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WORKSHOP “LITTLE-INVASIVE ANORECTAL SURGERY”

On October 18-20, 2018, the course “Minimally invasive anorectal surgeons” was held at the Center for Surgical Innovations. Course curator: surgeon, proctologist, oncosurgeon — Artem Ivanovich Grigorian. The course program was extremely intense, including live surgery, patient cases and modern methods of surgery, errors in diagnosis, complications in surgical practice, the use of various types of energy in surgical treatment practice, classes on organocomplexes. The theoretical part of the course was presented by a surgeon, proctologist, oncosurgeon - Grigorian Artem Ivanovich, which consisted of the following topics: Anatomy of the rectum and anal canal. Fibrous supporting structures anorectum. Anatomical "keys". MR-anatomy of paraproctitis and fistulas. Pathophysiology of hemorrhoids. Review of modern methods of treatment. The choice of treatment tactics. Outpatient hemorrhoid interventions - latex ligation, photocoagulation. Basics of classical hemorrhoidectomy. Anatomy of hemorrhoidectomy. Open or closed? Is the choice of energies a monopolar? thermal ligation? ultrasound? Secret tricks. How to treat a patient after hemorrhoidectomy. Transanal dearterialization. Stapled hemorrhoidosis in Longo. Laser hemorrhoids. Indications. Equipment. Ratings Within 2 days in the format of "live surgery" surgeons considered operations that were brilliantly performed by A. Grigoryan. During HANDS ON TRAINING, the cadets practiced practical skills on biological models (Isbert type simulators with calf anorectum) - hemorrhoidectomy using different energies, Gabriel's operation, latex ligation and photocoagulation on biological models, Longo hemorrhoidropexy. The Center for Surgical Innovations thanks A.I. Grigorian for conducting an interesting and fruitful course and wishes all its participants success in their future work!

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