Inna Tulina

Inna Tulina
I.M. Sechenov First Moscow State Medical University · Clinic of Colorectal and Minimally Invasive Surgery

About

50
Publications
2,429
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127
Citations
Citations since 2016
37 Research Items
121 Citations
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2016201720182019202020212022010203040
2016201720182019202020212022010203040

Publications

Publications (50)
Article
Surgical treatment for recurrence of pilonidal sinus disease is the gold standard. There are a lot of surgical techniques proposed for recurrence, for example Limberg flap, V‐Y plasty flap or Z plasty. They take into consideration many features: deficiency of soft tissue, lack of tissue tension etc. On the other hand, all of the ‘plasty techniques...
Article
The incidence of colorectal cancer (CRC) in inflammatory bowel disease (IBD) patients was reported to be higher than the general population. Some studies demonstrated no difference in the prevalence of lymph node metastasis between IBD‐associated and sporadic colorectal cancer. Stucchi et al. recommended lymph node dissection according to oncologic...
Article
Compared with conventional laparoscopic surgery, the natural orifice specimen extraction (NOSE) technique results in a shorter hospital stay, shorter time to first flatus, less postoperative pain, and total perioperative complications [1], including better cosmetic and psychological effect and lower rates of incisional hernia [2,3]. Moreover, the l...
Article
Obstetric anal sphincter injuries (OASIS) complicate up to 11% of vaginal deliveries. Major risk factors for obstetric anal sphincter injuries (OASIS) are episiotomy (OR, 1.74; 95% CI, 1.28–2.38) and instrumental deliveries. Anal sphincter defects which are often followed by incontinence, and undoubtedly cause a significant decrease in quality of l...
Article
Objective: To study the factors influencing the physicians' choice of treatment strategy in patients with acute perianal thrombosis. Material and methods: A survey was conducted among 124 Russian colorectal surgeons. Results: This survey showed that the choice of treatment strategy varies between private and state clinics. Conservative approac...
Article
Nowadays, surgical treatment for is the gold standard for pilonidal cyst. Despite many surgical options, the frequency of disease recurrence remains very high (up to 42%) in the group with median approach [1]. A recent meta-analysis and review of the literature demonstrates that the frequency of postoperative complications and recurrence are signif...
Article
Laparoscopic right hemicolectomy (RHCE) with extended D3 lymphadenectomy was reported to be an effective procedure for right-sided colon cancer (1,2,3). Natural orifice specimen extraction surgery (NOSES) is a progressively developing minimally invasive surgical technique that is associated with reduced incision-related morbidities such as pain,...
Article
Full-text available
Introduction. Nowadays there are no sufficient evidence based data for a scientifically approach to the treatment of hemorrhoids during pregnancy and after childbirth, as well as current data of the prevalence of hemorrhoidal thrombosis (HT) and possible risk factors. Material and methods. The study included pregnant women and puerperas who were ac...
Article
Total mesorectal excision (TME) is recognised as a gold standard for mid‐ and low rectal cancer treatment [1]. However, this procedure has always been challenging and thus has significantly evolved over the last few decades [2]. A recent study demonstrated that transanal TME (TaTME) may provide reduced positive circumferential resection margin (CRM...
Article
The treatment of right‐sided colon cancer has changed significantly over the last two decades. Several studies, including a meta‐analysis, have demonstrated the advantages of minimally invasive techniques, such as laparoscopic and robotic approaches, in terms of both short and long‐term outcomes(1). This article is protected by copyright. All right...
Article
Background Natural orifice specimen extraction (NOSE)surgery is gaining popularity among colorectal surgeons. The technical aspects of this new procedure are still debated and many variations have been presented in the last decade. Methods We propose a new variation of transanal NOSE after robotic and laparoscopic LAR consisting of rectal eversion...
Article
Over the last ten years many minimally invasive surgical techniques have been proposed in colorectal surgery. Several attempts have been described in order to optimize outcomes after laparoscopic and robotic approaches. Natural orifice specimen extraction surgery (NOSES) has been met with great interest among laparoscopic colorectal surgeons since...
Article
Laparoscopic approach for a presacral cyst represents a minimally invasive technique which allows patients to return to normal in a short time. Transvaginal extraction of the specimen reduces wound infection risk and improves patient satisfaction. Since pre‐sacral cysts are rare, this video vignette could be useful to a colorectal surgeon who decid...
Article
Pneumoperitoneum was established by Veress needle approach and the Da Vinci Si Robotic System was installed with its arms settled in position. The first step was to identify the right common iliac artery and to start the D3 lymph nodes dissection along the aorta. Then we performed an isolation of the inferior mesenteric artery and its branches. Fir...
