asurgeryАмбулаторная хирургияAmbulatornaya khirurgiya = Ambulatory Surgery (Russia)2712-87412782-2591ООО «ГРУППА РЕМЕДИУМ»10.21518/akh2024-026asurgery-479Research ArticleПРОКТОЛОГИЯPROCTOLOGYАмбулаторная проктологическая помощь в регионе в условиях пандемии COVID-19Outpatient proctological care in the context of the COVID-19 pandemichttps://orcid.org/0000-0003-1312-1971МатвеевИ. А.MatveevI. A.

Матвеев Иван Анатольевич, д.м.н., главный внештатный колопроктолог Департамента здравоохранения Тюменской области, заведующийкафедрой факультетской хирургии; врач-колопроктолог

625023, Россия, Тюмень, ул. Одесская, д. 54

625023, Россия, Тюмень, ул. Котовского, д. 55

Ivan A. Matveev, Dr. Sci. (Med.), Chief Coloproctologist of the Tyumen Region Health Department, Head of the Department of Faculty Surgery; Coloproctologist

54, Odesskaya St., Tyumen, 625023, Russia

55, Kotovsky St., Tyumen, 625023, Russia 

matveevia@mail.ruhttps://orcid.org/0000-0001-9213-4556МатвеевА. И.MatveevA. I.

Матвеев Анатолий Иванович, к.м.н., врач отделения гнойной хирургии

625023, Россия, Тюмень, ул. Котовского, д. 55 

Anatoliy I. Matveev, Cand. Sci. (Med.), Doctor of the Purulent Surgery Department

55, Kotovsky St., Tyumen, 625023, Russia 

https://orcid.org/0000-0002-5661-7603ХасияД. Т.HasiaD. T.

Хасия Дмитрий Тамазович, к.м.н., заведующий хирургической службой

625000, Россия, Тюмень, ул. Юрия Семовских, д. 20 

Dmitriy T. Hasia, Cand. Sci. (Med.), Head of the Surgical Service, 

20, Yuri Semovskikh St., Tyumen, 625000, Russia 

https://orcid.org/0000-0003-4069-8071ПоварнинН. Н.PovarninN. N.

Поварнин Николай Николаевич, врач-колопроктолог

625000, Россия, Тюмень, ул. Водопроводная, д. 36/1б 

Nikolay N. Povarnin, Coloproctologist

36/1b, Vodoprovodnaya St., Tyumen, 625000, Russia 

https://orcid.org/0000-0003-0538-5037МатвееваТ. А.MatveevaT. A.

Матвеева Татьяна Анатольевна, заведующая терапевтическим отделением

625023, Россия, Тюмень, ул. Котовского, д. 55 

Tatyana A. Matveeva, Head of the Therapeutic Department

55, Kotovsky St., Tyumen, 625023, Russia 

https://orcid.org/0000-0001-7627-1710АлимовД. З.AlimovD. Z.

Алимов Данат Зиятович, заведующий хирургическим отделением

625026, Россия, Тюмень, ул. Мельникайте, д. 117 

Danat Z. Alimov, Head of the Surgical Department

117, Melnikaite St., Tyumen, 625026, Russia 

https://orcid.org/0000-0001-5705-1579ВоронинМ. В.VoroninM. V.

