Currently, every day more and more cases of impaired functioning of the musculoskeletal system are diagnosed. There are many methods for treating pathologies, but their application does not always lead to positive dynamics. With the ineffectiveness of conservative methods, surgical treatment is indicated. The most modern and unparalleled is surgery according to the Ulzibat method. In medical language, surgery is called phased fibrotomy.
The essence of the method
The Ulzibat method is a surgical intervention in the course of which pathologically changed sections of muscle tissue are dissected using a special scalpel. The medical instrument is designed in such a way that there is no need to make an incision of the skin and other healthy tissues.
As a result, the pain stops after the operation, which occurs due to the removal of muscle contractures. In addition, no scars remain on the patient’s body. Sutures on the skin are not superimposed. This is due to the fact that the operation according to the Ulzibat method is carried out by means of small punctures.
The versatility and low invasiveness ensured the widespread use of this method in practice. According to numerous reviews, the Ulzibat method is an advanced technology, thanks to which a large number of patients have the opportunity to restore their health.
Indications
Currently, this surgical intervention is prescribed mainly to patients with cerebral palsy. The Ulzibat method helps to improve the course of a serious chronic disease.
According to statistics, in the world more than 15 million people suffering from cerebral palsy. Moreover, recovery measures are relatively effective only in the first years of life.
As a rule, pathology manifests itself in babies aged about 3 years. Over time, the intensity of the symptoms increases. Gradually, the formation of pathological foci in the joints occurs, then they turn into contractures. During diagnostic measures, dystrophy, fibrosis and areas of necrosis are detected.
The treatment of cerebral palsy by the Ulzibat method allows eliminating myofascial pain syndrome and organic muscle contractures. The effectiveness of the method is due to the fact that it involves selective surgical intervention. In other words, the doctor performs a metered effect on pathologically altered tissues. Due to this, the circulatory process improves in the operated muscles. A logical result is the restoration of normal tissue function and the relief of pathological impulses.
Thus, the main indications for surgery according to the Ulzibat method are:
- the presence of organic muscle contractures;
- myofascial pain syndrome;
- inefficiency of conservative therapy.
All of the above conditions are characteristic of cerebral palsy.
Contraindications
Like any other method of surgical intervention, the Ulzibat method has several limitations. The appropriateness of the appointment of an operation is evaluated by the attending physician based on the results of diagnostic measures.
The list of contraindications is very wide. It includes the following states:
- Congenital malformations.
- Chronic ailments, the course of which is in the stage of decompensation.
- Serious functional disorders of vital organs.
- Diseases of somatic and infectious nature, including those whose course is in the stage of convalescence.
- Pathologies that are accompanied by bleeding.
- Neuroinfectious diseases, the course of which has an acute and subacute form.
- Intolerance to medications used for anesthesia.
- Pathologies of a chronic nature in the acute stage.
- The presence of a history of severe allergic reactions.
- Violation of the integrity of the skin, inflammatory processes in the tissues.
- The period after the subsidence of seizures. For example, an operation can only be performed 1 year after the last epileptic seizure.
- The period after vaccination. It is 1 month.
According to medical reviews, it is advisable to carry out the operation according to the Ulzibat method at an early stage of the formation of organic muscle contractures.
Surgery: Algorithm
Before carrying out therapeutic measures, the patient must consult a doctor and provide the results of laboratory and instrumental studies. The specialist must make sure that there are no contraindications to the operation.
On the appointed day, the patient must come to the medical facility. Immediately before surgery, strict preparation rules are not required. It is enough not to eat food for 8 hours. In addition, it is necessary in advance to provide the doctor with information regarding taking medication.
The algorithm for surgical treatment with the Ulzibat method looks like this:
- An anesthetist puts the patient in a state of anesthesia.
- The surgeon treats the patient's skin with antiseptic agents.
- With the help of a special scalpel, the doctor makes several punctures in his tissues.
- The surgeon gradually dissects the muscles in the area of their attachment to the bone structures. It is important to understand that the effect is only on fibrous fibers.
- The puncture sites are treated with antiseptic agents. Suturing is not required, just cover the small wounds with plasters.
One treatment is not enough for treatment. The course includes several interventions. On average, they are required 2. At the same time, about 15 microoperations are performed during each intervention.
Recovery period
The success of treatment also depends on properly organized rehabilitation. After the operation, even the slightest probability of the following conditions should be excluded:
- high-intensity physical activity;
- mental stress;
- physical inactivity;
- repeated microtrauma due to wearing tight shoes and / or clothes;
- cooling;
- injuries
- overheating.
Nutrition during the recovery period should be balanced. Particular attention must be paid to physical therapy. All activities should be aimed at the formation of new motor skills. In addition, gymnastics helps to coordinate the work of muscle tissue and increase its degree of resistance to physical activity.
Operation benefits
Currently, there are several ways to treat patients with myofascial pain syndrome and organic muscle contractures. The Ulzibat method is one of them and it has no analogues.
Phased fibrotomy is characterized by:
- Low invasiveness. The skin incision is carried out only in the proposed scar area, in contrast to the classical methods, which involve dissection of tissues. In addition, bone structures and tendons are not affected during surgery. Immediately after the operation, there is no need to apply a plaster cast. Wound care does not require any medical knowledge or skills from patients.
- Universality. Surgical intervention can be performed on all muscles located superficially. Recently, the method has been used for the treatment of other pathologies of the musculoskeletal system, the course of which is characterized by similar changes in muscle tissue.
- The absence of contraindications associated with early age. You can even operate on babies.
In the process of surgery, only a special scalpel is used. No need to purchase expensive equipment. Thanks to this, the intervention does not last long, and the patient is in anesthesia, usually no more than 2 hours.
What is important, during the recovery period, a person is in a home or other comfortable environment for him. In addition, prior hospitalization is not required. The patient spends in the clinic only a few hours.
results
According to the reviews of the operated, the Ulzibat method really improves the course of the disease. Judging by the statistics, more than 90% of patients have a stable recovery.
According to doctors, in cases of moderate lesions, restoration of functions occurs partially or completely. In severe cases, it is not customary to talk about full recovery.
Each parent must make informed decisions. It is important to understand that if a child has cerebral palsy, no surgeon has the right to give 100% guarantees. In each case, the risk remains that the operation will not help or even worsen the course of the existing disease. If the parents have serious doubts, it is recommended to pay attention to non-surgical methods of treatment. However, today the Ulzibat method has mostly positive reviews.
Where to go
The operation is carried out only in several clinics in Russia. It is important to be prepared for the fact that you have to leave for treatment in another region. Currently, doctors recommend traveling with cerebral palsy to Tula. The Ulzibat method is actively practiced in a clinic of the same name. It is an institute for clinical rehabilitology that has been helping patients since the end of the last century. The institution is located at: Maxim Gorky Street, 29b.
Cost
The average price of an operation is 35 thousand rubles. In addition, you must pay for a doctor's consultation. Its cost is on average from 1 to 2 thousand rubles. Residents of other regions need to consider the cost of travel or flight.
Reviews
Patients have been operated on by the Ulzibat method for more than two decades. According to medical reviews, surgery is well tolerated by most people. Moreover, more than 90% of patients have a stable recovery. Despite the fact that no surgeon will give a 100% guarantee, most operations end successfully.
Finally
The Ulzibat method is a modern method of treating pathologies, the course of which is accompanied by the formation of organic muscle contractures and myofascial pain syndrome. In particular, this method of surgical intervention is actively applied to patients with cerebral palsy. Currently, doctors recommend contacting the Institute of Clinical Rehabilitation “Ulzibat Method” located in Tula.