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  1. AU="Fishchenko, I"
  2. AU="Yong, Ken-Tye"
  3. AU="Alexander, Regi T"
  4. AU=Weng Cheng-Hao
  5. AU="Christine Hamel"

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  1. Artikel: THE USE OF RADIOFREQUENCY NEUROABLATION IN THE TREATMENT OF OMALGIA IN PATIENTS WITH SHOULDER JOINT ARTHROSIS.

    Fishchenko, I / Kravchuk, L / Kormiltsev, V / Saponenko, A / Kozak, R

    Georgian medical news

    2023  , Heft 335, Seite(n) 124–128

    Abstract: The aim of the study was to evaluate the effectiveness of radiofrequency denervation (neuroablation) of the suprascapular nerve in the treatment process of omalgia in patients with degenerative and dystrophic disorders of the shoulder joint. 31 patients ( ...

    Abstract The aim of the study was to evaluate the effectiveness of radiofrequency denervation (neuroablation) of the suprascapular nerve in the treatment process of omalgia in patients with degenerative and dystrophic disorders of the shoulder joint. 31 patients (31 joints were researched) took the treatment and analyzed their data in the rehabilitation department of the State Institution "Institute of Traumatology and Orthopedics of the National Academy of Medical Sciences of Ukraine" from 2019 to 2021. X-ray assessment was performed to find out the stage of the disease according to the classification of M. Lequesne Kellgren and J. Lawrence. All patients had radiofrequency neuroablation of the suprascapular nerve. Patients were assessed before the RFN procedure, after 1, 3, 6, and 12 months after the procedure. Due to performed treatment, the average VAS score for pain was 7,65±1,23 cm. A decrease in pain level by 3 cm or more was considered reliable. 1 month after suprascapular nerve RFN we had a significant decrease in pain syndrome according to VAS in the group of patients within 3,87±1,06 cm (p<0,05); after 3 months a stable positive remained at the 3,1±1,42 cm; after 6 months began to gradually deteriorate to 5,52±1,24 cm and remained after 12 months at the 5,2±1,58 cm. Thus, the suprascapular nerve RFN procedure allows for maintaining a stable positive result for 6 months with subsequent deterioration. After 12 months abandoned the use of NSAIDs - 29,03% of patients and continued to additionally use NSAIDs for pain relief sometimes or constantly almost 64,52% of the group examined. The results of our studies complement those of Taverner et al., Eyigor et al., indicating a trend toward a decrease in pain and functional limitations among patients with omalgia after the RFN procedure, and the preservation of the effect during the follow-up year after the procedure. The suprascapular nerve RFN procedure makes it possible to reduce the level of pain syndrome and refuse the use of painkillers in patients with shoulder joint arthrosis in almost 30-40% of cases, and the effect of pain relief lasts from 6 to 12 months in most cases.
    Mesh-Begriff(e) Humans ; Shoulder Joint ; Treatment Outcome ; Joint Diseases ; Osteoarthritis ; Pain
    Sprache Englisch
    Erscheinungsdatum 2023-04-12
    Erscheinungsland Georgia (Republic)
    Dokumenttyp Journal Article
    ZDB-ID 2443648-3
    ISSN 1512-0112
    ISSN 1512-0112
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel: [EXPERIENCE OF BIPORTAL ENDOSCOPIC DECOMPRESSION IN LUMBAR SPINAL STENOSIS].

    Fishchenko, I / Kravchuk, L / Saponenko, A / Roy, I

    Georgian medical news

    2020  , Heft 303, Seite(n) 21–27

    Abstract: The aim of the study was to analyze the results of treatment with biportal endoscopic decompression of patients with spinal stenosis. The treatment results of 62 patients who underwent surgery (for discectomy) (for decompression) in the period from March ...

