Publications by authors named "G Z Menteshashvili"

An original procedure for supravesical urinary diversion to a small intestine pouch, intended to facilitate urination following pelvic exenteration, is suggested. Post-operative complications are minimized due to formation of a "dry" urinostomy, reduced pressure in the pouch and absence of reflux-pyelonephritis. If required, urine flow can be channeled to the pouch by connecting the sigmoid colon to the anal canal.

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The effectiveness of local hyperthermia was investigated in 56 patients with locally advanced carcinoma of the rectum (T4N0M0). All received combined heat and radiation therapy as a pre-operative treatment. The control group consisted of 59 patients with the same stage of disease as those who were only irradiated.

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Methods of combined and multimodality therapy are widely used for the treatment of malignant rectal tumors. However radical operation cannot be performed in 50% of patients, in some cases patients refuse surgery. In such cases patients are given a split course of radiation therapy using local heating of a tumor and a method of daily dose fractionation.

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The results of preoperative radiation therapy with a cumulative focal dose of 40 Gy were compared in 2 groups of patients suffering from local rectal cancer. 74 patients of the first group received radiation therapy without any additive treatment. 36 patients of the second group before several treatments of radiation therapy received local 915 MHz electromagnetic hyperthermia in the range of 42 to 43.

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