Possibilities of minimally invasive treatments of hemorrhoidal disease

Абрицова, М. В.

doi:10.21518/1995-1477-2018-3-4-77-82

Cited by 5 publications

(2 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…При этом предусматривается не только вычисление интегральных показателей давления в покое и при волевом сокращении сфинктерного аппарата, но и анализ распределения давления на каждом уровне с интервалом 0,1 см. Эта особенность делает метод незаменимым в клинической практике для быстрой и объективной диагностики спазма гладкомышечных структур внутреннего сфинктера, на 80% определяющего состояние тонуса анальных сфинктеров и состояния сократительной способности мышц тазового дна у пациентов с анальной трещиной, у которых применение сфинктерометрического неперфузионного датчика вызывает болезненные ощущения [17][18][19][20][21][22].…”

Section: ââåäåíèåunclassified

“…Потенциальные списка авторов работ, в которых публиковались данные о результатах АС и АП [18,20,22,[24][25][26][27][28][29][30][31][32][33]. Онлайн-опрос проводился анонимно, с использованием программного обеспечения «Google формы» (Google LLC, США), потенциальные участники опроса получали ссылку на анкету: https://forms.gle/tffNd57mM9BjmfXLA.…”

Section: ìåòîäûunclassified

See 1 more Smart Citation

Interdisciplinary consensus on Russian-language terminology of anorectal sphincterometry and profilometry

2020

Terapevticheskii arkhiv

View full text Add to dashboard Cite

Aim to describe the results of a multidisciplinary discussion on the terminology of anorectal sphincterometry (AS) and profilometry (AP). We performed online survey with the use of public platform Google forms to harmonize Russian terms to be used to describe the results of AP and AS and their abbreviations. The invitation to participate in the survey was sent to the authors who use the results of AP and AS in clinical practice and perform the diagnostic procedures. The obtained answers were analyzed with the use of the aggregator and Statistica 10 (StatSoft Inc, USA) software. The level of consensus was analyzed with the use of modified Delphi criteria (C1 agreement of 90% of participants, C2 agreement of 75 to 90%, C3 less than 75%). Invitations sent 76, responses obtained 63 (response rate 82.9%). Consensus level 1 was reached for all the terms of AP and for 4out of 7 terms to describe the results of AS (3 out of 7 terms were of moderate agreement, C2). The need for the use of predefined abbreviations of terms for AS and AP was of a low rate of consensus (71.4%). The agreed terms of AS and AP should be used to prepare a conclusion for the diagnostic procedures and to publish scientific reports.

show abstract

Section: ââåäåíèåunclassified

Section: ìåòîäûunclassified

Interdisciplinary consensus on Russian-language terminology of anorectal sphincterometry and profilometry

2020

Terapevticheskii arkhiv

View full text Add to dashboard Cite

show abstract

Hemorrhoidal artery ligation without Doppler navigation in surgical treatment of hemorrhoidal disease

Popovtsev¹,

Alekberzade²,

Krylov³

2021

Khir. Z. im. N.I. Pirogova

View full text Add to dashboard Cite

The system of anesthesiological support for coloproctological operations

Мышков¹,

Абрицова²,

Torchua³

2023

Ambulatornaya khirurgiya

Self Cite

View full text Add to dashboard Cite

Introduction. The prevalence of hemorrhoidal disease is 200 people per 1000 adult population, of which 75% are professionally active people. The choice of anesthetic support affects not only the effectiveness of the operation, but also the course of the early postoperative period. At the same time, regardless of the use of various variants of neuroaxial blockades, most authors indicate the development of complications such as acute urinary retention and severe postoperative pain syndrome in the postoperative period.Aim. To substantiate and evaluate the effectiveness of the proposed system of anesthesiological support for proctological operations.Material and methods. The study was conducted in 100 patients who were divided into two groups of 50 people. The operations were performed under conditions of combined anesthesia (spinal anesthesia + medical sedation). Spinal anesthesia was achieved with 0.5% isobaric bupivacaine solution, the average dose was 8.5 ± 0.12 mg. For drug sedation, a continuous infusion of propofol was used at a target concentration of 5–4–3 mg/kg per hour. The criterion for including patients in the main group was the appointment in the early postoperative period of the alpha 1 adrenoblocker tamsulosin hydrochloride at a dose of 0.4 mg/day.Results and discussion. The system of anesthetic support, including a combination of spinal anesthesia using an isobaric solution of bupivacaine at a dose of 7.5 to 10.0 mg and intravenous sedation with propofol at a target concentration of 5–4–3 mg/kg per hour, program of postoperative anesthesia based on a combination of multidirectional drug action and the appointment of alpha 1 adrenoblocker tamsulosin hydrochloride at a dose of 0.4 mg/day allows for high-quality and safe surgical treatment.Conclusion. The administration oftamsulosin hydrochloride at a dose of 0.4 mg prevented the development of acute urinary retention of patients.

show abstract

Possibilities of minimally invasive treatments of hemorrhoidal disease

Cited by 5 publications

References 17 publications

Interdisciplinary consensus on Russian-language terminology of anorectal sphincterometry and profilometry

Interdisciplinary consensus on Russian-language terminology of anorectal sphincterometry and profilometry

Hemorrhoidal artery ligation without Doppler navigation in surgical treatment of hemorrhoidal disease

The system of anesthesiological support for coloproctological operations

Contact Info

Product

Resources

About