Воронин Михаил Вячеславович, врач-колопроктолог

625002, Россия, Тюмень, ул. Водопроводная, д. 6, корп. 1 

Mikhail V. Voronin, Coloproctologist

6, Bldg.1, Vodopodnaya St., Tyumen, 625000, Russia 

Тюменский государственный медицинский университет; Областная клиническая больница № 1РоссияTyumen State Medical University; Tyumen Regional Clinical Hospital No. 1Russian FederationОбластная клиническая больница № 1РоссияTyumen Regional Clinical Hospital No. 1Russian FederationГоспиталь «Мать и Дитя»РоссияMother and Child HospitalRussian FederationНаноМед ПлюсРоссияNanoMed PlusRussian FederationМногопрофильный консультативно-диагностический центрРоссияMultidisciplinary Consulting and Diagnostic CenterRussian FederationМедицинский центр «ММЦ Медикал Он Груп-Тюмень»РоссияMedical On GroupRussian Federation202418112024212164171Copyright © Матвеев И.А., Матвеев А.И., Хасия Д.Т., Поварнин Н.Н., Матвеева Т.А., Алимов Д.З., Воронин М.В., 20242024Матвеев И.А., Матвеев А.И., Хасия Д.Т., Поварнин Н.Н., Матвеева Т.А., Алимов Д.З., Воронин М.В.Matveev I.A., Matveev A.I., Hasia D.T., Povarnin N.N., Matveeva T.A., Alimov D.Z., Voronin M.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.a-surgeon.ru/jour/article/view/479

Введение. При пандемии пациентам с хроническими проктологическими заболеваниями можно отложить выполнение операции. Однако эти задержки лечения у пациентов вызывают тревогу.Цель. Изучить особенности организации амбулаторной помощи пациентам с проктологическими заболеваниями на примере лечения хронического геморроя в условиях пандемии.Материалы и методы. Проанализированы изменения материальной базы медицинских учреждений, результаты их деятельности на основании анализа первичных обращений, выполнения малоинвазивных вмешательств в условиях пандемии.Результаты. В связи с перепрофилизацией клиник был закрыт 1 колопроктологический кабинет и 2 хирургических стационара, где до пандемии выполнялось наибольшее количество геморроидэктомий. Количество обратившихся к колопроктологам в анализируемые периоды времени 2019 и 2020 гг. было одинаковым, соответственно 3 771 и 3 775 человек, при этом число посещений в коммерческих клиниках увеличилось на 13%, а в муниципальных уменьшилось на 10,6%, малоинвазивные вмешательства в муниципальных клиниках стали выполняться реже на 27,6%, в коммерческих чаще – на 6,9%.Обсуждение. Амбулаторная проктологическая помощь на основании анализа первичных обращений не претерпела изменений при возникшей пандемии в городе. Ее влияние проявилось снижением числа обратившихся при ухудшении эпидемической ситуации в апреле–мае 2020 г. В этот же период отмечено уменьшение малоинвазивных вмешательств в большей степени в муниципальных клиниках.Вывод. В результате совместной деятельности медицинских учреждений различных форм собственности удалось сохранить достаточный уровень оказания помощи пациентам с проктологическими заболеваниями в условиях пандемии.

Introduction. Patients with chronic proctologic diseases can postpone the planned surgery in time of pandemic. However the patients are very concerned about delays in treatment.Aim. To study the features of care provision to the patients with proctologic diseases based on the chronic hemorrhoids treatment in terms of pandemic.Materials and methods. Changes in material base of medical centers and clinics, the results of their activities based on the analysis of initial visits, minimally invasive interventions and hemorrhoidectomies in terms of pandemic were analyzed.Results. The number of people who applied to coloproctologists in the analyzed time periods 2019 and 2020 was the same, 3771 and 3775 people respectively, while the number of visits to commercial clinics has increased by 13% and to municipal clinics by 10.6%. Minimally invasive interventions have been performed by 27.6%less often in the municipal clinics and by 6.9% more often in the commercial clinics. 91 hemorrhoidectomies were carried out in 2020 which is 51.1%less compared to the same period in 2019.Discussion. According to the results of initial visits analysis, outpatient proctologic care did not undergo any changes during the pandemic in the city. But worsening of epidemic situation has caused the decrease in the number of patients in April-May 2020. The decrease of minimally invasive interventions in the municipal clinics was observed in the same period. For 7 months of the pandemic the number of hemorrhoidectomies has decreased from 178 to 91 operations compared to the same period in 2019, the number of interventions corresponded to the needs of the population.Conclusion. Maintaining of sufficient level of care for patients with proctologic diseases in time of pandemic became possible due to collaborative activities of medical facilities of various ownership forms.

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The authors declare that there are no conflicts of interest present.