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ABSTRACT. This article focuses on the life and professional achievements of Alexander Ivanovich Panyushkin (19332022), who served as the first neurosurgeon at the Oktyabrskaya Railway Road Hospital and later became its chief physician from 1974 to 1999. Panyushkin obtained his neurosurgical specialization at the Department of Neurosurgery of the Military Medical Academy named after S.M. Kirov, studying under renowned academic neurosurgeons such as V.A. Shustin, V.A. Grebenyuk, and B.A. Samotokin. In the 1960s, Panyushkin studied under renowned academic neurosurgeons such as Associate Professor V.A. Shustin (a specialist in treating discogenic radiculitis), Professor V.A. Grebenyuk, and Professor B.A. Samotokin (head of the department) and other figures and doctors of the academy. The article highlights the establishment of the neurosurgical department of the Road Hospital, which served as the base of the Department of Neuro surgery of the Military Medical Academy named after S.M. Kirov, as well as the close relationship between the hospital and the academy for many years. It also explores Panyushkins significant contributions to the diagnosis and surgical treatment of discogenic lumbosacral radiculomyeloishemia, as reflected in his well-known monographs. The article provides insights into Panyushkins remarkable career journey from a young surgeon to the head physician of a renowned spinal neurosurgical department in Leningrad. Under Panyushkins leadership, the hospital witnessed substantial development, including the construction and equipping of new buildings between 1976 and 1985, where the main capacities of the hospital are concentrated today. The authors draw on Panyushkins memoir to shed light on the history of the Road Hospital, its doctors from different generations, and the experiences of Soviet medicine during the 1960s to 1990s. The authors of this article constantly refer to the materials of this book, which may be useful to clinicians as well as those who are interested in the history of domestic medicine.
ABSTRACT. This article focuses on the life and professional achievements of Alexander Ivanovich Panyushkin (19332022), who served as the first neurosurgeon at the Oktyabrskaya Railway Road Hospital and later became its chief physician from 1974 to 1999. Panyushkin obtained his neurosurgical specialization at the Department of Neurosurgery of the Military Medical Academy named after S.M. Kirov, studying under renowned academic neurosurgeons such as V.A. Shustin, V.A. Grebenyuk, and B.A. Samotokin. In the 1960s, Panyushkin studied under renowned academic neurosurgeons such as Associate Professor V.A. Shustin (a specialist in treating discogenic radiculitis), Professor V.A. Grebenyuk, and Professor B.A. Samotokin (head of the department) and other figures and doctors of the academy. The article highlights the establishment of the neurosurgical department of the Road Hospital, which served as the base of the Department of Neuro surgery of the Military Medical Academy named after S.M. Kirov, as well as the close relationship between the hospital and the academy for many years. It also explores Panyushkins significant contributions to the diagnosis and surgical treatment of discogenic lumbosacral radiculomyeloishemia, as reflected in his well-known monographs. The article provides insights into Panyushkins remarkable career journey from a young surgeon to the head physician of a renowned spinal neurosurgical department in Leningrad. Under Panyushkins leadership, the hospital witnessed substantial development, including the construction and equipping of new buildings between 1976 and 1985, where the main capacities of the hospital are concentrated today. The authors draw on Panyushkins memoir to shed light on the history of the Road Hospital, its doctors from different generations, and the experiences of Soviet medicine during the 1960s to 1990s. The authors of this article constantly refer to the materials of this book, which may be useful to clinicians as well as those who are interested in the history of domestic medicine.
До настоящего времени наиболее распространенной методикой хирургического лечения грыж межпозвонковых дисков (МПД) поясничного отдела позвоночника считается открытая микродискэктомия из стандартного заднего доступа. Данный метод является высокоэффективным, однако имеет и ряд характерных существенных недостатков, таких как необходимость резекции костных структур и связочного аппарата, тракция корешков спинномозговых нервов, что в конечном счете повышает риск дестабилизации позвоночно-двигательных сегментов и развития рубцово-спаечных процессов в позвоночном канале. В настоящее время существует ряд малоинвазивных методов хирургического лечения дегенеративно-дистрофических заболеваний позвоночника (ДДЗП). Наиболее часто встречающимися и обладающими высокой эффективностью, по данным литературы, являются чрескожная эндоскопическая дискэктомия и чрескожная лазерная вапоризация межпозвонковых дисков. В статье представлен краткий исторический очерк развития хирургии грыж межпозвонковых дисков, даны характеристики малоинвазивных оперативных методов, описаны показания к их выполнению. В заключение рассмотрены результаты работ, посвященных сравнению эффективности стандартной микродискэктомии с чрескожной эндоскопической дискэктомией и чрескожной лазерной вапоризацией межпозвонковых дисков. Until now, the most common method of surgical treatment of herniated intervertebral discs of the lumbar spine is open microdiscectomy from the standard posterior approach. This method is highly effective, but it also has a number of typical significant disadvantages, such as the need for resection of bone structures and ligamentous apparatus, traction of the roots of the spinal nerves, which ultimately increases the risk of destabilization of the spinal motion segments and the development of cicatricial adhesions in the spinal canal. Currently, there is a number of minimally invasive methods of surgical treatment of degenerative-dystrophic diseases of the spine (DSD). The most common and highly effective according to the literature are percutaneous endoscopic discectomyand percutaneous laser vaporization of intervertebral discs. The article presents a brief historical outline of the development of surgery for herniated intervertebral discs, gives the characteristics of minimally invasive surgical methods, describes the indications for their implementation. In conclusion, the results of the studies comparing the effectiveness of standard microdiscectomy with percutaneous endoscopic discectomy and percutaneous laser vaporization of intervertebral discs are considered.
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