Vadim Polovinkin

• Doctor of Medicine
• Head of Department at Krasnodar Krai Hospital

AIM: to evaluate the effect of a surgical access on postoperative morbidity and oncological safety in older patients. PATIENTS AND METHODS: a multicenter retrospective study included 179 patients aged 60–74 years who underwent surgery for middle and low rectal cancer (T1-3N0-N2bM0) in 2021-2023. The patients were divided into 3 groups: the first on...

AIM: to improve late results of pilonidal disease treatment.PATIENTS AND METHODS: a multicenter retrospective cohort study included patients with pilonidal disease using the original new method — the main group (n = 31) and patients with Karidakis method as controls (n = 70). The recurrence rate was estimated. Six months after surgery, ultrasound,...

This article presents an innovative technique for perineal wound reconstruction following extralevator abdominoperineal excision (ELAPE) in rectal cancer surgery. The authors trace the evolution of surgical methods for rectal cancer treatment, from W.E. Miles' abdominoperineal resection (APR) to T. Holm's ELAPE technique introduced in 2007. The pro...

Liver transplant is one of the most effective ways to treat hepatocellular carcinoma (HCC). Thanks to the implementation of the Milan criteria, developed almost 30 years ago, 5-year survival rates for patients who underwent a transplant for HCC increased and reached the rates for patients with nontumor indications. Despite the emergence of alternat...

AIM: to present a rare clinical observation of a combination of Crohn’s disease (CD) and breast cancer (BC).PATIENTS AND METHODS: the case of accidental detection of metastatic lesions of the mesentery of the small intestine and the walls of the small and large intestines in patient A., 46 years old, during reconstructive surgery after ileum resect...

Colorectal cancer ranks third after breast cancer in terms of incidence and second after lung cancer in terms of mortality. Management of rectal cancer requires a multidisciplinary approach, with the surgical management playing the main role. There are currently three resective techniques that complement the traditional open surgery: laparoscopic s...

Objective: To evaluate the efficacy and safety of original access to short rectal stump compared to traditional direct one. Material and methods: A retrospective-prospective cohort comparative study was conducted between 2012 and 2018. Inclusion criterion was previous Hartmann's procedure with formation of a short rectal stump. Short stump was d...

Objective: To evaluate safety and effectiveness of routine splenic flexure mobilization (SFM) in surgical treatment of rectal cancer (RC). Material and methods: A single-center randomized study was performed between 2016 and 2019. Patients were randomized into 2 groups (SFM (+), n=156, SFM(-), n=67). Standard anterior and low anterior rectal res...

Nowadays, the issue of splenic flexure mobilization (SFM) in anterior and low anterior rectal resection for rectal cancer is still debatable. This stage is important because dissection results tension-free anastomosis and excision of specimen of enough length with adequate number of harvested lymph nodes. However, literature review confirmed the ab...

It was performed a comparative analysis of parameters of early postoperative period in 318 patients with middle- and lower-ampullar cancer of rectum who underwent total mesorectumectomy and "blind" preparation of rectum. All patients were divided into 2 groups. The main group included 202 patients after total mesorectumectomy. The control group inc...

Since 1994 in addition to standard operations for chronic and acute hemorrhoids in Krasnodar military hospital the device for suturing in removal of internal hemorrhoids has been applied. From 1994 to 2000 examination and treatment of 240 patients with hemorrhoids were carried out. In the study group (128 patients) hemorrhoidectomy was performed by...

During the period from 1994 to 2000 there were investigated and treated 240 patients with hemorrhoids which required the surgical intervention. Depending on the hemorrhoidectomy method all the patients were divided into two groups--the main and the control. The main group was consisted of 128 persons. In this group the hemorrhoidectomy was performe...