Сhronic pain syndrome, risk factors for its development at stage of operative intervention

Relevance. Soft tissue sarcoma is a heterogeneous group of relatively rare types of tumors, which demonstrates a huge variety of anatomical localization and histopathological characteristics. The rarity of soft tissue sarcomas combined with a variety of subtypes, forms of growth, progression and frequency of relapses makes it difficult to study them, make a correct diagnosis and early referral of patients for specialized care.The purpose of study. To analyze the problem of differential diagnosis of malignant and benign soft tissue neoplasms.Materials and methods. In the course of the work, current literary sources of domestic and foreign authors on a given topic were analyzed.Results. Since it is absolutely impossible to determine the clinical features of the presented sarcoma, soft tissue tumors showing any of the following signs are considered malignant until the opposite is proven: increasing in size, >5 cm, deeply located and/or painful. The greater the number of these clinical signs present, the higher the risk that the soft tissue tumor will turn out to be malignant; at the same time, an increase in size is the best individual indicator. It is worth noting that the absence of concomitant constitutional symptoms, such as fever, chills, night sweats or unintentional weight loss, should not reduce the doctor's suspicion of malignancy.Conclusion. In order to avoid erroneous diagnoses, a standardized diagnostic approach should be followed, starting from the moment of collecting the patient's medical history, clinical examination and ending with the use of appropriate imaging methods and biopsy.

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On possibility of application of instrumental and projection assessment of pain syndrome

Морозов

Sorokovikova

Pichugova

et al. 2022

vmirvz

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Topicality. In modern medical practice, the issue of studying and developing methods for assessing pain syndrome is acute, which is associated not only with the complexity of interpreting this sensation, but also with the lack of a unified idea of the mechanism for forming pain sensations. The development of diagnostic capabilities in the field of medical practice and the possibility of widespread use of modern equipment allowed us to take a new look at the possibility of instrumental and projection assessment of pain syndrome.The purpose of this study is to study the possibility of using instrumental and projection assessment of pain syndrome in medical practice.Material and methods. The study was carried out on the basis of a compilation of data from modern domestic and foreign scientific sources in the field of the possibility of using instrumental and projection assessment of pain syndrome.Results. The latest methods of assessing pain syndrome are aimed at the maximum possible objectification of pain sensations, which allows making the most reliable clinical assessment of the patient's condition. Currently, research methods such as neuroimaging, determination of cutaneous electroconductivity, analgesic nociceptive index, surgical plethysmographic index, electroencephalography, plethysmography are being actively introduced. The instrumental methods described above are the latest methods for objectively assessing not only the intensity of pain syndrome, but also the degree of nociceptive protection when applying intraoperative analgesia methods. The ambiguity of the results obtained during clinical trials as part of the evaluation of the validity of these criteria for assessing the strength of nociception dictates the need to continue further research in the field of this issue.Conclusion. In modern medical practice, the issue of developing methods to ensure an adequate, objective assessment of the intensity of pain syndrome remains acute. This issue mainly concerns surgical doctors, which is associated with the need to provide an adequate anesthesiological allowance in the intraoperative period, which will avoid the development of postoperative pain syndrome. Solving this problem will contribute to a significant improvement in the results of therapeutic interventions and reduce the risk of developing chronic pain in the patient.

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Сhronic pain syndrome, risk factors for its development at stage of operative intervention

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On possibility of application of instrumental and projection assessment of pain syndrome

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