ТЕХНІКИ З УНИКНЕННЯ СТИМУЛЯЦІЇ ОБТУРАТОРНОГО НЕРВА ПРИ ТРАНСУРЕТРАЛЬНІЙ РЕЗЕКЦІЇ ПУХЛИН СЕЧОВОГО МІХУРА
DOI:
https://doi.org/10.31379/2411.2616.14.2.11Ключові слова:
запирательный нерв, урология, анестезиология, блокада запирательного нерва, региональная анестезия, тик обтураторного нерва, профилактика перфорации мочевого пузыря, онкология.Анотація
В нижеприведённой статье изложены техники превентивной терапии так называемого «тика обтураторного нерва», возникновение которого в свою очередь приводит к перфорации стенки мочевого пузыря в интраоперационном периоде во время трансуретральной резекции опухолей мочевого пузыря. Особое внимание уделено анестезиологическим техникам, в частности блокаде запирательного нерва (БЗН), и развитию этой техники с момента первого описания G. Labat (1922 г.) до наших дней; приведены алгоритмы проведения БЗН для специалистов клиник разного уровня материального обеспечения; продемонстрирована соноанатомия зоны блокады во время проведения дистальных техник БЗН под УЗ-навигацией.
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