anemization of the patient is an indication for surgery. The volume of the operation was determined by the localization and spread of the pathological process. In concurrent localization of dysplasias, particularly in the pelvic cavity, and bearing in mind the seriousness of the operation itself, the degree of intraoperative blood loss, and the technical peculiarities of the intervention we prefer many-stage treatment. We encountered 18 complications, which mainly developed on the part of the perineum.

Adolescent↗
PubMed1993

[Treatment methods in colonic diverticulosis].

The authors had 662 patients with diverticulosis of the colon under observation. Nonoperative treatment for clinically manifested diverticulosis was undertaken in 226 patients. A good effect was produced in 82.2% of them. An operative intervention was conducted on 146 patients. The indication for operation was clinically manifested diverticulosis in the absence of an effect of nonoperative management in 19 (13%) patients and complicated diverticulosis in 62 (41.3%) patients. Various types of reconstructive-restorative operations in many-stage treatment of diverticulosis of the colon were conducted in 64 (43.8%) patients. Postoperative complications were encountered in 29 (19.7%) patients. Ten (6.8%) patients died. The authors conclude that the choice of the volume and method of operation should be guided by the patient's general condition, the character of the developing complications, the spread of the diverticuli along the colon, and the existence or absence of signs of an inflammatory process in the diverticuli.

Adult↗
PubMed1992

[The restoration of the natural intestinal passage after Hartmann's operation in a short stump of the rectum].

Analysis showed restorative-reconstructive operations in patients who underwent Hartmann's operation with preservation of a short rectal stump to be technically difficult and injurious interventions. The interventions must be undertaken only after complete removal of the causes of suppuration of the colostomy in a patient whose condition is satisfactory. The degree of the cicatricial process in the pelvis and the method of the colorectal anastomosis formation essentially influence the results of the restorative-reconstructive operations. The best results were produced in retrorectal pull-through of the colon with the formation of colorectal anastomoses after the type of Duhamel's operation.

Adolescent↗
PubMed1991

[Locally disseminated cancer of the sigmoid colon].

The study discusses the experience of treatment of 207 patients with locally-advanced cancer of the sigmoid colon who made up 13.5% of the total number of cases of cancer of this site seen in the clinic in 1972-1990. Radical surgery was performed in 170 (82.1%) patients. Postoperative lethality rate was 5.8%, five-year survival rate--70.5 +/- 5.6%. The use of adjuvant preoperative radiotherapy assured a higher resection rate and had no adverse effect on immediate results.

Adult↗
PubMed1991

[The diagnosis of perifocal inflammation in cancer of the colon].

The study discusses the experience gained with application of a complex of methods for early diagnosis of perifocal inflammation in 50 patients with cancer of the colon. Endoscopic, roentgenologic and radionuclide (using 67Ga citrate) methods were mainly employed. Perifocal inflammation was established in 38 (76%) patients. The diagnosis was further confirmed by morphologic examination of resected material. Application of the methods assured early diagnosis of asymptomatic perifocal inflammation associated with tumor.

Adenocarcinoma↗
PubMed1991

[Immediate results of combined treatment of cancer of the colon using intensive methods of preoperative radiotherapy].

Combined treatment with the use of intensive methods of preoperative radiotherapy was carried out in 41 patients with malignant tumors of the colon. Study of the specific features of the accomplished surgical interventions and the postoperative management of patients showed that short courses of irradiation on a betatron with energy of 25 MeV, given in 5 daily exposures to a total basic dose of 20 Gy or a single exposure to a basic dose of 7.5 Gy had no unfavourable effect on the performance of the operation and the patients' condition in the postoperative period. The immediate results of the operation were found to be good in all patients.

Adenocarcinoma↗
PubMed1991

[Restoration of natural intestinal passage after Hartmann's operation].

From 1972 to 1988 restorative operations were carried out at the Institute of Proctology on 252 patients after resection of the colon by Hartmann's technique. Analysis showed that restoration of natural intestinal passage after Hartmann's operation for resection of the colon is a complex and dangerous surgical intervention. When undertaking such intervention, the surgeon should take into account not only the patient's wish to be relieved from the colostomy, but also correct appraisal of the possibility of accomplishing the restorative operation from the standpoint of the patients' somatic condition, the technical conditions for restoration of intestinal continuity, and his own professional possibilities. In cases of a short rectal stump, various modifications of Duhamel's operation are the most safe and technically executable method for restoration of the natural intestinal passage. Such restorative-reconstructive operations should be carried out in specialized coloproctological clinics.

Adolescent↗
PubMed1991

[Surgical treatment of recto-vaginal fistulas].

The article discusses 15-year experience in the treatment of 280 patients with various forms of rectovaginal fistulas. The choice of the operative method was differentiated on basis of complex appraisal of the etiology of the disease, pronouncement of the cicatricial and inflammatory changes, the level of the communication, relation of the fistula to the sphincter ani, and the functional condition of the rectal obturator apparatus. Most of the patients were subjected to combined interventions--excision of the fistula and local myoplasty (62%). Pyoinflammatory phenomena were the most frequent complications (17.2%) in the immediate postoperative period. The late-term results were studied in 249 patients, recurrent fistulas were found in 10.4% of cases, postoperative sphincter ani incompetence which called for plastic operations was discovered in 2.4% of patients. A differentiated choice of the method of surgical intervention made it possible to reduce in the recent years the frequency of recurrent fistulas from 15.2 to 6.4%, and the postoperative incompetence of the sphincter ani from 4.4 to 2.2%.

Adult↗
PubMed1990

[Cancer of the right half of the colon: clinical aspects, diagnosis and immediate results of surgical treatment].

Carcinoma of the right half of the colon (CRHC) is diagnosed in 21-35% of patients with colorectal carcinomas. The Research Institute of Proctology of the RSFSR Ministry of Health has an experience with treatment of 338 patients with CRHC. Most of them (84.9%) were admitted to the clinic with advanced forms of the disease because of poor clinical manifestations at early stages of the disease and resulting in late consultations with the doctor. Surgical treatment was performed in 332 patients. The operation of choice for locally removable tumors of the right half of the colon still remains right-side hemicolectomy. For locally spread CRHC combined operations are thought to be expedient. Immediate results of the surgical treatment of CRHC by the correct curative methods are perfectly favorable, the amount of postoperative complications was 14.5%, lethality--6.6%.

Adult↗
PubMed1990

[Total diverticulosis of the large intestine, complicated by ischemic colitis with development of multiple inflammatory polyps].

One observation of total colon diverticulosis in a male of 62 is described. Clinical signs (abdominal pains, blood in faeces, vomiting) persisted for 7 years and was aggravated by ileus. Instrumental examination revealed multiple colon diverticula, stenosing villous tumour of sigmoid colon. Besides pseudodiverticula, chronic colitis with multiple inflammatory polyps stenosing the lumen of the sigmoid colon and simulating a villous tumour was found. The conclusion is made of the ischemic nature of the colitis complicating the course of diverticulosis.

Colitis↗