Cervical erosion is a very common disease among women under 40 years of age. The most common causes of its occurrence are infections, gynecological manipulations, hormonal contraception. In most cases, erosion does not show bright symptoms. Sometimes there are vaginal discharge, pain during intercourse, minor contact bleeding.
What is dangerous erosion and indications for its removal
Not always cervical erosion requires treatment. Basically, it does not affect reproductive function, quality of life, hormonal levels. But in some cases, erosion still needs to be removed. It is worth remembering that its presence increases the risk of:
- neoplastic processes, including cancer;
- chronic cervicitis;
- tear formation during childbirth.
Indications for treatment are:
- frequent uterine bleeding;
- inability to conceive a child;
- precancerous conditions;
- deterioration in the quality of sexual life due to pain and spotting.
The use of conservative methods of erosion therapy, as a rule, is ineffective. And although some doctors prescribe medications, physiotherapy, acupuncture to their patients, these methods do not bring results. The only way to get rid of the disease is through surgery. One of the newest and most advanced methods is the treatment of cervical erosion with radio waves.
Principles of radio wave surgery
Radio wave treatment of cervical erosion is carried out with a special apparatus - a radio wave knife. It generates high frequency waves that "cut" tissue without making physical contact with the device. This happens due to overheating of the cells and the evaporation of moisture from them. In parallel, coagulation of blood vessels occurs, which reduces the risk of bleeding to almost zero.
The operation is carried out in the first days after the end of menstruation. This time is chosen for three reasons:
- You will know for sure that you are not pregnant.
- Before the next monthly wounds will have time to heal.
- During this period, the level of estrogen in the blood is increased, which contributes to accelerated tissue regeneration.
Before the operation, it is very important to minimize the risk of infectious or non-specific inflammatory diseases of the genital organs to the maximum. Within a month before radio wave therapy for cervical erosion, a woman is not recommended:
- sexual life with non-permanent partners;
- visit the bath, sauna, swimming pool;
- overwork physically;
- take hormonal drugs.
Advantages and disadvantages of the method
Radio wave therapy is one of better ways treatment of this pathological condition. Especially in the case when we are talking about women who have never given birth before, or are planning a second pregnancy. The advantages of radio wave treatment of cervical erosion are as follows:
- low duration of the operation - only 15-20 minutes the doctor needs to remove the erosion;
- the absence of a scar after surgery makes it the method of choice in the treatment of erosion in women who plan to have a baby;
- painlessness of the procedure;
- epithelialization of the postoperative wound is two times faster than with other methods of surgical treatment;
- radio waves destroy microbes, so the risk of infectious postoperative complications is much lower than with other operations;
- healthy tissues practically do not suffer, since the removal of cervical erosion by radio waves takes place in a non-contact way;
- there is no risk of intraoperative or postoperative bleeding, since radio waves provide coagulation of damaged vessels.
The radio wave method of erosion therapy has only two significant drawbacks:
- The technique requires expensive equipment, and therefore is not available in all clinics and not even in all cities.
- Surgery is more expensive than most other treatments.
How is the removal
The procedure for treating the cervix with radio waves takes only 15 minutes. First, the doctor performs superficial or local anesthesia. Then, using a radio wave knife, he removes the erosion. This device is an elongated device, at the tip of which high frequency radio waves are generated. They overheat the cells by evaporating them. At the same time, the incision is so thin that the effect of the radio wave knife practically does not stimulate the nerve endings and does not cause severe pain.
Sutures are usually not applied. There is no need for electrocoagulation, which avoids additional thermal tissue damage. The surgeon can adjust the depth of penetration of the radio waves. This allows you to perform the operation with minimal damaging effect. At the same time, the destruction of microorganisms occurs, so infectious postoperative complications are usually not observed.
Postoperative period
Complications after radio wave treatment are extremely rare. They can only occur in cases where a woman went to surgery with untreated candidiasis, vaginitis, or specific infectious diseases. The rehabilitation period passes quickly enough. There is no pronounced pain syndrome. Non-steroidal anti-inflammatory drugs (Ibuprofen, Acetylsalicylic acid, Paracetamol) are enough to relieve pain.
You need to see a doctor in two weeks. A gynecologist should be contacted immediately if complications are suspected. Their symptoms may be:
- bleeding;
- increase in body temperature up to 38 degrees;
- pronounced pain syndrome.
To ensure normal and fast healing postoperative wound, as well as to minimize the risk of complications, for a month the patient is prohibited from:
- sexual life;
- use of tampons;
- the use of douching;
- high physical activity.
In the early postoperative period, vaginal discharge is possible. This is a normal occurrence and should not be feared. Complete healing will occur in 4 weeks. After this time, all restrictions on the woman are removed.
1. The cervix after radio wave exposure
2. Complete epithelialization one month after removal of erosion
Modern medical achievements are constantly improving and improving, but radio wave surgery remains the most atraumatic, effective, painless and safe method of surgical intervention. Among the advantages of this procedure is that there are no scars after it, and the duration of the recovery period is significantly less than with traditional surgery.
