PELVIC NERVE-SPARING SURGERY USING A WATER-JET DISSECTOR


Дәйексөз келтіру

Толық мәтін

Ашық рұқсат Ашық рұқсат
Рұқсат жабық Рұқсат берілді
Рұқсат жабық Рұқсат ақылы немесе тек жазылушылар үшін

Аннотация

This paper provides a systematic analysis of the data available in the modern literature, which describe experience with the water-jet dissection technique in pelvic surgery. In recent years, nerve-sparing approaches have been actively elaborated and studied in the surgical treatment of cancer of the rectum, prostate, and cervix uteri. Preservation of the pelvic autonomic nerve plexuses has been proven to significantly reduce the incidence of lower urinary tract dysfunctions in men and women. However, despite the accumulated experience in nerve-sparing surgery, the rate of postoperative complications has remained unsatisfactory. In recent years, the tissue dissection technique using a water-jet dissector has been studied in pelvic surgery. The main advantage of this technique is the selective isolation and preservation of nerve fibers with minimal deformation of the surrounding tissues. The use of a water jet allows the most delicate separation of tissues without thermal damage. Conclusion. Thus, the elaboration and introduction of new functional approaches into clinical practice will be able to reduce the incidence of complications and to simplify the surgical team’s work.

Толық мәтін

Рұқсат жабық

Авторлар туралы

Maria MESHKOVA

National Medical Radiology Research Center, Ministry of Health of Russia

Email: mari.meshkova.95@mail.ru
Clinical Resident, P.A. Hertsen Moscow Oncology Research Center - branch Moscow, Russia

Svetlana MUKHTARULINA

National Medical Radiology Research Center, Ministry of Health of Russia

Email: svmukhtarulina@yandex.ru
MD, Head of the Oncogynecology Department, P.A. Hertsen Moscow Oncology Research Center - branch Moscow, Russia

Sergei ANPILOGOV

National Medical Radiology Research Center, Ministry of Health of Russia

PhD, Research Associate of the Oncogynecology Department, P.A. Hertsen Moscow Oncology Research Center - branch Moscow, Russia

Aiset KHADZHIEVA

National Medical Radiology Research Center, Ministry of Health of Russia

Email: buraeva2@mail.ru
junior researcher of the Center laser and photodynamic diagnosis and treatment of tumors, P.A. Hertsen Moscow Oncology Research Center - branch Moscow, Russia

Elena NOVIKOVA

National Medical Radiology Research Center, Ministry of Health of Russia

MD, professor, Honoured Science Worker of Russian Federation, Deputy Head of the Oncogynecology Department, P.A. Hertsen Moscow Oncology Research Center - branch Moscow, Russia

Andrei KAPRIN

National Medical Radiology Research Center, Ministry of Health of Russia

General Director, Director of P.A. Hertsen Moscow Oncology Research Center. Moscow, Russia

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