asurgeryАмбулаторная хирургияAmbulatornaya khirurgiya = Ambulatory Surgery (Russia)2712-87412782-2591ООО «ГРУППА РЕМЕДИУМ»10.21518/akh2025-027asurgery-546Research ArticleОБМЕН ОПЫТОМEXCHANGE OF EXPERIENCE | PRACTICEОбнаружение фрагмента радиального световода при лучевой диагностике патологии коленного суставаRadial fiber fragment detection during radiological diagnostics of a kneehttps://orcid.org/0000-0003-1455-9916БорсукД. А.BorsukD. A.

Борсук Денис Александрович, д.м.н., ассистент кафедры хирургии Института дополнительного профессионального образования, 454141, Челябинск, ул. Воровского, д. 64;

профессор, 050004, Алматы, ул. Абылай Хана, д. 51/53

Denis A. Borsuk, Dr. Sci. (Med.), Assistant of the Department of Surgery, Institute of Continuing Professional Education, 64, Vorovsky St., Chelyabinsk, 454141;

Professor, 51/53, Abylay Khan St., Almaty, 050004

borsuk-angio@mail.ruhttps://orcid.org/0000-0003-2951-5713ТаурагинскийР. А.TauraginskiiR. A.

Таурагинский Роман Александрович, врач – сосудистый хирург научно-исследовательской лаборатории венозной гемодинамики,

236016, Калининград, ул. Фрунзе, д. 51

Roman A. Tauraginskii, Vascular Surgeon of Research Laboratory of Venous Hemodynamics,

51, Frunze St., Kaliningrad, 236016

rtaureg@mail.ruhttps://orcid.org/0000-0001-5411-6437ФокинА. А.FokinA. A.

Фокин Алексей Анатольевич, д.м.н., профессор, заведующий кафедрой хирургии Института дополнительного профессионального образования,

454141, Челябинск, ул. Воровского, д. 64

Alexey A. Fokin, Dr. Sci. (Med.), Professor, Head of the Department of Surgery, Institute of Continuing Professional Education,

64, Vorovsky St., Chelyabinsk, 454141

alanfokin@yandex.ruЮжно-Уральский государственный медицинский университет; Казахстанско-Российский медицинский университетКазахстанSouth-Ural State Medical University; Kazakhstan-Russian Medical UniversityKazakhstanООО «Флебоцентр Калининград»РоссияPhlebocenter Kaliningrad LLCRussian FederationЮжно-Уральский государственный медицинский университетРоссияSouth-Ural State Medical UniversityRussian Federation202509062025221213218Copyright © Борсук Д.А., Таурагинский Р.А., Фокин А.А., 20252025Борсук Д.А., Таурагинский Р.А., Фокин А.А.Borsuk D.A., Tauraginskii R.A., Fokin A.A.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/546

В настоящем материале представлен клинический случай обнаружения фрагмента рабочей части (колбы) радиального световода в подкожно-жировой клетчатке верхней трети голени при лучевых методах диагностики патологии коленного сустава спустя 8 лет после эндовенозной лазерной облитерации большой подкожной вены. В силу умеренного дискомфорта в этой зоне инкапсулированный осколок был удален из небольшого разреза без последующих осложнений. Редкость произошедшего и в большей степени рентгенологическая картина вызвали интерес и обусловили актуальность публикации. Накопленный опыт и текущий пример позволяют рекомендовать обязательную интраоперационную элиминацию фрагментов ввиду возможной локальной болезненности или как минимум лигирование вены выше произошедшего события в целях профилактики потенциальной материальной эмболии с последующим наблюдением и принятием соответствующих решений. В регламенте коагуляции лечебно-профилактических учреждений необходимо предписывать прецизионный осмотр целостности рабочего устройства как до, так и после вмешательства.

This clinical case demonstrates the detection of the radial fiber fragment in subcutaneous fat of the upper calf during radiological diagnostics of the knee 8 years after endovenous laser ablation of the great saphenous vein. Due to moderate discomfort in this area, the encapsulated fragment was removed from a small incision without subsequent complications. The rarity of the incident and, more importantly, the radiographic picture determined interest and the relevance of the publication. The accumulated experience and the current case allow us to recommend obligatory intraoperative elimination of fragments due to possible local pain or, at least, ligation of the vein above the fragmentation for prevention of potential material embolism and subsequent observation and appropriate decision-making. The clinics regulations of endovenous laser ablation must prescribe a precise inspection of the integrity of the fibers both before and after the intervention.

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