Description of the method of radio wave surgery
The apparatus for performing the manipulation is a radio wave generator with a high (up to 4 MHz) frequency. A surgical active electrode with a thin wire end is connected to it using an insulated wire. Through it, high-frequency waves are converted into a current, which, when the electrode is brought to the surface of an organic tissue, causes resistance, then heating and evaporation of the cells.
Thus, the surgical incision is carried out in a non-contact way without direct crushing and destruction of the cellular structure. This avoids postoperative complications, suppuration, infection, formation of scars and scars, the need for suturing. Recovery period is reduced by 2-3 times, if we compare this time with traditional operations.
Radio wave surgery is designed to remove moles, warts, milia, papillomas, warts, molluscum contagiosum and other benign skin growths. Also, this technique is used in gynecology, proctology and urology.
annotation
The real medical technology "High-frequency radio wave surgery" considers the possibilities of surgical impact on human tissues and organs. It outlines the basic principles of operation of the device for high-frequency radio wave surgery, describes the technique of the procedure, material and technical equipment, indications and contraindications for this method of treatment; complications, measures for their prevention and treatment, the effectiveness of the method is shown.
The technology "High-frequency radio wave surgery" is intended for use by doctors of the following specialties: surgeon, pediatric surgeon, neurosurgeon, coloproctologist, urologist, oncologist, endoscopist, cardiovascular surgeon, phlebologist, plastic surgeon, dermatovenereologist, otorhinolaryngologist, ophthalmologist, obstetrician-gynecologist, neonatologist, maxillofacial surgeon, dental surgeon, traumatologist, cosmetologist, who have the appropriate specialization and have completed a practical and theoretical training course to develop adequate skills in working with the device.
Technology developer: ELL MA N-RUS LLC
High frequency radio wave surgery
Introduction
The principle of development of domestic health care is based on the intensive introduction into medical practice of new science intensive technologies, minimally invasive research methods aimed at preventing, timely diagnosis and treatment of diseases. In modern conditions, the achievement of a therapeutic effect is invariably associated with the economics of the therapeutic process itself. Introduction to our country system health insurance allowed the leader medical institution to put before the doctors who carry out diagnostics and treatment not only purely medical tasks, but also to build a treatment process from the point of view of economic feasibility. Moreover, as it turned out, the cost of a patient's stay in a hospital is much higher than his direct treatment, including surgery. The reason for this situation, as a rule, are certain consequences or complications of surgical intervention on the organs and soft tissues of the patient. In recent decades, the development of microsurgery and endoscopy has contributed to the development of technologies that simplify manipulations in confined space and reduce the risk of complications.
The problem of surgical dissection of tissue and hemostasis continues to be relevant. Currently, practical medicine has a variety of cutting tools. The use of modern tissue dissection technologies has changed the surgeons' ideas about the possibilities of bloodless operations and reducing the risk of postoperative complications. Electrocoagulation, ultrasonic dissection, argon plasma coagulation, laser scalpels, all these modern methods tissue dissections are not without certain disadvantages, which include certain degrees of burns, relatively frequent suppuration of wounds, necrosis of wound edges, and others. The leader at the present stage is high-frequency radiosurgical effects on human tissues and organs.
SCALE OF ELECTROMAGNETIC WAVES
High frequency radio wave surgery
The principle of the effect of a radio wave on tissues is based on the absorption of wave energy due to the resistance of cellular structures with an increase in temperature inside the cell and evaporation of intracellular fluid. The cell membrane bursts and collapses. Thus, there is a "cut" of the tissue. However, not every radio wave causes this effect and, accordingly, is suitable for surgical treatment of tissues.
Scientific developments of the American company "Ellman International, Inc." showed that the maximum effect occurs at a wavelength of 3.84.0 MHz. These developments formed the basis for the creation of the high-frequency radio wave surgical device "Surgitron™".
The device operates in four monopolar modes: "incision", "incision and coagulation", "coagulation" and "fulguration".
They correspond to the following waveforms:
1) Fully straightened filtered waveform (90% incision and 10% coagulation) used to make thin and precise incisions without charring or cell destruction due to the minimum loss of lateral heat, which is 30-50 microns;
2) fully straightened waveform (50% incision and 50% coagulation) that generates more lateral heat(200-380 microns), which allows you to simultaneously obtain two effects: pushing the tissues apart by cutting them and simultaneous coagulation along the edges of the incision. This mode is most often used in work;
3) partially straightened waveform (90% coagulation and 10% incision with lateral heat release up to 700 microns) is indicated for exposure to a bleeding area of tissue,
A also when removing teleangiectasias and small angiomas on the mucous membrane and skin;
4) intermittent spark The fulguration waveform is tissue cauterization, which is preferred when removing certain neoplasms such as basal cell carcinoma, tumors, papillomas, warts, etc.
The fifth mode of operation of the device is bipolar coagulation (partially rectified waveform), which allows for point coagulation of blood vessels.
