Journal of Experimental and Clinical SurgeryJournal of Experimental and Clinical Surgery2070-478X2409-143XVoronezh State Medical University122210.18499/2070-478X-2018-11-4-256-263UnknownIntracavitary laser obliteration of Baker cyst under ultrasonic navigationKrochekIgor Viktorovich<p>M.D., associate Professor, Professor of the Department of General and pediatric surgery, South Ural state medical University</p>mpc74@list.ruSergiykoSergey Vladimirovich<p>M.D., associate Professor, head of the Department of General and pediatric surgery, South Ural state medical University</p>mpc74@list.ruPrivalovValeriy Alexeevich<p>M.D., Professor, Professor of the Department of General and pediatric surgery, South Ural state medical University</p>mpc74@list.ruShumilinIgor Ivanovich<p>Ph.D., associate Professor of the Department of General and pediatric surgery, South Ural state medical University</p>mpc74@list.ruShekunovaYuliya Grigorievna<p>assistant of the Department of General and pediatric surgery of South Ural state medical University</p>mpc74@list.ruAnchugovaAnastasiya Yevgenievna<p>senior laboratory assistant, Department of General and pediatric surgery, South Ural state medical University</p>mpc74@list.ruSouth Ural Medical State University0912201811425626327072018Copyright © 2018, Krochek I.V., Sergiyko S.V., Privalov V.A., Shumilin I.I., Shekunova Y.G., Anchugova A.Y.2018<p><strong>Relevance.</strong> Baker's cyst is the formation in the popliteal region, resulting from the accumulation of synovial fluid in the semimembranous bursa due to anastomosis between the joint cavity and the synovial bursa of the popliteal region. Trauma and/or some inflammatory diseases of the joints are the main causes of these cysts. Despite the success of endoscopic methods of treatment of this category of patients, the frequency of postoperative complications is 3-10%.</p>
<p><strong>The aim</strong> is to conduct a comparative analysis of the Baker's cysts treatment results using intracavitary laser obliteration and traditional cyst excision.</p>
<p><strong>Materials and methods.</strong> The treatment results of 39 patients with Baker cysts, who entered the clinic for the period from 2012 to 2017, are analyzed. Patients were divided into 2 representative groups. Ultrasound-guided intracavitary laser obliteration of Baker's cyst was performed in 24 (62%) patients of the main group. Traditional radical excision of all cyst elements with application of the primary suture was performed for 15 (38%) patients of the control group. A russian single-wave programmable three-mode laser scalpel LSP - "IRE-Polyus" was used in the work.</p>
<p><strong>Results.</strong> The patients of the main group had almost no pain syndrome, the duration of hospital treatment and rehabilitation were 4 times shorter than in the group of traditional operations (p0,05). Satisfaction with the laser treatment results of the patients from this group was 83.3%, while in the traditional treatment group - only 66.6%.</p>
<p><strong>Conclusion.</strong> The minimum number of the disease recurrences after ultrasonic-controlled intracavitary laser obliteration of Baker's cysts, the simplicity and low-traumatism of manipulation, the low level of complications, coupled with the high patient satisfaction with the treatment results, set apart this technology from traditional one, which allows recommending this method for wide application.</p>Baker cystsultrasonic diagnosis, surgical treatment methodsendoscopic treatment methodsapplication of laser radiation in the treatment of cystsКиста БейкераУЗИ диагностикахирургические методы леченияэндоскопические методы леченияприменение лазерного излучения в лечении кист[1. Crema MD, Roemer FW, Marra MD, Burstein D, Gold GE, Eckstein F, et al. Articular Cartilage in the Knee: Current MR Imaging Techniques and Applications in Clinical Practice and Research. RadioGraphics [Internet]. Radiological Society of North America (RSNA); 2011 Jan;31(1):37–61. 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