    Abstract The aim of the study was to analyze the results of treatment with biportal endoscopic decompression of patients with spinal stenosis. The treatment results of 62 patients who underwent surgery (for discectomy) (for decompression) in the period from March 2018 to June 2019 were analyzed. All 62 patients were operated by biportal endoscopy at the spine surgery clinic of the State Institution "Institute of Traumatology and Orthopedics of the National Academy of Medical Sciences of Ukraine". Pain intensity was assessed using a visual analogue pain scale (VAS), patient satisfaction and quality of life was assessed using a modified MacNab scale and the Oswestry Disability Index (ODI), respectively, 1 week, 3 months and 6 months after surgery. Perioperative data were also evaluated (duration of surgery and length of stay in the hospital, blood loss and complications). X-ray results were evaluated using pre- and postoperative MRI (6-8 weeks after surgery). According to the results of studies in the postoperative period, a positive trend was observed. So, the indicator of back pain according to VAS after surgery decreased to 0,9±1,4 points, and the indicator of pain in the leg according to VAS on average in the postoperative phase was 1,28±1,1 points, respectively. Assessing perioperative data, in the group of patients the level of blood loss was 34,8±16,2, and the length of stay in the hospital was 2,9±1,3 days. Among the complications, 4 cases of point wound of the dural membrane and 1 case of linear wound of the dural membrane, more than 1 cm long with the contents of the dural sac entering the epidural space, which required conversion to an open operation with suturing the defect, were noted. Biportal endoscopic spinal surgery is an effective method of treating lumbar spinal stenosis, which has several advantages over open surgery (less tissue trauma, less blood loss, high patient satisfaction with the treatment result). UBE has an advantage over microscopic technique in terms of achieving complete decompression in an enlarged arthroscopic field without restricting the movement of the instrument due to the use of an independent portal, and continuous irrigation with saline during surgery is a great advantage to prevent infection.
    Mesh-Begriff(e) Decompression, Surgical ; Endoscopy ; Humans ; Lumbar Vertebrae ; Quality of Life ; Retrospective Studies ; Spinal Stenosis/surgery ; Treatment Outcome ; Ukraine
    Sprache Russisch
    Erscheinungsdatum 2020-08-25
    Erscheinungsland Georgia (Republic)
    Dokumenttyp Journal Article
    ZDB-ID 2443648-3
    ISSN 1512-0112
    ISSN 1512-0112
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel: [COMPARATIVE CHARACTERISTICS OF OPEN AND TRANSFORAMINAL ENDOSCOPIC DISCECTOMY IN THE TREATMENT OF HERNIATED DISCS].

    Fishchenko, I / Piontkovsky, V / Balan, S

    Georgian medical news

    2020  , Heft 297, Seite(n) 7–12

    Abstract: Open lumbar discectomy was considered the gold standard among surgical methods for the treatment of hernias, however, due to technological progress in endoscopy and improved surgical approaches, a transforaminal discectomy technique has been developed ... ...

    Abstract Open lumbar discectomy was considered the gold standard among surgical methods for the treatment of hernias, however, due to technological progress in endoscopy and improved surgical approaches, a transforaminal discectomy technique has been developed that can reduce tissue trauma and reduce the risk of postoperative complications. The aim of the study was to evaluate the results of surgical treatment of hernias of the intervertebral discs with transforaminal endoscopic discectomy, and compare them with the results of a conventional open microdisectomy. From 2014 to 2019, out of 298 examined, 146 patients underwent transforaminal endoscopic discectomy and 152 patients underwent open microdiscectomy. Clinical results were evaluated using the Visual Analogue Pain Scale and the Oswestry Disability Index. Long-term results were evaluated based on the modified Macnab criteria. Patients who underwent transforaminal endoscopic discectomy showed shorter periods of return to working capacity and a hospital stay, which is associated with a shorter operation time and less tissue trauma compared to the group in which open microdiscectomy was performed. Our data showed that transforaminal endoscopic discectomy can provide the typical benefits of minimally invasive surgery, including: reducing the time of surgery, the time spent in the hospital, restoring disability, as well as reducing the use of painkillers.
    Mesh-Begriff(e) Diskectomy/methods ; Endoscopy ; Humans ; Intervertebral Disc Displacement/surgery ; Lumbar Vertebrae ; Retrospective Studies ; Treatment Outcome
    Sprache Russisch
    Erscheinungsdatum 2020-02-11
    Erscheinungsland Georgia (Republic)
    Dokumenttyp Journal Article
    ZDB-ID 2443648-3
    ISSN 1512-0112
    ISSN 1512-0112
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  4. Artikel: FEATURES OF THE USE OF PHYSICAL EXERCISES IN THE REHABILITATION OF PATIENTS UNDERGOING THE PROCEDURE OF RADIOFREQUENCY NEUROABLATION OF THE HIP JOINT.

