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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">kurskvest</journal-id><journal-title-group><journal-title xml:lang="ru">Человек и его здоровье</journal-title><trans-title-group xml:lang="en"><trans-title>Humans and their health</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1998-5746</issn><issn pub-type="epub">1998-5754</issn><publisher><publisher-name>Kursk State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21626/vestnik/2018-1/07</article-id><article-id custom-type="elpub" pub-id-type="custom">kurskvest-333</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КЛИНИЧЕСКАЯ МЕДИЦИНА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL MEDICINE</subject></subj-group></article-categories><title-group><article-title>Способы профилактики геморрагических осложнений при позадилонной аденомэктомии</article-title><trans-title-group xml:lang="en"><trans-title>Methods of prevention of hemorrhagic complications in retropubic adenomectomy</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шкодкин</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Shkodkin</surname><given-names>S. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Золотухин</surname><given-names>Д. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Zolotukhin</surname><given-names>D. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Идашкин</surname><given-names>Ю. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Idashkin</surname><given-names>Y. B.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Фиронов</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Fironov</surname><given-names>S. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Невский</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Nevsky</surname><given-names>A. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ивлев</surname><given-names>С. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Ivlev</surname><given-names>S. B.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-5"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Белгородская областная клиническая больница Святителя Иоасафа; Белгородский государственный национальный исследовательский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>St. Joasaph Belgorod Regional Hospital; Belgorod National Research University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Больница скорой медицинской помощи г. Ростова-на-Дону</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Rostov-on-Don Emergency Hospital</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Белгородская областная клиническая больница Святителя Иоасафа</institution><country>Россия</country></aff><aff xml:lang="en"><institution>St. Joasaph Belgorod Regional Hospital</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>1602 военный клинический госпиталь</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Rostov-on-Don Military Clinical Hospital N 1602</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>Городская больница № 1 г. Старого Оскола</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Stary Oskol City Hospital N 1</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2018</year></pub-date><pub-date pub-type="epub"><day>20</day><month>03</month><year>2018</year></pub-date><volume>0</volume><issue>1</issue><fpage>40</fpage><lpage>46</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Шкодкин С.В., Золотухин Д.А., Идашкин Ю.Б., Фиронов С.А., Невский А.А., Ивлев С.Б., 2018</copyright-statement><copyright-year>2018</copyright-year><copyright-holder xml:lang="ru">Шкодкин С.В., Золотухин Д.А., Идашкин Ю.Б., Фиронов С.А., Невский А.А., Ивлев С.Б.</copyright-holder><copyright-holder xml:lang="en">Shkodkin S.V., Zolotukhin D.A., Idashkin Y.B., Fironov S.A., Nevsky A.A., Ivlev S.B.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.kursk-vestnik.ru/jour/article/view/333">https://www.kursk-vestnik.ru/jour/article/view/333</self-uri><abstract><p>Доброкачественная гиперплазия предстательной железы (ДГПЖ) представляет собой одно из наиболее распространенных заболеваний у мужчин пожилого и старческого возраста. В настоящее время медикаментозная терапия ДГПЖ занимает приоритетные позиции, однако хирургическое лечение не потеряло актуальности, а его частота остается стабильной на протяжении 10 лет. В нашем обзоре представлен анализ публикаций, освещающий проблему хирургии ДГПЖ больших размеров, причин и источников интраоперационной кровопотери и технических приемов, направленных на их минимизацию. На этапах позадилонной аденомэктомии авторы предлагают разные модификации профилактики геморрагических осложнений. Представленные работы указывают на различия взглядов на анатомию Сартолиниевого сплетения и предлагаемые способы хирургического гемостаза. Обозначена необходимость дальнейшего изучения хирургической анатомии сосудистой архитектоники предстательной железы как важного фактора снижения периоперационных осложнений и летальности.</p></abstract><trans-abstract xml:lang="en"><p>Benign prostatic hyperplasia (BPH) is one of the most common diseases in men of elderly and senile age. Currently, medical therapy for BPH takes priority, but surgical treatment has not lost its relevance, and its frequency remains stable for 10 years. The review presents an analysis of publications highlighting the problem of large-scale BPH surgery, the causes and sources of intraoperative blood loss and techniques aimed at minimizing them. At the stages of retropubic adenomectomy, the authors propose different modifications to the prevention of hemorrhagic complications. The presented articles indicate differences in views on the anatomy of the plexus Sartolini and the proposed methods of surgical hemostasis. The need for further study of the surgical anatomy of the vascular architectonics of the prostate gland as an important factor in the reduction of perioperative complications and lethality is indicated.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>доброкачественная гиперплазия предстательной железы</kwd><kwd>ДГПЖ</kwd><kwd>аденома простаты</kwd><kwd>аденомэктомия</kwd><kwd>Сартолиниево сплетение</kwd><kwd>кровотечение</kwd><kwd>геморрагические осложнения</kwd><kwd>гемостаз</kwd></kwd-group><kwd-group xml:lang="en"><kwd>benign prostatic hyperplasia</kwd><kwd>BPH</kwd><kwd>prostate adenoma</kwd><kwd>adenomectomy</kwd><kwd>plexus Sartolini</kwd><kwd>hemorrhage</kwd><kwd>hemorrhagic complications</kwd><kwd>hemostasis</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">- 320 с. [Arnol’di E.K. Chronic prostatitis: problems, experience, prospects. 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