Pub Date : 2023-01-01DOI: 10.51922/2074-5044.2023.2.10
Halafova R. N.
Objective. Identification and assessment of socio-behavioral risk factors for the formation of irritable bowel syndrome (IBS) among military personnel and members of their families (ARC). Material and technique. IBS was diagnosed according to Rome IV criteria. The level of emotional stress (ES) on the Rider scale. A total of 1977 cadets (aged 17–22) were examined. 326 officers (aged 24–55) and 257 of their wives (aged 23–51). Results and discussion. The detection rate of IBS among SCD varies from 18.7±2.2 to 22.2±2.6% (P > 0.05). IBS-C (constipation) is most often detected than IBS-D (diarrhea), because patients with diarrhea are more likely to visit doctors and receive treatment. In general, the medical negotiability of patients is poor and averages 30.7±2.3%, and 37.3±2.4% of patients carry out self-treatment, another 32.0±2.3% of patients tolerate the clinical manifestations of IBS (P > 0.05). When IBS is combined with other syndromes, medical negotiability increases to 62.1±9.2%. During the period of adaptation to the conditions of life and study at the school, the level of strong ES in cadets increases to 32.3±2.3%, as adaptation (after 4 years) it decreases to 3.4±1.1% (P < 0.001) . The incidence of IBS is higher in patients with poor housing conditions, incomplete marital status and tobacco addiction. Conclusion. Effective management of the identified socio-behavioral risk factors for the formation of IBS can significantly reduce the risk of SCD and their families with IBS.
{"title":"SOCIO-BEHAVIORAL ASPECTS OF THE PREVALENCE OF IRRITABLE BOWEL SYNDROME AMONG MILITARY SERVICEMEN AND THEIR FAMILY MEMBERS","authors":"Halafova R. N.","doi":"10.51922/2074-5044.2023.2.10","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.10","url":null,"abstract":"Objective. Identification and assessment of socio-behavioral risk factors for the formation of irritable bowel syndrome (IBS) among military personnel and members of their families (ARC). Material and technique. IBS was diagnosed according to Rome IV criteria. The level of emotional stress (ES) on the Rider scale. A total of 1977 cadets (aged 17–22) were examined. 326 officers (aged 24–55) and 257 of their wives (aged 23–51). Results and discussion. The detection rate of IBS among SCD varies from 18.7±2.2 to 22.2±2.6% (P > 0.05). IBS-C (constipation) is most often detected than IBS-D (diarrhea), because patients with diarrhea are more likely to visit doctors and receive treatment. In general, the medical negotiability of patients is poor and averages 30.7±2.3%, and 37.3±2.4% of patients carry out self-treatment, another 32.0±2.3% of patients tolerate the clinical manifestations of IBS (P > 0.05). When IBS is combined with other syndromes, medical negotiability increases to 62.1±9.2%. During the period of adaptation to the conditions of life and study at the school, the level of strong ES in cadets increases to 32.3±2.3%, as adaptation (after 4 years) it decreases to 3.4±1.1% (P < 0.001) . The incidence of IBS is higher in patients with poor housing conditions, incomplete marital status and tobacco addiction. Conclusion. Effective management of the identified socio-behavioral risk factors for the formation of IBS can significantly reduce the risk of SCD and their families with IBS.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70857540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.51922/2074-5044.2023.2.63
Ivashenko S. V.
The use of intraosseous dental implants allows solving many issues with partial and complete loss of teeth, restoring chewing function and improving facial aesthetics. And the rapid formation of a strong connection between the implant and the bone is the key to a successful result of the dental surgery. In this regard, it is of interest to develop a method for improving the biointegration of dental implants using magnetophoresis of medicinal substances, which significantly increases therapeutic efficacy. However, the issues of calcium content in its serum under the influence of the used therapeutic agents (surgical, physiotherapeutic, pharmacological) have not been sufficiently studied. Therefore, the purpose of this study was to determine the calcium content in the blood serum of experimental animals after the application of magnetophoresis solutions of 10% calcium gluconate and 5% retabolil. 16 rabbits of the "chinchilla" breed served as objects for fulfilling the goal of our work. The study made it possible to conclude that the magnetophoresis effects of calcium gluconate and retabolil solutions did not lead to a change in blood biochemistry and contributed to a short-term increase in the content of calcium and phosphorus in the blood serum of animals.
