[CO2 laser in the surgical treatment of vesicovaginal fistula].
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Biomedical subjects
Publications and source records attributed to M M Latyshev.
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The paper presents the data on surgical management of 61 patients with external genital paraffinomas induced by subcutaneous administration of liquid vaseline into the penis. In most patients the disease was complicated by formation of fistulas, ulcers and necrosis of the skin. During surgical therapy, 43 patients were given CO2 laser, 18 received conventional surgical methods. CO2 laser was shown to substantially increase the efficiency of surgical therapy: the duration of preoperative preparation was reduced, the wound healed by first intention, a marked cosmetic and functional effect was achieved, hospital stay and temporary disability days were decreased.
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The authors present long-term results of surgical treatment with the use of CO2 laser of 104 patients suffering from bladder cancer stage T1-4 of different location. It is shown that high antiblastic effect of laser radiation results in reduced number of cancer recurrences, postoperative complications and lethal outcomes. Laser resection of the bladder wall with the tumor as deep as adventitious layer and paravesical fat ensures preservation of the organ on the one side and efficiency of surgery on the other side. Laser surgery of bladder cancer proved more effective than conventional methods, including transurethral resection.
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