Biomedical subjects

S V Kishev

Publications and source records attributed to S V Kishev.

14 recordsLinked to original sources

PubMed1978

Suprapubic wad suspension. Combined perineal-abdominal approach for correction of postprostatectomy urinary incontinence.

A three-year experience with 20 patients who became incontinent after various types of prostatectomies is described. A new method of repair using a combined approach is presented. The perineal component allows the insertion of a pliable prosthetic "wad." The posterior edge of the wad is held in a position inclined 20 degrees toward the vertical plane of the recumbent patient's perineum by two heavy nylon sutures. The sutures are brought into the previously dissected retropubic space by the use of a 10-cm. long Keith needle which is passed through the urogenital diaphragm. The ends of the sutures are tied over small marlex pledges over the abdominal fascia. There were two failures and one case in which urethral stricture developed among the 20 patients undergoing surgery.

Humans↗

PubMed1978

Perineal-abdominal cystourethrectomy with pelvic node dissection: a new 2-stage procedure for selected cases.

An ileal conduit diversion followed 7 to 14 days later by cystourethrectomy with pelvic node dissection was done on 20 patients with carcinoma of the bladder. Two types of patients were selected for this operation: 1) those with an advanced stage of carcinoma involving the bladder neck, prostatic urethra or prostate, primarily cases suspected of having focal metastatic disease in the urethra, and 2) patients who had had a previous pelvic operation with resultant dense adhesions and scarring. The cystourethrectomy with pelvic node dissection is begun perineally. After the specimen, consisting of the urethra, part of the urogenital diaphragm, seminal vesicles, prostate and bladder is dissected, mobilized and, finally, pushed into the pelvis the perineum is closed and the operation is completed abdominanlly through a Pfannenstiel incision.

Abdomen↗

PubMed1978

[Examination of stenotic bladder neck using the Kishev balloon stretch test with the Foley catheter (author's transl)].

A 2-year study with 125 patients who suffered from symptoms suggestive of stenotic bladder neck with or without overlapping symptoms of 'abacterial prostatitis' is described. More than 200 balloon stretch tests were carried out in order to choose 125 patients for operation. With a knife electrode designed by one of us, two deep furrows were cut along the 5 o'clock and the 7 o'clock positions, which begin at the trigonum and continue through the entire bladder neck and the floor of the prostatic part of the urethra to the apex of the verumontanum.

Adult↗

PubMed1976

Excision of the urogenital diaphragm: a method of repair of the completely obstructed membranous urethra.

A 15-year experience with 16 patients who suffered complete rupture of the membranous urethra and obliteration of the apex of the dislocated prostate gland is described. In 2 cases repair was done immediately after injury. The technique is described. Entrance into the perineum follows the path of the bulbous urethra rather than that of the rectal wall. After the bulbous urethra is mobilized the urogenital diaphragm is excised. The end of the bulbous urethra is approximated to the mobilized distal half of the prostate, via the shortest route between the 2 organs.

Catheters, Indwelling↗

PubMed1975

Indications for combined psoas-bladder hitch procedure with Boari vesical flap.

The combination of two operative methods ordinarily used for correction of injury to the pelvic portion of the ureter, the psoas-bladder hitch procedure and the Boari vesical flap, allows repair of injuries of the middle third of the ureter. The proximal third of the ureter becomes easily accessible for reimplantation in the tunneled Boari flap, provided the mobilized and extraperitonealized bladder is fashioned into a sausage-like extension toward the psoas muscle. Possibilities for a longer Boari flap exist provided the bladder is of normal capacity and one adheres strictly to the recommended technique for fashioning a bladder flap, using a long oblique segment of the anterior bladder wall.

Humans↗

PubMed1975

Psoas-bladder hitch procedure: our experience with repair of the injured ureter in men.

Nine patients with injury to the pelvic portion of the ureter successfully underwent the psoas-bladder hitch procedure and tunnelization as an antireflux measure. Of these 9 patients 1 had a Boari bladder wall flap next to the hitch procedure to further elongate the posterolateral corner of the bladder and to bridge a ureteral defect more than 5 cm. Postoperatively, 2 patients had ureteral reflux on the side of repair and 1 had reflux on the opposite side, which was caused by excision of the bladder tumor and damage of the muscle layers backing the undamaged ureter.

Aged↗

PubMed1975

[The bladder neck stenosis following prostatectomy. The various types and their treatment].

Twenty patients with contracture of the vesical neck following prostatectomy and with Marion's disease were successfully treated with Y-V plastic operation and posterior wedge excision. One patient had to remain in cystotomy catheterization because it was not possible at operation to detach the wall of the bladder from the os pubis. Five of eight patients were treated successfully by transurethral resection. The remaining three patients developed a recurrent contracture and underwent Y-V plastic operation. A stenosis at the site of anastomosis following radical retropubic prostatectomy may sometimes be managed by a Y-V operation using a simple retropubic approach. This was the procedure in one case. However, when the stenosis lies too deep in relation to the os pubis, one can always gain access via a pubectomy. Chiefly, contracture of the vesical cervix postprostatectomy is discussed, as well as the degree of obstruction, the characteristic symptoms, and the risks associated with wrong diagnosis. A new theory on the etiology is briefly described.

Aged↗

PubMed1974