Articles

Intraoperative monitoring using TRUS during laparoscopic radical prostatectomy allows for individual, precise dissection based on the anatomy of the prostate contours, thus compensating for the weak tactile information during laparoscopy.

Clinical observations during surgery, the course of the wound process and favorable long-term results allow us to recommend the introduction of intermuscular mini-access into practice in surgical interventions on the gallbladder.

The most complex and unresolved issue is the treatment of cirrhosis complicated by resistant ascites. Given the complex pathogenesis of this disease and the severity of the disease, we believe that staged and minimally invasive approaches are the primary treatment principles.

MCE is a modern, high-tech method that adheres to the basic principles of surgical treatment for gallstone disease. In acute cholecystitis, MCE can be performed with maximum safety within 72 hours of the onset of the disease.

Percutaneous debridement of postoperative abdominal abscesses can now be considered the method of choice in the routine work of surgical hospitals. Its relative simplicity and accessibility in the group of complex patients make it suitable for widespread implementation.

Surgical treatment of gastroesophageal reflux disease (GERD) typically involves fundoplication. However, to reduce the risk of postoperative dysphagia, one of the leading complications of this treatment, some authors prefer to perform a partial (Toupet) fundoplication.

Of all the existing methods of economical treatment of rectal neoplasms, the transanal endomicrosurgery method proposed in 1973 by Buess undoubtedly has the optimal ratio between radicalism and minimal trauma of treatment.

The use of bi-endoscopic surgical interventions in the clinic in the treatment of patients with gastroduodenal bleeding made it possible to optimize the tactics of patient management and achieve adequate hemostasis.

The introduction of minimally invasive videoendoscopic surgeries has made it possible to significantly expand the indications for lumbar sympathectomy and perform it in patients with extremely complicated comorbidities.

Surgical intervention is always somewhat aggressive and is accompanied by significant trauma to the body's tissues, associated with the need for access to the affected organ, its massive mobilization and removal.