The advantages of the Surgitron™ device are such features as the speed of the procedure, an almost bloodless field, minimal postoperative pain and accelerated healing, a reduction in the duration of treatment and temporary disability of the patient. As well as a high cosmetic effect When performing outpatient procedures, almost always enough local anesthesia. Since the frequency used is very high, the current produced by the device passes through the body without causing painful muscle contractions or stimulation of nerve endings (Faraday effect). The radiosurgical incision is made without pressure on the tissue, with a slight movement, minimizing tissue damage. If nevertheless it occurs, it is superficial and comparable to tissue damage during laser treatment. In this way, high-frequency radiosurgery is fundamentally different from cauterization, in which tissue damage can be comparable to a third-degree burn. In addition, the technique of radiosurgery completely eliminates the patient's electrical burn.
High frequency radio wave surgery
Instead of a ground plate, an antenna plate is used to focus the radio waves. Unlike electrosurgical devices, this plate does not need to be in contact with the patient's skin, it only needs to be placed under the patient close to the surgical field. The advantage of this device is that its electrode does not burn tissue and does not cause tissue necrosis surrounding the incision. The quality of the obtained biopsy material is comparable to a biopsy obtained by an acute method. If we compare it with a laser, which is also used in non-contact laser surgery, then the latter gives radiation that causes burns and tissue necrosis. A laser beam works at a temperature of 300-400 degrees, and a radio wave does the same at an average of 60 degrees. Therefore, tissues after such an operation heal perfectly, which reduces the period of rehabilitation of the patient. A special advantage of radio excision on the device "Surgitron™" is the sterilizing effect of the emitted radio waves on the affected tissues. Thus, radio wave surgery is an ideal atraumatic method of incision and coagulation of soft tissues without their destruction at the present stage of development of science and technology.
Indications for the use of new medical technology
1. Tissue cuts
2. Tissue excisions
3. Vascular coagulation
4. Fulguration of tissues and blood vessels
Contraindications to the use of the method
ABSOLUTE
No
relative
pulmonary-cardiac insufficiency in the stage of decompensation
acute infectious diseases
severe hepatitis
diabetes mellitus in the stage of decompensation
the patient has a pacemaker (a consultation with a cardiac surgeon is necessary)
Logistics
1. Treatment room with compliance sanitary and hygienic requirements according to SanPiN 2.1.3.1375-03 or Operating room that meets the requirements of SanPiN 2.1.3.1375-03
2. The device is portable for electro-radiosurgery "Surgitron", RU No. FSZ2008/02473 or its modifications:
- Portable device for electroradiosurgery "Surgitron Dento-Surgtm 90 FFP" (Surgitron Dento-Surgtm 90 FFP, (RU FS No. 2006/1289);
High frequency radio wave surgery
– Electro-radiosurgical device Surgitron-DF120 (RU FS No. 2005/943);
– Device for electro-radiosurgery Surgitron Surgi-Max (“Surgitron Surgi-Max” (RU FS No. 2006/2857);
Device for electro-radiosurgery and cosmetology Surgitron 4.0 Dual RF S5.
3. Sets of electrosurgical mono- and bipolar electrodes for devices for electro-radiosurgery "Surgitron" (RU No. FSZ 2008/02476 and RU No. FSZ 2008/02477)
4. Tip holders electrosurgical mono- and bipolar devices for electro-radiosurgery "Surgitron" (RU No. FSZ 2008/02474)
5. Auxiliary polymer products for devices for electro-radiosurgery "Surgitron" (RU No. FSZ 2008/02471)
6. Tools pushing to devices for electro-radiosurgery "Surgitron" (RU No. FSZ 2008/02475)
7. Smoke evacuator "Surg-e-Vac" SV220 (RU No. ФСЗ 2008/02478)
Description of medical technology
All Surgitrontm devices are compact, reliable in operation and intuitively easy to use. The kit consists of several components, shown in the figure below, from top to bottom: Operating unit of the apparatus, Foot pedal, Power cord, Electrode tip with cord, Electrode, Antenna plate.
Figure 1. The main components of the apparatus "Surgitrontm" from left to right: The working unit of the apparatus, Foot pedal, Electrode, Tip for electrodes with a cord, Antenna plate.
High frequency radio wave surgery
A. Assembling the apparatus Preparing the instrument for operation
1. Make sure the instrument switch (on the rear panel) is in the “off” (“O”) position.
Fig.2 Switch position "off" ("O")
2. Connect the mains plug of the power cord to the mains socket of the appliance.
3. Connect the electrical plug of the power cord to the socket of the power source (220 v)
ATTENTION: Do not use "Surgitron" in the presence of flammable anesthetics and other flammable gases, flammable liquids or flammable objects in the room. Do not use a mobile phone while the appliance is in operation.
4. Plug the electrode tip with cord into the black input jack on the front of the instrument labeled "ACTIV".
Fig.3 Handpiece connection
5. Plug the antenna plate into the green input jack on the front panel labeled "ANTENNA".
Fig.4. Antenna connection
High frequency radio wave surgery
B. Positioning the patient and turning on the device
1. Position the patient in accordance with the requirements of the future procedure
2. Place the antenna plate, if possible, parallel to the operating field under the patient in close proximity to the operation site. The antenna plate should fit snugly against the patient, but does not need to touch
With his skin.
Fig.5. Patient positioning
3. Depending on the operation to be performed, take the desired electrode. Insert the selected electrode into the handpiece.
Make sure the electrode is fully inserted so that no brass is visible, and then turn the tip clamp clockwise to the end.