    Fishchenko, I / Roy, I / Vladimirov, A / Kravchuk, L

    Georgian medical news

    2019  , Heft 296, Seite(n) 16–22

    Abstract: Among the various methods of treating coxalgia, the minimally invasive method of radiofrequency denervation of the sensitive nerves of the hip joint is becoming increasingly popular. Since the RFA technique is gradually beginning to be actively used in ... ...

    Abstract Among the various methods of treating coxalgia, the minimally invasive method of radiofrequency denervation of the sensitive nerves of the hip joint is becoming increasingly popular. Since the RFA technique is gradually beginning to be actively used in the practice of pain treatment, there is an urgent need for further rehabilitation of such patients in order to prolong the positive effect of the RFA procedure. The aim of the study was to develop a program of physiotherapeutic exercises for patients with coxarthrosis of the 3-4 stage, who underwent the RFA procedure of articular branches of the obturator and femoral nerves. The developed author's program was tested on 36 patients (37 joints) with coxarthrosis of 3-4 stages, who underwent outpatient treatment during 2017-2018. in the rehabilitation department of the State Institution "Institute of Traumatology and Orthopedics of the National Academy of Medical Sciences of Ukraine". The dynamics of the treatment results were evaluated after 2 weeks, 1, 3, 6 and 12 months after the procedure. Quantitative and qualitative assessment of pain was carried out on the basis of VAS pain. Joint functional limitations were measured using a Harris Hip Score (HHS). The use of physiotherapeutic exercises in patients who underwent RFA procedure n. femoralis and n. obturatorius positively affects the functional capabilities of the joints, which is confirmed by the results of studies on the Harris Hip SCOR and VAS questionnaire at all stages of observation. The use of physiotherapeutic exercises in combination with the RFA procedure of the femoral and obturator nerves in coxarthrosis can lead to a decrease in pain and stiffness, easier movements and increased flexibility, as well as maintaining the effectiveness of the RFA procedure for a longer period.
    Mesh-Begriff(e) Exercise ; Femoral Nerve ; Hip Joint ; Humans ; Obturator Nerve ; Ukraine
    Sprache Englisch
    Erscheinungsdatum 2019-12-27
    Erscheinungsland Georgia (Republic)
    Dokumenttyp Journal Article
    ZDB-ID 2443648-3
    ISSN 1512-0112
    ISSN 1512-0112
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  5. Artikel: [OUR EXPERIENCE WITH THE USE OF BIPORTAL ENDOSCOPIC SURGERY IN THE TREATMENT OF HERNIATED DISCS OF THE LUMBAR SPINE].

    Fishchenko, I / Balan, S / Blonskyi, R / Borzykh, N / Kravchuk, L

    Georgian medical news

    2020  , Heft 301, Seite(n) 21–27

    Abstract: Open microdiscectomy is the standard surgical treatment for herniated discs at the lumbar level. However, with open operations on the spine, the risk of developing postoperative instability of the spine and the occurrence of chronic back pain is quite ... ...

    Abstract Open microdiscectomy is the standard surgical treatment for herniated discs at the lumbar level. However, with open operations on the spine, the risk of developing postoperative instability of the spine and the occurrence of chronic back pain is quite high. Biportal endoscopic spinal surgery is a new method in minimally invasive spinal surgery, which has several advantages over open surgery. The aim of the study was to analyze the results of treatment of patients with hernias of the intervertebral discs who underwent biportal endoscopic discectomy and compare them with the results of treatment with open microdiscectomy. The analysis of the results of treatment of 155 patients who underwent a diskectomy operation from March 2019 to October 2019 was performed: 67 patients were operated by biportal endoscopy in the spine surgery clinic of the Institute of Traumatology and Orthopedics of the National Academy of Medical Sciences of Ukraine, while 88 - The first patient was operated on by open microdiscectomy in the Ivano-Frankivsk Regional Clinical Hospital. Pain intensity was assessed using a visual analogue pain scale (VAS), patient satisfaction and quality of life were assessed using a modified MacNab scale and the Oswestry Disability Index (ODI), respectively, 1 week, 3 months and 6 months after surgery. Perioperative data were also evaluated (duration of surgery and length of stay in the hospital, blood loss and complications). X-ray results were evaluated using pre- and postoperative MRI (6-8 weeks after surgery). One week after surgery, the level of VAS back pain in the biportaldiskectomy group showed more significant improvements than in the group after open microdiscectomy. However, the comparative results after a 3-month and 6-month period for VAS (back and leg), ODI questionnaires, a modified MacNab scale, did not significantly differ between the two groups. In the biportaldiskectomy group, the level of blood loss (32.82±15.9) was lower, and the length of hospital stay (2.8±1.6) was shorter than in the group of patients after open microdisectomy (141.1±56.5) and (6.6±1.3), respectively. However, the duration of the operation (71.3±21.9) was longer in the biportal discectomy group than in the group after open microdisectomy (62.2±14.6), the difference was statistically significant. Biportal endoscopic spinal surgery is an effective method for the treatment of hernias of the intervertebral intervertebral discs of the lumbar region, which has several advantages over open surgery, namely: less tissue trauma, less blood loss, faster back pain regression after surgery, higher patient satisfaction with the result of treatment, and reduced hospital stay.
    Mesh-Begriff(e) Endoscopy ; Humans ; Intervertebral Disc Displacement ; Lumbosacral Region ; Quality of Life ; Retrospective Studies ; Treatment Outcome ; Ukraine
    Sprache Russisch
    Erscheinungsdatum 2020-05-30
    Erscheinungsland Georgia (Republic)
    Dokumenttyp Journal Article
    ZDB-ID 2443648-3
    ISSN 1512-0112
    ISSN 1512-0112
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  6. Artikel: [DIPROSPAN, LONGIDAZA AND THEIR COMBINED ACTION AGAINST FIBROSIS CAUSED BY MECHANICAL INJURY OF THE INTERVERTEBRAL DISCS IN RATS].

