Effectiveness of ultrasonic energy in introitoplasty
- 作者: Anikiev A.V.1, Brovin D.N.1, Volodko E.A.2, Kareva M.A.1, Rebrova O.Y.3, Okulov A.B.2
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隶属关系:
- National Medical Research Center of Endocrinology
- Russian Medical Academy of Continuous Postgraduate Education
- Pirogov Russian National Research Medical University
- 期: 卷 26, 编号 2 (2022)
- 页面: 82-86
- 栏目: ORIGINAL STUDY
- ##submission.dateSubmitted##: 21.06.2022
- ##submission.dateAccepted##: 21.06.2022
- ##submission.datePublished##: 21.06.2022
- URL: https://jps-nmp.ru/jour/article/view/461
- DOI: https://doi.org/10.55308/1560-9510-2022-26-2-82-86
- ID: 461
如何引用文章
详细
Introduction. Currently, the application of ultrasonic energy for tissue dissection is a routine practice in surgery. Its effectiveness and safety has been proven in proctology, pediatric coloproctology, surgeries in the endocrine organs and in the abdominal organs.
Material and methods. Given the features of the endocrine system, the anatomy of virilized genitalia and positive experience in applying ultrasonic energy for surgical interventions, the authors present a comparative trial on the effectiveness of ultrasonic knife (USK) and traditional electrocoagulation in vaginoplasty in patients with disorders of sex development.
Results. The obtained findings demonstrate that USK in comparison to traditional electrocoagulation significantly reduces vaginoplasty duration by 30%: median and quartiles of this index with USK were 57.5 [50; 65] min, while in the electrocoagulation group – 82.5 [75; 90] min. Difference is statistically significant (U-test 83.5, p <0.001) too. Difference between medians and its 95% confidence interval was 25 [20; 35] min.
Conclusion. USK has better effects due to less tissue bleeding and, as a consequence, better visualization of the surgical field. An additional advantage is a unique ability to gently mobilize and preserve anatomical structures of the pelvis.
作者简介
A. Anikiev
National Medical Research Center of Endocrinology
编辑信件的主要联系方式.
Email: anikieal70@gmail.com
Alexander V. Anikiev, pediatric surgeon, pediatric surgical department
Moscow, 117036
俄罗斯联邦D. Brovin
National Medical Research Center of Endocrinology
Email: fake@neicon.ru
Moscow, 117036
俄罗斯联邦E. Volodko
Russian Medical Academy of Continuous Postgraduate Education
Email: fake@neicon.ru
Moscow, 125993
俄罗斯联邦M. Kareva
National Medical Research Center of Endocrinology
Email: fake@neicon.ru
Moscow, 117036
俄罗斯联邦O. Rebrova
Pirogov Russian National Research Medical University
Email: fake@neicon.ru
Moscow, 117997
俄罗斯联邦A. Okulov
Russian Medical Academy of Continuous Postgraduate Education
Email: fake@neicon.ru
Moscow, 125993
俄罗斯联邦参考
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