- •Using of three dimentional radiation visualization data at fine-needle aspiration biopsy of adrenal neoplasm.
- •V.A.Veredchenko, a.E.Mitichkin
- •Surgical tactics of treatment patients with spontaneous pneumothorax.
- •Voronezhskaja gosudarstvennaja medicinskaja akademija im. N.N.Burdenko
- •Using of endoscopic hydropressive sanitization and program drainage in the complex treatment of patients with phlegmons and soft tissue abcesses.
- •Evaluation results of surgical treatment of rectocele with combined pathology of pelvic floor and in dependence on surgical approach.
- •Surgical treatment of patients with urolithiasis and chronic pyelonephritis with corrective immunotherapy.
- •Voronezhskaja gosudarstvennaja medicinskaja akademija im. N.N.Burdenko
- •Isaenko V.I. I dr. Litotripsija pri mochekamennoj bolezni. Materialy Plenuma pravlenija Ros. Obw-va urologov. Sochi, 28-30 apr. M 2003; 152.
- •Using antiadhesional barrier methods in the surgical treatment of postoperative ventral hernias.
- •Voronezhskaja gosudarstvennaja medicinskaja akademija im. N.N.Burdenko
- •Verbickij d.A. Primenenie gelja karboksimetilcelljulozy dlja profilaktiki spajkoobrazovanija V brjushnoj polosti: dis. … k.M.N. Sankt-Peterburg 2004; 32-40.
- •Voronezhskaja gosudarstvennaja medicinskaja akademija im. N.N.Burdenko
- •Study of safety of using high-pressure hydro-pulse sanitization of the abdomen in an experiment.
- •Voronezhskaja gosudarstvennaja medicinskaja akademija im. N.N.Burdenko
- •New approaches and principles of early diagnosis of generalized forms of infection and mesenchymal sepsis.
- •Errors and complications in the treatment of ankle fractures.
Using of endoscopic hydropressive sanitization and program drainage in the complex treatment of patients with phlegmons and soft tissue abcesses.
A.A.GLUHOV, V.V.NOVOMLINSKIJ, V.M.IVANOV
Institut hirurgicheskoj infekcii Voronezhskoj gosudarstvennoj medicinskoj
akademii im. N.N.Burdenko
Dorozhnaja klinicheskaja bol'nica na st. Voronezh - 1 OAO «RZhD»
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Evaluation results of surgical treatment of rectocele with combined pathology of pelvic floor and in dependence on surgical approach.
A.V.NAUMOV, V.F.KULIKOVSKIJ, N.V.OLEJNIK
Belgorodskaja oblastnaja klinicheskaja bol'nica svjatitelja Ioasafa
Belgorodskij gosudarstvennyj universitet.
Treatment results of 200 patients with rectocele II-III who had undergone operations with transvaginal, transperineal, transanal and combined access have been analyzed. Transvaginal access has benefits if patient except for rectocele has rectovaginal septum hernia, upper rectocele, anal sphincter insufficiency when sphincteroplasty is necessary to be perfomed. In case of using perineal section the risk of inflammatory complications and sexual dysfunction is lower. Transanal access is better if rectocele is accompanied by prolapse of the mucous as excess mucus is removed at the same time.
Key words: rectocele, surgical access.
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