medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2024-8-8-12medalphabet-3658Research ArticleСтатьиОптимизация метода введения противоспаечного геля «Антиадгезин» при лапароскопическом доступе в гинекологииOptimization of the method of introducing anti-adhesion gel “Аntiadhesin” during laparoscopic access in gynecologyhttps://orcid.org/0000-0002-9333-2578ГригорьянцА. А.GrigoryantsA. A.

Григорьянц Армен Александрович, к.м.н., ассистент,

Ставрополь.

Grigoryants Armen A., PhD Med, assistant,

Stavropol.

mr.vanhelsink@mail.ruФГБОУ ВО «Ставропольский государственный медицинский университет»РоссияStavropol State Medical UniversityRussian Federation20240905202408Современная гинекология (1)812Copyright © Григорьянц А.А., 20242024Григорьянц А.А.Grigoryants A.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-alphabet.com/jour/article/view/3658

Оптимизация способа введения противоспаечного барьера при лапароскопических операциях позволяет хирургам беспрепятственно применять в своей практике противоспаечный барьер – «Антиадгезин» с целью профилактики возникновения послеоперационного спаечного процесса.

Цель

Цель. Провести сравнительное исследование различных способов локальной доставки противоспаечного геля «Антиадгезин» на органы брюшной полости и малого таза при лапароскопических вмешательствах в гинекологии.

Материалы и методы исследования. Проведен анализ 442 случаев лапароскопических операций, 90 случаев операций с лапаротомным доступом и 180 гистероскопических вмешательств, при которых «Антиадгезин» доставлялся к раневым поверхностям с использованием различных проводниковых систем (аппликаторов). Исследования проводились на клинической базе кафедры акушерства и гинекологии № 2 Ставропольского государственного медицинского университета в отделении оперативной гинекологии с 2020 по 2023 год.

Результаты

Результаты. В ходе проведенного исследования была установлена эффективность использования одноразового силиконового проводника (аппликатора) длиной 27 см, с наружным диаметром 4 мм и внутренним диаметром 3 мм для адресной локальной доставки противоспаечного геля «Антиадгезин» на все труднодоступные участки брюшной полости и малого таза (в том числе у пациенток с ожирением). Локальная адресная доставка позволяет эффективно использовать поставляемый в шприце объем геля, покрывая все необходимые раневые поверхности.

Optimization of the method of introducing an anti-adhesive barrier during laparoscopic operations allows surgeons to freely use an anti-adhesive barrier – «Аntiadhesin» – in their practice in order to prevent the occurrence of postoperative adhesions.

Target

Target. To conduct a comparative study of various methods of local delivery of the anti-adhesion gel ‘Antiadgesin” to the abdominal and pelvic organs during laparoscopic interventions in gynecology.

Materials and methods of research. An analysis of 442 cases of laparoscopic operations, 90 cases of operations with laparotomic access and 180 hysteroscopic interventions was carried out, in which Antiadgesin was delivered to the wound surfaces using various conduction systems (applicators). The studies were conducted at the clinical base of the Department of Obstetrics and Gynecology No. 2 of the Stavropol State Medical University, in the department of operative gynecology from 2020 to 2023.

Results

Results. In the course of the study, the effectiveness of using a disposable silicone conductor (applicator) 27 cm long, with an outer diameter of 4 mm and an internal diameter of 3 mm, was established for targeted local delivery of anti-adhesive gel “Antiadgesin” to all hard-to-reach areas of the abdominal cavity and pelvis (including in obese patients). Local targeted delivery allows you to effectively use the volume of gel supplied in the syringe, covering all necessary wound surfaces.

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The authors declare that there are no conflicts of interest present.