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Biomedical subjects

V M Protsenko

Publications and source records attributed to V M Protsenko.

16 recordsLinked to original sources
PubMed1998

[The treatment of wounds of the anal canal and perineum].

Analysis of processes of wound healing in 215 patients after operations for hemorrhoids, anal fissures and rectal fistulas was carried out. Clinico-cytologic control of healing of postoperation wound has shown that ultra-violet irradiation of wound surface is most effective at early stages of wound healing due to its pronounced bactericidal and antiinflammatory action. Low frequency laser irradiation intensifies tissue reparative and hastens healing of wounds. The proposed method for treatment of wounds by successive use of ultra-violet and laser irradiation of wound surface combined with conventional ointment medications, improves the results of treatment and decreases the rate of purulent complications 2 times, promotes rapid healing of wounds.

Anal Canal↗
PubMed1994

[Surgical treatment of colonic fistulas with descending colon].

Radical operations were conducted on 50 out of 78 patients with coloperineal and colovaginal fistulas consequent upon resection of the colon and bringing out its segments into the anal canal. The fistulas recurred in 10 patients. Individual choice of the operative method and development of a system of pre-, intra-, and postoperative special methods should reduce the incidence of recurrences after such operations.

Anal Canal↗
PubMed1994

[Surgical treatment of anal insufficiency].

Organic defects in the lateral walls of the rectal obturative apparatus involving no more than one fourth of its circumference are repaired by end-to-end or side-to-side sphincteroplasty. Sphincterolevatoroplasty is indicated in anterior or posterior defects and sphincterogluteoplasty with short or long grafts of the greatest gluteus muscles in larger defects. For cases in which the gluteal muscles cannot be used, an operation has been developed for repair of the defects with the medial part of the great adductor muscle. A damaged internal sphincter muscle of the anus is reconstructed by means of a muscular cuff formed from the wall of a pulled down rectum.

Anus, Imperforate↗
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↗