{"title":"THE INFLUENCE OF PHYSICO-PHARMACOLOGICAL EFFECTS ON THE CALCIUM CONTENT IN THE BLOOD SERUM OF EXPERIMENTAL ANIMALS","authors":"Ivashenko S. V.","doi":"10.51922/2074-5044.2023.2.63","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.63","url":null,"abstract":"The use of intraosseous dental implants allows solving many issues with partial and complete loss of teeth, restoring chewing function and improving facial aesthetics. And the rapid formation of a strong connection between the implant and the bone is the key to a successful result of the dental surgery. In this regard, it is of interest to develop a method for improving the biointegration of dental implants using magnetophoresis of medicinal substances, which significantly increases therapeutic efficacy. However, the issues of calcium content in its serum under the influence of the used therapeutic agents (surgical, physiotherapeutic, pharmacological) have not been sufficiently studied. Therefore, the purpose of this study was to determine the calcium content in the blood serum of experimental animals after the application of magnetophoresis solutions of 10% calcium gluconate and 5% retabolil. 16 rabbits of the \"chinchilla\" breed served as objects for fulfilling the goal of our work. The study made it possible to conclude that the magnetophoresis effects of calcium gluconate and retabolil solutions did not lead to a change in blood biochemistry and contributed to a short-term increase in the content of calcium and phosphorus in the blood serum of animals.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70859165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.51922/2074-5044.2023.2.96
Kurchenkova V. I., Kapralov N. V., Shalamitskaya-Huleviсh I. A.
The article describes the clinical manifestations and their causes in the pathology of the small intestine in patients who complain of excessive bloating, recurrent abdominal pain syndrome, stool disorders with a tendency to relaxation. Such patients repeatedly return to the doctor. The evidence of a decrease in the activity of disaccharidases in this cohort of patients is presented. The emphasis is placed on the need to study the nutritional history, to identify products that provoke a violation of membrane digestion. The classification of carbohydrates with indication of products containing them is given. The essence of repeated and persistent clinical manifestations due to impaired membrane digestion and absorption of carbohydrates in the small intestine is explained, which leads to their appearance in the large intestine in different volumes, which is accompanied by the splitting of carbohydrates with the formation of gases. On the one hand, this is a normal process, but when it gets out of control, the patient gets to the doctor. The essence of a carbohydrate–restricted diet is described - this is the low FODMAP diet and its decoding. The products containing oligosaccharides are indicated, which are capable of being cleaved by the enzyme alpha-galactosidase, which is absent in the human body, but is present in the microflora of the large intestine. Advice is given on limiting the intake of such products, both in terms of the frequency of intake and the volume of portions containing them, in order to avoid excessive amounts of intestinal gases, the development of a clinically painful condition. A thorough study of the nutritional history and the necessary correction of eating behavior is the main idea of this article, dedicated to the same type of clinical picture with varying degrees of manifestations of its symptoms.
{"title":"ENTEROPATHY WITH IMPAIRED MEMBRANE DIGESTION AND IRRITABLE BOWEL SYNDROME – COMBINED PATHOLOGY","authors":"Kurchenkova V. I., Kapralov N. V., Shalamitskaya-Huleviсh I. A.","doi":"10.51922/2074-5044.2023.2.96","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.96","url":null,"abstract":"The article describes the clinical manifestations and their causes in the pathology of the small intestine in patients who complain of excessive bloating, recurrent abdominal pain syndrome, stool disorders with a tendency to relaxation. Such patients repeatedly return to the doctor. The evidence of a decrease in the activity of disaccharidases in this cohort of patients is presented. The emphasis is placed on the need to study the nutritional history, to identify products that provoke a violation of membrane digestion. The classification of carbohydrates with indication of products containing them is given. The essence of repeated and persistent clinical manifestations due to impaired membrane digestion and absorption of carbohydrates in the small intestine is explained, which leads to their appearance in the large intestine in different volumes, which is accompanied by the splitting of carbohydrates with the formation of gases. On the one hand, this is a normal process, but when it gets out of control, the patient gets to the doctor. The essence of a carbohydrate–restricted diet is described - this is the low FODMAP diet and its decoding. The products containing oligosaccharides are indicated, which are capable of being cleaved by the enzyme alpha-galactosidase, which is absent in the human body, but is present in the microflora of the large intestine. Advice is given on limiting the intake of such products, both in terms of the frequency of intake and the volume of portions containing them, in order to avoid excessive amounts of intestinal gases, the development of a clinically painful condition. A thorough study of the nutritional history and the necessary correction of eating behavior is the main idea of this article, dedicated to the same type of clinical picture with varying degrees of manifestations of its symptoms.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"149 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70859485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.51922/2074-5044.2023.1.128
Kaminsky A. N., Terekhovich T. I., Shnitko S. N., Maksimovich M. M.
{"title":"SANATORIUM STAGE OF TREATMENT OF NIGHT ENUREZIS IN PERSONS OF PRE-CONSCEPTION AGE","authors":"Kaminsky A. N., Terekhovich T. I., Shnitko S. N., Maksimovich M. M.","doi":"10.51922/2074-5044.2023.1.128","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.1.128","url":null,"abstract":"","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70856611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.51922/2074-5044.2023.1.59
Mogilevitch V. V., Khrenina N. M.