Fig.6. Tip with inserted electrode
High frequency radio wave surgery
When choosing an electrode, it is necessary to strictly follow the manufacturer's recommendations for choosing the type and functionality of an electrode.
Electrode type |
Type |
Area of impact |
||||||||||||||
and whether bipolar |
influence me |
|||||||||||||||
Needle |
monopolar |
Skin, organs and tissues. |
||||||||||||||
Scalpel electrode |
monopolar |
cut, cut |
Parenchymal organs: |
|||||||||||||
and coagulation |
liver, spleen, kidneys, |
|||||||||||||||
pancreas, |
||||||||||||||||
round loop |
monopolar |
Cut, Cut |
Skin, organs and tissues. |
|||||||||||||
and coagulation |
||||||||||||||||
ball-bearing |
monopolar |
coagulation |
Vessels up to 1.0 mm in diameter. |
|||||||||||||
brain tissue |
||||||||||||||||
bipolar |
coagulation |
Vessels up to 2 mm in diameter. |
||||||||||||||
brain tissue |
||||||||||||||||
Needle |
monopolar |
fulguration |
Skin, organs, blood vessels |
|||||||||||||
trom up to 1 mm |
||||||||||||||||
Table 1: Main types of electrodes
4. Switch the switch on the back of the instrument to the “on” (“I”) position
Fig.7 Switch position "on" ("I")
High frequency radio wave surgery
C. Preparation for the operation and the choice of the operating mode of the device "Surgitron"
In order to have a more atraumatic effect on tissues and organs, it is necessary to choose the mode and power of the device correctly.
1. "CUT" - To obtain a clean, microscopically even cut:
To select the Cut mode, set the waveform control to Cut (FILTER/CUT). The appliance should heat up within 15 seconds.
Rice. 8 . Setting the Waveform Control to Slice Mode
Fig.9. Installing the power regulator
Fabric type |
Power |
||||||||||||
subcutaneous tissue |
|||||||||||||
Table 2: Selecting the power of the device in cutting mode
High frequency radio wave surgery
2. "CUT AND COAGULATION":
To select the Cut and Coag mode, switch the waveform control to Cut and Coag “(CUT/COAG/RECTIFIED)”.
Fig.10. Setting the Waveform Control to Cut and Coag
Type of fabric |
Power |
||||||||||
incision and coagulation |
|||||||||||
incision and coagulation |
subcutaneous retina |
||||||||||
Incision and coagulation |
hemorrhoidal evils |
||||||||||
Incision and coagulation |
Small intestine |
||||||||||
Incision and coagulation |
|||||||||||
Incision and coagulation |
Pancreas |
||||||||||
Incision and coagulation |
Eardrum |
||||||||||
Table 3: Selecting the power of the device in the cutting and coagulation mode
High frequency radio wave surgery
3. "COAGULATION" - coagulation to control all forms of bleeding.
To select "Coagulation" mode, switch the waveform control to "Coagulation" (COAG/PART. RECTIFIED)
Fig.11 Setting the waveform control to the “Coagulation” mode
To set the desired power level, turn the power control to the required position (from 1 to 9).
Mode |
Fabric type |
Power |
||||||||||||
coagulation |
brain tissue |
|||||||||||||
coagulation |
||||||||||||||
coagulation |
||||||||||||||
coagulation |
Colon |
|||||||||||||
coagulation |
bile ducts |
|||||||||||||
coagulation |
Cervix |
|||||||||||||
coagulation |
Posterior wall of the pharynx |
|||||||||||||
coagulation |
telangiectasia |
|||||||||||||
Table 4.: Selecting the power of the device in the coagulation mode
4. " FULG URATION" - cauterization of tissues with a high frequency alternating current spark. |
5. "BIPOLAR COAGULATION" - to perform bipolar coagulation, perform |
thread the following steps: |
|
To select the "Fulguration" mode, switch the tip for electrodes from black |
|
socket "ACTIV" into the white socket "FULGURATE" on the front panel of the instrument. |
Unplug the electrode tip with cord from the black input jack. |
labeled "ACTIV" on the front panel of the instrument. |
|
Unplug the antenna plate from the green input jack on the front panel. |
|
device labeled "ANTENNA". |
|
Connect the bipolar forceps to the "ANTENNA" and "ACTIV" sockets (for bipolar |
|
coagulation antenna plate is not used" |
|
The waveform control must be set to Coagulation. |
|
(COAG/PART. RECTIFIED) |
Fig.12 Setting the "Fulguration" mode
To set the desired power level, turn the power control to the required position (from 1 to 9).