    Fishchenko, I V / Zavodovskyi, D O / Motuzuyk, O M / Matvienko, T Yu / Nozdrenko, D N

    Fiziolohichnyi zhurnal (Kiev, Ukraine : 1994)

    2018  Band 63, Heft 1, Seite(n) 77–83

    Abstract: The formation of connective tissue changes in the spinal canal of rats, caused by the method of intervertebral disc ruptures, in association with a mixture of epidural injection of longidaza and diprospan has been researched. Simultaneous injection of ... ...

    Abstract The formation of connective tissue changes in the spinal canal of rats, caused by the method of intervertebral disc ruptures, in association with a mixture of epidural injection of longidaza and diprospan has been researched. Simultaneous injection of hialuronidase and betamethasone in composition of diprospan and longidaza, revealed a high synergistic effect and anti-fibrotic activity. Combined antifibrosis action of these two drugs is stronger than the sum of the actions of the two drugs in their separate use. Reducion of the maximum thickness of the fibrous layer was 49%, compared with the reference value and reduction of the total area of the fibrous formation was 46%. In our opinion, due to anti-inflammatory effects and the ability to reduce epidural scar adhesion, this complex is promising for its therapeutic use in treatment of spinal epidural fibrosis.
    Mesh-Begriff(e) Animals ; Anti-Inflammatory Agents/pharmacology ; Betamethasone/analogs & derivatives ; Betamethasone/pharmacology ; Disease Models, Animal ; Drug Combinations ; Drug Synergism ; Fibrosis/prevention & control ; Hyaluronoglucosaminidase/pharmacology ; Intervertebral Disc/drug effects ; Intervertebral Disc/pathology ; Intervertebral Disc/physiopathology ; Intervertebral Disc Degeneration/drug therapy ; Intervertebral Disc Degeneration/pathology ; Intervertebral Disc Degeneration/physiopathology ; Intervertebral Disc Displacement/drug therapy ; Intervertebral Disc Displacement/pathology ; Intervertebral Disc Displacement/physiopathology ; Polymers/pharmacology ; Rats ; Rats, Wistar ; Rupture/drug therapy ; Rupture/pathology ; Rupture/physiopathology ; Treatment Outcome
    Chemische Substanzen Anti-Inflammatory Agents ; Drug Combinations ; Polymers ; betamethasone dipropionate, betamethasone sodium phosphate drug combination ; Betamethasone (9842X06Q6M) ; Hyaluronoglucosaminidase (EC 3.2.1.35) ; Longidaza (EC 3.2.1.35)
    Sprache Ukrainisch
    Erscheinungsdatum 2018-07-05
    Erscheinungsland Ukraine
    Dokumenttyp Journal Article
    ZDB-ID 420438-4
    ISSN 2522-9028 ; 0015-3311 ; 0201-8489
    ISSN 2522-9028 ; 0015-3311 ; 0201-8489
    DOI 10.15407/fz63.01.077
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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