Publications by authors named "D R Markaryan"
Article Synopsis
- Haemorrhoidectomy often leads to significant postoperative pain and a decline in quality of life for patients; this study aimed to assess the effectiveness of an intraoperative perineal block as pain management for these surgeries.
- In a controlled trial with 100 patients, those receiving the perineal block reported significantly less pain intensity, utilized fewer opioids, and enjoyed longer pain-free periods compared to those who only had spinal anaesthesia.
- The findings suggest that the perineal block is a safe and effective technique that can enhance postoperative recovery and overall patient satisfaction after anorectal surgery.
The article presents the work of a multidisciplinary team of experts from various fields of medicine to optimize the «Questionnaire for assessing chronic pelvic pain and pelvic organ dysfunction (QCPPD) of the Ryzhikh National Medical Research Centre for Coloproctology» for use in clinical practice. The survey of respondents was conducted from June 28 to September 28, 2021. As a result of this survey, by repeatedly making edits and clarifications during communication with respondents, the final version was obtained, which allows assessing the patient's subjective sensations by the nature and localization of pelvic pain, sensitivity disorders and pelvic organ function.
View Article and Find Full Text PDFThe second part of the review article is devoted to current urological and proctological issues: rectal injuries during urological procedures, rectal complications associated with prostate cancer, as well as violations of the genitourinary function during interventions on the pelvic and rectal organs. Ignoring the symptoms from the adjacent pelvic organs can lead to diagnostic errors and the choice of wrong treatment, which ultimately adversely affects the outcomes. The interaction of specialists "working in the small pelvis" is required to exchange experience and improve the quality of care for this category of patients.
View Article and Find Full Text PDFThe aim of this review was to characterize the possible urological manifestations of rectal disorders in case of the involvement of the genitourinary system, as well as the symptoms of urological diseases involving the distal part of the large bowel. In urological and coloproctological practice, the anatomical and physiological proximity of the distal part of the intestine and the urogenital organs is of importance (for example, the common innervation of the pelvic organs, the synergy of the pelvic floor muscles, etc.), since it results in similar clinical manifestations, making it difficult to make a diagnosis.
View Article and Find Full Text PDF