In the article gives information on the therapeutic application of the shock-wave method, based on the transfer of energy of the shock-wave pulse from the apparatus’s contact hеad (nozzle) of the applicator to the tissues of the human body. The perspectivity et high efficiency of using the method shock-wave therapy of clinical practices of the physiotherapist.
{"title":"THE METHOD OF SHOC-WAVE THERAPY IN PRACTICE OF THE PHYSIOTHERAPIST","authors":"Mogilevitch V. V., Khrenina N. M.","doi":"10.51922/2074-5044.2023.1.59","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.1.59","url":null,"abstract":"In the article gives information on the therapeutic application of the shock-wave method, based on the transfer of energy of the shock-wave pulse from the apparatus’s contact hеad (nozzle) of the applicator to the tissues of the human body. The perspectivity et high efficiency of using the method shock-wave therapy of clinical practices of the physiotherapist.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70857166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.51922/2074-5044.2023.142
Ishutin O. S., Khalimov B. H., Zhololov A. S., Akhmedov O. S.
The article presents the main historical milestones associated with the creation, formation and functioning of the 73rd Internship of the medical staff of the Red Banner Turkestan Military District of the Armed Forces of the USSR in the period from 1938 to 1992 and its successor - the internship of the medical staff of the medical service of the Armed Forces of the Republic of Uzbekistan in the period from 1992 to 2012.
{"title":"HISTORY AND CONTRIBUTION OF THE 73rd INTERNSHIP OF MEDICAL PERSONNEL TO THE DEVELOPMENT OF MILITARY MEDICINE TURKESTAN MILITARY DISTRICT","authors":"Ishutin O. S., Khalimov B. H., Zhololov A. S., Akhmedov O. S.","doi":"10.51922/2074-5044.2023.142","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.142","url":null,"abstract":"The article presents the main historical milestones associated with the creation, formation and functioning of the 73rd Internship of the medical staff of the Red Banner Turkestan Military District of the Armed Forces of the USSR in the period from 1938 to 1992 and its successor - the internship of the medical staff of the medical service of the Armed Forces of the Republic of Uzbekistan in the period from 1992 to 2012.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70857479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.51922/2074-5044.2023.2.66
Kuliakin E. V., Zatoloka P. A.
Based on the subjective assessment of the patient, the effectiveness of the treatment of postnasal syndrome caused by vasomotor rhinitis, developed by the method of laser photocoagulation of the distal branches of the vidian nerve, was determined. The use of this method made it possible to reduce the intensity of patients' anxiety about difficulty breathing through the nose (main group – 1,8±0,13 points, control – 2,4±0,15) and mucus flow down the back of the throat (main group – 0,7±0,36 points, control – 4,2±0,16, p < 0,05). The developed method made it possible to statistically significantly improve the quality of life of patients already one month after the surgical intervention (main group 8,3±1,8 points, comparison group 14,3±2,8 points, p < 0,05).
{"title":"SUBJECTIVE ASSESSMENT OF THE EFFICIENCY OF LASER PHOTOCOAGULATION OF THE DISTAL BRANCHES OF THE VIDIAN NEVER IN THE TREATMENT OF POST-NASAL SYNDROME DUE TO VASOMOTOR RINITIS","authors":"Kuliakin E. V., Zatoloka P. A.","doi":"10.51922/2074-5044.2023.2.66","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.66","url":null,"abstract":"Based on the subjective assessment of the patient, the effectiveness of the treatment of postnasal syndrome caused by vasomotor rhinitis, developed by the method of laser photocoagulation of the distal branches of the vidian nerve, was determined. The use of this method made it possible to reduce the intensity of patients' anxiety about difficulty breathing through the nose (main group – 1,8±0,13 points, control – 2,4±0,15) and mucus flow down the back of the throat (main group – 0,7±0,36 points, control – 4,2±0,16, p < 0,05). The developed method made it possible to statistically significantly improve the quality of life of patients already one month after the surgical intervention (main group 8,3±1,8 points, comparison group 14,3±2,8 points, p < 0,05).","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70859225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.51922/2074-5044.2023.2.2
Sauchanchyk S. A., Strynkevych A. L., Bogdan V. G.
The article presents an analysis of the experience of using the TKB-1 hemostatic tourniquet. The data on mechanical damages that were identified during the active use of turnstiles for training personnel in first aid are presented. Data on employee satisfaction with the performance characteristics of the TKB-1 tourniquet were also obtained.