Mode |
fabric type and |
Power |
||||||||||||||||||||||||
fulguration |
||||||||||||||||||||||||||
brain tissue |
||||||||||||||||||||||||||
fulguration |
||||||||||||||||||||||||||
fulguration |
bulbar conjunctiva |
|||||||||||||||||||||||||
fulguration |
bleeding vessel |
|||||||||||||||||||||||||
diameter less than 1.0 mm |
||||||||||||||||||||||||||
fulguration |
stomach ulcers |
Fig. R13. Setting the mode "Bipolar coagulation" |
||||||||||||||||||||||||
To set the desired power level, turn the power control to the desired |
||||||||||||||||||||||||||
Table 5: Selection of the power of the device in the fulguration mode |
moveable position (from 1 to 9). |
|||||||||||||||||||||||||
Mode |
Fabric type |
Power |
||||||||||||||||||||||||
bipolar coagulation |
bleeding vessels |
|||||||||||||||||||||||||
diameter up to 2.0 mm |
||||||||||||||||||||||||||
bipolar coagulation |
Nasal mucosa |
|||||||||||||||||||||||||
bipolar coagulation |
brain tissue |
|||||||||||||||||||||||||
bipolar coagulation |
Parenchymal organs |
|||||||||||||||||||||||||
Table 6: Selecting the power of the device in the bipolar coagulation mode
High frequency radio wave surgery
C. Working with the device "SURGITRONTM"
Prepare the device for operation as indicated in point A “Preparing the device
to work"
By pressing the foot pedal, activate the device, having previously switched the power regulator to the required position. The fabric must be moistened. During the direct execution of the manipulation, it is necessary to ensure that the movements of the hands and are smooth and continuous, with a slight uniform pressure. Movements should not be too slow. With very slow movements of the hand, lateral heat accumulates in the tissue, which can lead to necrosis and the formation of scabs. Always activate the device before touching the electrode
to the fabric.
Fig. 14 Manipulation
Upon completion of the manipulation, disassemble the apparatus in the reverse order and process it in accordance with the manufacturer's instructions.
High frequency radio wave surgery
Possible Complications
With the correct implementation of the recommendations for using the "SURGITRON" device, the frequency of complications is minimal. All complications can be divided into those directly related to the procedure and delayed complications in the early post-manipulation period:
Afterburner type
Complications during
time spent
procedure
Delayed
complications
Complication |
Correction is more complicated |
|
1.Tissue tear caused by |
Replace electrode |
|
broken arc electrode |
||
2. Carbonization of fabric |
Reduce power |
|
impact |
||
3. Bleeding |
coagulate the vessel. |
|
4. Unintentional burn of a patient or |
Hemostatic sponge |
|
doctor caused by unwanted action |
||
tip tivization |
Disable activation |
|
tip |
||
5. Adhesion of tissue to the electrode when |
||
installation of deliberately low power |
Increase power |
|
Recoagulation |
||
or ligature. |
||
1. Bleeding |
Hemostatic sponge |
|
2. Inflammatory reactions |
Local antibacterial |
|
naya and anti- |
||
3. Excessive scarring |
body therapy |
|
Local absorbable |
||
High frequency radio wave surgery
Clinical effectiveness of the method
Over the past five years, on the basis of the leading scientific centers of Russia (Scientific Center for Obstetrics, Gynecology and Perinatology of the Russian Academy of Medical Sciences named after V.I. Kulakov; Central Polyclinic of the Literary Fund, Russian Medical Academy of Postgraduate Education, Moscow Regional Research Institute of Obstetrics and Gynecology, Moscow Research Institute of Pediatrics and Pediatric Surgery, Ministry of Health of the Russian Federation, Academician I.P. Pavlov State Medical University, St. Petersburg, Bashkir State medical University, Ufa; Federal State Institution Russian Research Neurosurgical Institute named after V.I. prof. A.L. P olenova, St. Petersburg; Russian Scientific Center for X-Ray Radiology, Ministry of Health of the RSFSR; Moscow Medical Academy. I.M. Sechenov; Russian University of Friendship of Peoples; Central Scientific Research Institute of Dentistry, etc.) have successfully carried out numerous clinical studies and approbations using the Surgitron apparatus.
The clinical effectiveness of the use of the Surgitron apparatus was evaluated during the treatment a large number nosology in surgery, obstetrics and gynecology, dermatology, urology, pediatrics, vascular surgery, ophthalmology, neurosurgery. More than 3000 surgical interventions were performed using the Surgitron apparatus. In the process of using the Surgitron apparatus, all experts noted that the method is quite simple to use and after a short training can be mastered by any specialist. To the clinical advantages of using radio wave surgery, doctors noted:
- high efficiency of the machine
- atraumatic incision;
- minimal thermal effect on tissues (compared to electrocoagulation)
- no significant bleeding and reliable hemostasis
- formation of a “gentle” full-fledged scar
As a result of using the Surgitron apparatus, all clinics without exception noted that the use of this technology makes it possible to reduce the financial burden of clinics due to:
Reducing the duration of operations by an average of 15%;
Reducing the length of stay in the hospital by an average of 12-17%
Consumption reduction medicines, dressings
Reducing the frequency of postoperative complications from 55.2% to 14.7%
Improving the quality of histological material sampling
Reducing the need to purchase additional logistical
provision (sample syringes and sclerosing preparations, and in some cases, elastic knitwear)
Opportunities for a number of surgical interventions on an outpatient basis without hospitalization
High frequency radio wave surgery
In conclusion, it should be noted that the use of the Surgitron™ device made it possible to minimize surgical trauma and achieve high quality of surgical care. Significantly eased postoperative period, accelerated the rehabilitation of patients, reduced the duration of hospitalization and significantly reduced the cost of inpatient management of patients. A number of obvious advantages listed above convincingly substantiate the expediency of further introduction and wide application of radiofrequency surgery technology in practical healthcare.