Article
Aim: to compare short- and long-term results of primary midline closure and gluteus maximus fascia flap plasty after pilonidal sinus excision. Method: retrospective analysis included consecutive patients who had primary and recurrent pilonidal sinus excised. Patients with gluteus maximus fascia flap plasty formed 1st group, patients with primary mi...
Article
One of the factors affecting the effectiveness of treatment and determining the prognosis of a patient with colorectal cancer may be inflammatory status both before and after surgical treatment. The review is devoted to the description of possible mechanisms of relationa between patient's inflammatory status and oncogenesis. Particular attention is...
Conference Paper
Full-text available
Objective: To better understanding the complex 3D surgical anatomy we propose the following model of three surgical planes for performing laparoscopic right hemicolectomy (LapRHCE) with D3 lymph node dissection (LND). Methods: 1. Duodenum anterior surface (DAS) plane is oriented frontally, passes along the surface of the parietal fascia (Gerota's f...
Article
Surgical treatment and subsequent management of women of reproductive age with endometriosis of extragenital localization involving intestine, whose frequency is up to 37%, currently do not have a detailed and clearly described protocol, which may be caused by the complexity of diagnosis at the preoperative stage. In most cases, extragenital locali...
Article
Aim To describe the technique of a modified extraperitoneal retrotransversalis end colostomy as part of a laparoscopic abdomino‐perineal resection (APR). Method The colostomy site is preoperatively chosen and intraoperatively used for a trocar. After the rectum has been mobilized the descending colon is freed. The peritoneal margin is gently grasp...
Article
Aim of investigation. To estimate short-term results of ileal pouch anastomosis after urgent colon surgery at complicated ulcerative colitis. Material and methods. Two peer groups including 26 patients each after multi-stage surgical treatment were analyzed. In the first group of patients ileal pouch was created in less than 12 month after primary...
Article
Aim: To evaluate the results of selective approach for splenic flexure mobilization (SFM) after total mesorectal excision with low colorectal anastomoses. Material and methods: Clinical data were obtained from the multicenter RCT database comparing ileostomy and colostomy in patients with rectal cancer who underwent total mesorectal excision fro...
Article
Full-text available
Aim. To compare oncologic efficiency of intersphincteric resections and extralevator abdominoperineal excisions in surgical treatment of low rectal cancer. Methods. Between 2006 and 2015 in Department of colorectal and pelvic floor surgery (Russian scientific center of surgery n.a. acad. B.V. Petrovsky) and in Clinic of Colorectal and Minimally inv...
Conference Paper
Full-text available
Introduction : The treatment of colorectal cancer in elderly patient is a real challenge due to high comorbidity and dramatically reduced recovery potential. There is a wide spread prejudice that elective surgery is contraindicated to patients over 75 or 80 because of expected high morbidity and mortality and low life expectancy. We present a singl...
Conference Paper
Full-text available
Background/Purpose: The reports from Eastern countries suggest that complete mesocolic excision (CME) with D3 lymph node dissection (LND) is the most effective for right colon cancer. However penetration of CME with D3 LND in the West is limited possibly due to more complex anatomy of western patients. Moreover published experience of CME and D3 LN...
Conference Paper
Full-text available
Background/Purpose: In Western countries right colon cancer operation is traditionally considered relatively easy because the standard approach is to perform limited lymph node dissection. At the same time in Eastern countries the concept of D3 lymph node dissection (LND) that can be equally completed open and laparoscopically is widely spread. The...
Article
Full-text available
Aim: To assess safety of rectum removal with distal sacral resection. Material and methods: The short-term results of surgical treatment of primary and recurrent locally advanced rectal and anal cancer with sacral fixation have been analyzed. 32 patients underwent combined operations with sacral resection at the level of S2-S5. In 12 patients on...
Article
Background: Numerous molecular markers have been investigated to predict tumor response after preoperative chemoradiotherapy for rectal cancer. Objective: This study aimed to evaluate the predictive value of biomarkers for the prediction of tumor response after preoperative chemoradiotherapy. Design & setting: Tumor specimens have been collect...
Article
Full-text available
Aim of investigation. To evaluate morphological characteristics of the resected specimen after open and laparoscopic surgery with D3-lymphadenectomy for left-sided colon cancer. Material and methods. The investigation was designed as retrospective-prospective comparative case-match study. From archival cases and prospectively collected database cas...
Article
Full-text available
