Surgical treatment for colorectal endometriosis. A clinical case
- 作者: Politova A.K.1, Maksimenkov A.V.1, Vershinina Y.A.1, Alexandrova A.D.1, Dudorova S.V.1
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隶属关系:
- National Medical and Surgical Center named after N.I. Pirogov
- 期: 卷 71, 编号 6 (2022)
- 页面: 113-124
- 栏目: Theory and Practice
- ##submission.dateSubmitted##: 18.05.2022
- ##submission.dateAccepted##: 15.12.2022
- ##submission.datePublished##: 07.02.2023
- URL: https://journals.eco-vector.com/jowd/article/view/108025
- DOI: https://doi.org/10.17816/JOWD108025
- ID: 108025
如何引用文章
详细
The article describes a clinical case of successful surgical treatment of a patient with deep endometriosis involving the rectum using the Da Vinci Surgical System. The use of the Da Vinci robotic complex allows for increasing the radicalism of the operation by improving visualization and expanding the surgeon’s manual capabilities. This starts to be possible thanks to the technical advantages of this technology, specifically 3D imaging and the use of EndoWrist instruments with artificial wrists and seven degrees of freedom that provide greater precision when manipulating in a minimally invasive environment. Surgical treatment of colorectal endometriosis includes three types of operations — focus shaving, discoid and circular bowel resections with anastomosis. When choosing a treatment strategy, one needs to take into account the clinical course of the disease, the results of conservative treatment and instrumental methods of research (ultrasound, MRI), and the woman’s reproductive plans. The excision of the infiltrate is an effective method of treating patients with colorectal endometriosis in terms of pain relief, improving the quality of life and restoring reproductive function. Performing such operations is optimal in medical institutions with a multidisciplinary approach.
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作者简介
Alla Politova
National Medical and Surgical Center named after N.I. Pirogov
Email: al1870@mail.ru
ORCID iD: 0000-0002-5924-2616
SPIN 代码: 6558-5394
MD, Dr. Sci. (Med.), Assistant Professor
俄罗斯联邦, MoscowAndrey Maksimenkov
National Medical and Surgical Center named after N.I. Pirogov
编辑信件的主要联系方式.
Email: maksimenkovav@pirogov-center.ru
SPIN 代码: 1559-1172
MD, Cand. Sci. (Med.)
俄罗斯联邦, MoscowYulia Vershinina
National Medical and Surgical Center named after N.I. Pirogov
Email: vershinina_vrach@mail.ru
ORCID iD: 0000-0003-1941-8450
SPIN 代码: 3781-4500
俄罗斯联邦, Moscow
Anastasia Alexandrova
National Medical and Surgical Center named after N.I. Pirogov
Email: a_aleks@me.com
ORCID iD: 0000-0002-2493-863X
俄罗斯联邦, Moscow
Svetlana Dudorova
National Medical and Surgical Center named after N.I. Pirogov
Email: sv_gorynova@mail.ru
ORCID iD: 0000-0002-9265-6431
俄罗斯联邦, Moscow
参考
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