Litera tour
1. Grishina E.E. Experience in the use of the device "Surgitron" in the treatment of tumors and tumor-like formations of the adnexal apparatus of the eye. Advanced honey. Technologies. M.:, 2000. - pp.157-159.
2. Gubin M.A., Lazutikov O.V. et al. The use of radio wave surgical scalpel
V complex treatment of primary purulent wounds of the face and neck. Proceedings of the Congress "Radio wave surgery at the present stage". M.: "FortePress", 2004.- S. 264.
3. Damirov M.M. Adenomyosis. Tver.:"Binom-Press", 2004. - P.316.
4. Damirov M.M. Laser, cryogenic and radio wave technologies in gynecology. Moscow: Binom Publishing House, 2004.-p.176.
5. Dubensky V.V., Redko R.V., Garmonov A.A. Skin neoplasms in the practice of a dermatovenereologist. Tver: LLC Triada Publishing House, 2002.- P.148.
6. Krasnopolsky V.I. The use of the radiosurgical device "Surgitron" in outpatient gynecological practice. Advanced honey. Technologies. M.:, 2000. - pp.41-43.
7. Kudinov S.V., Krylov G.G., Sukhovey Yu.G., Petrov S.A. Ectopia of the cervix: clinic, immune mechanisms, diagnosis and treatment. Tyumen. Publishing house of the Tyumen State University., 2007. - S. 168.
8. Kutin A.A., Tseka O.S., Magomadov R.Kh. Stationary replacement technology ( Educational and methodical manual) M.: Publishing house "RUSAKI", 2005.- P.75.
9. Lapkin K.V. The first experience of using the radiosurgical device "Surgitron" in organ surgery biliopancreato-duodenal zone. Topical issues of surgical hepatology. Tomsk, 1997.– P. 159.
10. Leizerman M.G., Starosvetsky A.B. Radio wave surgery in otorhinolaryngology. M.: Gallery, 2003. - P.128.
11. Likhvantseva V.G., Anurova O.A. Tumors of the eyelids: clinic, diagnosis, treatment. Moscow: Publishing group"GEOTAR-Media", 2007.- P.448
12. Likhvantseva V.G., Balayan M.L. et al. Experimental histological substantiation of the use of radio wave surgery in ophthalmology. Proceedings of the Congress "Radio wave surgery at the present stage". M.: "FortePress", 2004.- S. 264.
13. Method of radio wave surgery of tumors and tumor-like formations of the auxiliary apparatus of the eye. A guide for doctors. M.: Russian Medical Academy of Postgraduate Education., 2004.-p.8.
14. Nasedkin G.K. Radio wave method of treatment in endoscopic surgery of organ diseases gastrointestinal tract. Abstract of the dissertation for the degree of doctor medical sciences. M.: 2004.
15. Nerobeev A.I. The use of the radiosurgical apparatus "Surgitron" for minimally invasive stages of surgical interventions. Proceedings of the Congress "Radio wave surgery at the present stage". M.: "FortePress", 2004.- S. 264.
16. Nikolaev M.P. Laser and radiosurgical treatment of snoring. New diagnostic methods. And treatment in otorinolar. M.:, 1995, - S.228.
17. Novikova E.G., Chissov V.I., Chulkova O.V. Organ-preserving treatment in oncogynecology. M.: VIDAR Publishing House, 2000.- pp.77-101.
We offer our patients one of the most progressive methods of treatment of various diseases of the upper respiratory tract.
We are talking about radio wave minimally invasive surgery, with which you can permanently get rid of many serious diseases.
Radio waves refer to electromagnetic radiation with a length of 1 mm to 100 km and a frequency of 3 kHz to 300 GHz. In the treatment of diseases of the ear, throat and nose, radio waves with a frequency of about 4 MHz, that is, high-frequency waves, are used. The radio wave treatment apparatus, invented in 1973 by the American dental surgeon Irving Ellman, gradually but surely won one of the leading places in the surgical treatment of ENT diseases.
The action of a radio wave apparatus used for medical purposes is akin to the action of microwaves used in a familiar microwave oven. Under the influence of radio waves up to 75-100 m long, the movement of water molecules in the cells is accelerated. As a result, the temperature rises in the area affected by radio waves, and the molecules that make up tissues are destroyed and deformed. The cells are torn, and a microcut is formed in this place.
Modern radio wave medical devices have a gentle effect. Their power and depth of exposure are automatically regulated, so they are completely safe, and in the hands of specialists they are able to accurately, quickly and bloodlessly cope with a wide range of diseases. Exposure to radio waves occurs without burns (as in the case of laser surgery) of the surrounding tissue, so the healing process is much faster and painless.
In what cases is radio wave therapy indicated for ENT diseases?
Removal of benign tumors
The most common neoplasms on the mucous membranes of the nasal cavity and pharynx, for which radio waves are used in our clinic, are the following:
- angiomas (vascular formations);
- papillomas;
- fibromas - tumors, which are growths of connective tissue;
- polyps, both allergic and inflammatory etiology.
