Merab Kiladze
Biography
Merab Kiladze M.D., Ph.D. is Professor of Surgery, heading Departments of Surgery at Javakhishvili Tbilisi State University, Georgian National University SEU and at American Hospital Tbilisi. He graduated from Tbilisi State Medical Institute, Faculty of General Medicine. Dr. Kiladze accomplished his research and clinical fellowships at the Mayo Clinic, Rochester, USA and National Centers of Surgery and Oncology, Moscow, Russia. Dr. Merab Kiladze is Immediate Past President of Mukhadze Society of Surgeons of Georgia, Fellow of American College of Surgeons, International College of Surgeons and Member of Editorial Board of the Journal” Ann. Ital. Chir.” (Rome, Italy). He is also Member of European Association for Endoscopic Surgery and European Society of Surgery. He has published over 200 articles and book chapters in reputed medical journals and presented at various national and international scientific meetings. In 1997 he was awarded with a Medal of Honor and in 2001 with an Order of Honor by the President of Georgia. In 1999 he was awarded with 2000 Millennium Medal of Honor (ABI, USA). Dr. Merab Kiladze is an expert in general surgery Ministry of Labor, Health and Social Affairs of Georgia and Honorary Citizen of Batumi and Tbilisi (Georgia).
Research Interest
Cage dislocation, Esophageal defect, Pedicled muscle flap
Abstract
Successful Surgical Treatment of Anterior Fusion Implants Injury of the Cervical Esophagus: Two Case Reports
We report of two patient’s cases, who underwent anterior cervical fusion for polytrauma due to car accident. The patients suffered very rare complications of the surgery: cage dislocation into the cervical esophagus in first case and injury of esophageal wall with fistulae formation in the second one. By surgical treatment the extraction of the cage, removal the ventral plate and repair of the esophageal wall defect were performed. To prevent failure of the sutures placed on the wound of the esophagus, the method of covering the suture line with a pedicled flap cut from the medial portion of the sternocleidomastoid muscle was used. Feeding gastrostomy was also created. The control X-Ray examination was performed at 6th p/o day, which reveals no extravasation and free passage of contrast to the stomach. We consider, that the method of covering the suture line by pedicled flap from sternocleidomastoid muscle in cases of difficult suturing of defects of the cervical esophagus, is a good surgical option. Surgeons should be aware of the risk of implant injury of esophageal wall and cage dislocation of cervical fusion procedure.