{"title":"PRACTICAL EXPERIENCE OF OPERATION OF THE TKB-1 HEMOSTATIC TOURNIQUET","authors":"Sauchanchyk S. A., Strynkevych A. L., Bogdan V. G.","doi":"10.51922/2074-5044.2023.2.2","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.2","url":null,"abstract":"The article presents an analysis of the experience of using the TKB-1 hemostatic tourniquet. The data on mechanical damages that were identified during the active use of turnstiles for training personnel in first aid are presented. Data on employee satisfaction with the performance characteristics of the TKB-1 tourniquet were also obtained.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70858577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.51922/2074-5044.2023.1.112
P. A. V.
Brugada syndrome is a congenital channelopathy with an autosomal dominant type of inheritance and low penetrance, characterized by the presence of a typical clinical and electrocardiographic symptom complex, including a special form of blockade of the right bundle branch block with ST segment elevation in one or more right chest leads on the electrocardiogram, the absence of organic pathology of the heart and various life-threatening ventricular arrhythmias, which can lead to the development of sudden cardiac death. The article defines the concept of "Brugada's syndrome", the geography and frequency of occurrence of the disease. It is indicated that more than 450 pathogenic variants in 24 genes are involved in the development of Brugada syndrome. The article presents two main hypotheses of pathogenesis, describes the electrocardiographic picture, three types of ECG changes, clinical manifestations and classification of the Brugada syndrome. Listed diseases with which it is necessary to carry out differential diagnosis of Brugada syndrome. Various aspects of the treatment of Brugada syndrome are presented: non-drug methods, pharmacotherapy, installation of an implantable automatic cardioverter-defibrillator, epicardial catheter ablation of abnormal areas of the anterior part of the outflow tract of the right ventricle.
{"title":"BROGADA SYNDROME IN CLINICAL PRACTICE","authors":"P. A. V.","doi":"10.51922/2074-5044.2023.1.112","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.1.112","url":null,"abstract":"Brugada syndrome is a congenital channelopathy with an autosomal dominant type of inheritance and low penetrance, characterized by the presence of a typical clinical and electrocardiographic symptom complex, including a special form of blockade of the right bundle branch block with ST segment elevation in one or more right chest leads on the electrocardiogram, the absence of organic pathology of the heart and various life-threatening ventricular arrhythmias, which can lead to the development of sudden cardiac death. The article defines the concept of \"Brugada's syndrome\", the geography and frequency of occurrence of the disease. It is indicated that more than 450 pathogenic variants in 24 genes are involved in the development of Brugada syndrome. The article presents two main hypotheses of pathogenesis, describes the electrocardiographic picture, three types of ECG changes, clinical manifestations and classification of the Brugada syndrome. Listed diseases with which it is necessary to carry out differential diagnosis of Brugada syndrome. Various aspects of the treatment of Brugada syndrome are presented: non-drug methods, pharmacotherapy, installation of an implantable automatic cardioverter-defibrillator, epicardial catheter ablation of abnormal areas of the anterior part of the outflow tract of the right ventricle.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70856471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.51922/2074-5044.2023.2.45
Alqatawneh Mohammad Ali, Bespalchuk P. I., Lapusto A. A.
Osteoarthritis of the knee is a degenerative disease, usually the result of wear and tear and progressive loss of articular cartilage. Osteoarthritis is a progressive disease that can eventually lead to disability. Total knee replacement is considered an effective surgical treatment for severe degenerative osteoarthritis of the knee, to relieve pain, increase mobility, and improve quality of life in cases with excellent surgical outcomes. However, total knee replacement is associated with moderate to severe postoperative pain. Pain control remains a problem due to its subjective nature and the diversity of patients, which requires the search for new regimens and treatment methods. In recent years, the use of peripheral nerve blocks has become increasingly popular. Blockade of the adductor canal can significantly reduce opioid consumption and side effects associated with their use, which contributes to the early mobilization of operated patients. The object of the study was 138 total knee arthroplasty performed at the 6th City Clinical Hospital of Minsk in the period from 2017 to 2020.
{"title":"ADDUCTOR CANAL BLOCK IN TOTAL KNEE REPLACEMENT","authors":"Alqatawneh Mohammad Ali, Bespalchuk P. I., Lapusto A. A.","doi":"10.51922/2074-5044.2023.2.45","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.45","url":null,"abstract":"Osteoarthritis of the knee is a degenerative disease, usually the result of wear and tear and progressive loss of articular cartilage. Osteoarthritis is a progressive disease that can eventually lead to disability. Total knee replacement is considered an effective surgical treatment for severe degenerative osteoarthritis of the knee, to relieve pain, increase mobility, and improve quality of life in cases with excellent surgical outcomes. However, total knee replacement is associated with moderate to severe postoperative pain. Pain control remains a problem due to its subjective nature and the diversity of patients, which requires the search for new regimens and treatment methods. In recent years, the use of peripheral nerve blocks has become increasingly popular. Blockade of the adductor canal can significantly reduce opioid consumption and side effects associated with their use, which contributes to the early mobilization of operated patients. The object of the study was 138 total knee arthroplasty performed at the 6th City Clinical Hospital of Minsk in the period from 2017 to 2020.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70858978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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