The localization of these benign formations can be on the free edge of the inferior nasal concha, on the eve of the nose - in the so-called Kisselbach zone (anterior part of the nasal septum), as well as on the palatine arches, tonsils, palatine uvula. The operation takes place practically without bleeding, which, in case of their occurrence, is instantly stopped with the help of a ball electrode that performs coagulation, that is, blood clotting.
When carrying out operations to remove benign neoplasms, application or infiltration anesthesia is used. The electrode through which radio waves are transmitted is made in the form of a loop or rhombus, which allows you to cover the required area as much as possible.
The method of radio wave treatment is sparing for healthy tissues, since there is no mechanical effect by pressure. The impact zone is so accurate that it surpasses even laser therapy and, unlike cryodestruction, the method of exposure to radio waves makes it possible to control the depth of penetration into tissues. Sealing the vessels in the process avoids bleeding and related complications.
Since all the cells that are on their way are subjected to the destructive influence of electromagnetic waves, disinfection and destruction of harmful microorganisms in the working field take place simultaneously with the operation. There is also no negative reaction of the human body to exposure, as a result of which there is no need for subsequent treatment with medications.
Treatment of recurrent nosebleeds
Nosebleeds that occur in the Kisselbach area, as well as in the middle and lower nasal conchas, can also be treated with radio wave surgery. Such bleeding (epistaxis) can be both single and recurrent, that is, recurring. When this phenomenon becomes a problem, coagulation with high-frequency radio waves is indicated.
Our radio wave device allows you to stop bleeding at its peak and prevent their recurrence. Bleeding can be weak (with capillary rupture), and in this case, the use of ball-shaped electrodes with a power of 3-4 units is indicated. This mode of coagulation allows you to effectively seal the vessels. If the bleeding is more powerful, for example, pulsating arterial, then the fulguration method is used, in which, under the influence of waves, a plasma beam arises, causing a point local burn.
Two-thirds of patients are cured after the first operation. If necessary, repeated radio wave therapy is carried out. Since the effect on the mucous membrane and underlying vessels is quite powerful, it is recommended to lubricate the site of the procedure with special ointments or oils that do not allow the formation of a scar.
Healing of a postoperative wound in the treatment of radio waves is much faster than with traditional methods, since the area of coagulation necrosis is smaller. Accordingly, the risk of complications is also reduced, which, when using radio waves, is practically zero. And this is despite the fact that the nose is the entrance gate for the penetration of bacteria and viruses into the respiratory system. The disinfection that occurs during the procedure also helps to speed up the regeneration processes.
Granular chronic pharyngitis
Among the methods of treating this disease surgically, radio wave therapy has proven itself to be the best for a variety of reasons. Here are a few of them:
- minimal damage to healthy tissues;
- fast regeneration;
- penetration into tissues to a controlled depth.
Thanks to the use of anesthesia in the form of sprays, as well as due to the coagulation of nerve endings during the operation, the manipulation is almost painless. The disinfection that occurs when exposed to radio waves plays an important role not only in accelerating the healing of the operated site, but also preventing relapses, since infectious diseases play a paramount role among the factors in the development of granular pharyngitis.
With the help of needle or ball electrodes, which form a narrow beam of radio waves, it is possible to achieve a reduction in granules, which are accumulations of lymphoid tissue, at a minimum power (from 1.5 to 2 units). In contrast to chemical cauterization, only the areas of the granules are captured with our radio wave device. The rest, healthy, tissue does not undergo any changes, so postoperative recovery takes much less time.
As a rule, the desired effect is achieved in 2-3 procedures, after which rinses and a special diet are prescribed to the patient for 7-10 days. Monitoring of the patient continues, but in the vast majority of cases, repeated procedures are not necessary.
The use of radiosurgery in chronic tonsillitis
The Energo Clinic practices the lacunoectomy method proposed by Yu. M. Ovchinnikov back in 1990. This method of treating chronic tonsillitis turned out to be more sparing than the previously used lacunoectomy by the method of dissecting the lacunae with a galvanocautery. The use of radio waves gave even more advantages than the use of a laser, which was offered by Yu. M. Ovchinnikov.
Unlike the dissection of lacunae, which caused the formation of scars, and subsequently cysts, gradual burning with the help of directed radio wave radiation does not give such side effects. Moreover, most of the lymphoid tissue of the tonsils is preserved, and they continue to perform their protective function. Regeneration is accelerated due to the wave effect on nearby cells, stimulating their division.
When treating a chronic form of inflammation of the tonsils with an apparatus for radio wave surgery, there is no bleeding, as with mechanical removal. Necrosis of healthy areas of the lymph glands due to burns is also excluded, as is the case with the use of a laser or a calvano-cautery. Simultaneously with the burning of lacunae, pus is also removed along with pathogenic microflora. Moreover, the purulent discharge does not just flow out, but evaporates when heated, caused by radio waves.
During the operation, the doctor applies xylocaine or lidocaine, spraying it on the area where the operation is supposed to be performed. The device operates in the "cut and coagulation" mode at a power of 4 to 5 units. Automatic control of the power of radio wave radiation eliminates the human factor (medical error in the selection of parameters).