The described observation is demonstration of sphincter-preserving resection of rectum with distal sacrumectomy under locally widespread cancer of rectum with isolated involvement of distal portion of sacrum and absence of data proving affection of sphincter.
Article
Full-text available
Aim of review. To justify and present the protocol of the prospective, multicenter randomized clinical trial for evaluation of the choice of preventive intestinal stoma formation method after rectectomy. Summary. Modern surgery for the rectal cancer is featured by preferential sphincter-preserving operations. It is established that colorectal anast...
Article
Full-text available
Aim of investigation. To develop standardized tech- nique of sacrectomy at locally advanced rectal can- cer. To describe the surgical maneuvers allowing to decrease the degree of blood loss, duration of proce- dure and degree of surgical injury. To develop method for sacrectomy border location for the correct intraop- erative navigation. Results. T...
Article
Aim of investigation. To estimate results of three- stage treatment approach in severe ulcerative colitis aimed for resection of affected colon and restoration of intestinal continuity. Material and methods. Overall 22 patients were treated according to the three-stage mode, of them 20 were operated urgently due to development of acute complication...
Conference Paper
Full-text available
Aim: Locally advanced primary and recurrent rectal cancer is usually considered inoperable, there is a number of reports that demonstrate successful sacral resections in these patients. The aim of our study was to demonstrate the feasibility of standar- dised sacral resection technique in a single centre. Method: Transabdominally the rectum is diss...
Article
Full-text available
It was performed a comparative analysis of parameters of early postoperative period in 318 patients with middle- and lower-ampullar cancer of rectum who underwent total mesorectumectomy and "blind" preparation of rectum. All patients were divided into 2 groups. The main group included 202 patients after total mesorectumectomy. The control group inc...
Article
Full-text available
Unlabelled: The aim of the study was to compare the effectiveness of D3-lymphadenectomy in compliance with «no-touch» principle and mesocolectomy with traditional hemicolectomy in patients with right-sided colon cancer. Material and methods: It is retrospective-prospective comparative case-match study. From prospectively collected database patie...
Article
Full-text available
It was performed a comparative analysis of parameters of early postoperative period in 318 patients with middle- and lowerampullar cancer of rectum who underwent total mesorectumectomy and «blind» preparation of rectum. All patients were divided into 2 groups. The main group included 202 patients after total mesorectumectomy. The control group incl...
Article
Full-text available
Aim of investigation. To estimate efficacy of D3-lymph node dissection with mesocolic excision in comparison to standard surgical technique of right hemicolectomy for right colon cancer in long-term terms. Methods. Comparative analysis of the long-term results of treatment of right colon cancer at I–III stages with D2- and D3-lymph node dissections...
Article
43 patients with sigmoid cancer stage I-III were operated on. The mean operative time was 206.2±73.0 min, considering the sceletonization of the lower mesenteric artery together with the paraaortic lymphadenectomy took 28±9 min. The long-term follow-up was performed in all the patients. The median follow-up time was 39.35±13.1 months. 4 patients ha...
Article
Unlabelled: The aim of current study was to evaluate in complex the effectiveness of transvaginal mesh implants in women with obstructed defecation (OD) syndrome based on the comparison of preoperative and postoperative results of objective diagnostic tools and quality of life parameters. Methods: from prospectively collected database of patient...
Article
The progress in colorectal cancer treatment of IV stage that was shown in last decades was mainly due to modern chemotherapy schemes and aggressive surgical approach towards distant metastatic lesions. Meanwhile less attention is paid to primary tumour treatment - the questions of necessity and volume of its resection are still open. The AIM of thi...
Article
Publications of the last few years indicate a steady rise of colorectal cancer in the world. Colorectal cancer is on the second place in the structure of oncological mortality in developed countries, including Russia. The majority of colorectal cancer deaths (up to 50%) occur in elderly. The octogenarians are more likely to have comorbidities and a...
Article
Technique of the extralevator abdomenoperineal rectum extirpation with the use of the combined abdomenotranssacral access is thoroughly described in the article. The radicality of the procedure and the immediate results has been evaluated in 27 patients with the lower ampullary rectum and anal canal cancer. The average blood loss was 625±288 (300-3...
Article
The surgical management of colorectal metastasis is becoming a widespread practice in oncology. Synchronous resection of metastasis together with invaded major vessels (aorta) is still considered an extremely aggressive procedure. We demonstrate that en bloc resection of invaded aorta and paraaortic lymph node metastasis can be safely performed. Th...

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