Removal of the tonsils (tonsillectomy) is an extremely undesirable procedure, which today all advanced people try to avoid.
Snoring treatment
The phenomenon of snoring, also known as ronchopathy, has a number of causes, and some of the most common ones can also be treated with the help of radio wave surgery. For example, with such anatomical features as an increase in the palatine uvula, a decrease in the tone of the palatine curtain, or with its thickening.
In the event that ronchopathy is caused by vibration of the uvula, then with the help of RadioSURG`a its complete or partial resection (uvulotomy) is performed. For this procedure, the doctor chooses a loop electrode or a scalpel electrode, the body of which is covered with an insulator. Removal of the tongue occurs in a few minutes, the patient does not experience strong pain, since the transmission of nerve impulses is blocked by ultracaine or a similar local anesthetic.
In some cases, along with the operation on the uvula, the soft palate is also corrected - the soft palate, that is, the fold of the mucous membrane of the palate that delimits the pharynx from the oral cavity. This manipulation refers to uvulo- or palatoplasty and is indicated for sagging of the soft palate. Maximum patient comfort, reduced anxiety and therefore more effective impact anesthetics, the location contributes: the patient sits in a chair during the procedure, and does not lie on the operating table.
After radiosurgery, the time for complete healing of wounds is reduced in relation to surgical intervention using a laser. This happens due to the absence of edema and inflammation, a smaller area of thermal exposure. Complications in the form of bleeding are also excluded, and the risk of subsequent bacterial and viral infection is also minimized.
Finally, I would like to draw attention to the fact that no matter how wonderful the method of radio wave therapy is, it has contraindications, for example, the presence of a pacemaker, epilepsy, malignant tumors and acute inflammatory diseases. The task of the patient is to inform the doctor about his illnesses, and after the radio wave treatment - to carry out all medical appointments.
Remember that the success of therapy largely depends on the voluntary cooperation of the doctor and the patient.
Make an appointment with an otorhinolaryngologist and undergo a course of treatment using radio waves.
The removal of abnormal tissue, neoplasms and the process of taking a biopsy sample are associated with complex, traumatic and painful procedures, which, among other things, leave aesthetic defects on the skin. In recent years, science has stepped far forward, and unique methods of non-contact cell coagulation have been developed. One of the safest ways to excise a piece of tissue is radio wave surgery. The technique allows you to make an incision in soft tissues using high frequency radio waves. This method surgery is actively used in dermatology, gynecology, urology, proctology and some other areas of medicine (Advanced possibilities of radio wave surgery).
Radio wave surgery does not injure the skin and does not leave aesthetic defects, which allows it to be used in the face and neck
The essence of the method
Unlike other techniques that use radio waves of a lower frequency, radio wave surgery allows destruction (evaporation of cells) strictly at the point of application of the electrode, without exerting a mechanical effect on the surrounding tissue. During the procedure, the doctor brings a thin electrode that generates high-frequency waves to the surface of the skin without touching it. Resisting exposure, cells produce energy, which is converted into heat. When heated, the biological fluids of the cell itself boil, and the tissue literally evaporates.
The procedure of radio wave surgery is performed under local anesthesia, which significantly expands the list of people who can be provided. The patient does not experience pain either during the operation or after its completion. Removal of a piece of tissue takes only a few minutes, after which the patient does not require hospitalization or any special rehabilitation. The healing process is significantly accelerated by the fact that the procedure does not require suturing.
During the operation, the electrode cuts soft tissues without even touching the skin surface.
Advantages of the technique:
- The absence of severe trauma, which characterizes other methods of surgical intervention. In addition to wounds and scars, radio wave surgery also protects the patient from the possibility of burns and inflammation.
- Reducing the risk of bleeding. During the procedure, a coagulation adhesion of small capillaries occurs, which practically eliminates the possibility of bleeding, and, accordingly, postoperative hematomas and bruises.
- Decreased healing time. Already a few days after the radio wave operation, the crust disappears from the site of exposure and a new tissue is formed. Full recovery usually takes less than 2 weeks.
- Complete absence of pain and swelling. Small nerve endings and lymphatic vessels at the site of electrode application also undergo coagulation, which makes the patient's recovery completely painless.
- Avoidance of infection. High-frequency radio waves have a sterilizing effect, which allows minimizing drug exposure and, as a result, side effects.
Radio wave surgery is used not only as a radical method of tissue excision, but also for the purpose of taking biomaterial for diagnosis.
Application area
Radio wave surgery is widely used in cosmetology and dermatology. The technique is used to remove abnormal tissue formations (warts, springs, papillomas and other neoplasms). The absence of postoperative scars allows the use of radio waves in relation to the face and neck.
In gynecological practice, radio wave surgery of the cervix is especially often used. Removal of polyps, papillomas, nevi and post-inflammatory defects of the mucous membrane without scar formation allows the use of radio wave cervical surgery even in nulliparous women, while fully preserving reproductive function. The diagnostic value of this procedure can hardly be overestimated, because it is one of the safest methods for taking a biopsy.
The only contraindication to radio wave surgery is the presence of a pacemaker or other implanted electrical devices.
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