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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">ymj</journal-id><journal-title-group><journal-title xml:lang="ru">Якутский медицинский журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Yakut Medical Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1813-1905</issn><issn pub-type="epub">2312-1017</issn><publisher><publisher-name>ЯНЦ КМП</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.25789/YMJ.2026.93.11</article-id><article-id custom-type="elpub" pub-id-type="custom">ymj-3192</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>МЕТОДЫ ДИАГНОСТИКИ И ЛЕЧЕНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>METHODS OF DIAGNOSIS AND TREATMENT</subject></subj-group></article-categories><title-group><article-title>Современные аспекты управления болевым синдромом в малой колопроктологии</article-title><trans-title-group xml:lang="en"><trans-title>Modern aspects of pain management in “minor coloproctology”</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2293-136X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ильканич</surname><given-names>А. Я.</given-names></name><name name-style="western" xml:lang="en"><surname>Ilkanich</surname><given-names>A. Ya.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ильканич Андрей Яношевич ‒ д-р мед.наук, проф., проф. кафедры хирургических болезней, пр. Ленина, д. 1, г. Сургут, 628412;</p><p>зав. отделением колопроктологии, ул. Энергетиков, д. 24, корп. 2, г. Сургут, 628408</p></bio><email xlink:type="simple">ailkanich@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0895-2079</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мальков</surname><given-names>О. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Malkov</surname><given-names>O. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Мальков Олег Алексеевич ‒ д-р мед.наук, проф. кафедры кардиологии,</p><p>пр. Ленина, д. 1, г. Сургут, 628412</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0000-0338-7966</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бодениязов</surname><given-names>М. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Bodeniyazov</surname><given-names>M. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Бодениязов Мурзадин Саидович ‒ аспирант кафедры хирургических болезней, пр. Ленина, д. 1, г. Сургут, 628412,</p><p>врач анестезиологреаниматолог, ул. Энергетиков, д. 24, корп. 2, г. Сургут, 628408</p><p> </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0001-5477-8657</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Зубаилов</surname><given-names>К. З.</given-names></name><name name-style="western" xml:lang="en"><surname>Zubailov</surname><given-names>K. Z.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Зубаилов Казимагомед Зубаилович ‒ врач-колопроктолог,</p><p>ул. Энергетиков, д. 24, корп. 2, г. Сургут, 628408</p></bio><email xlink:type="simple">zkazim@mail.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0000-4137-0671</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Панфилов</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Panfilov</surname><given-names>S. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Панфилов Сергей Викторович ‒ зав. отделением анестезиологии и реаниматологии, ул. Энергетиков, д. 24, корп. 2, г. Сургут, 628408;</p><p>пр. Ленина, д. 1, г. Сургут, 628412</p><p> </p></bio><xref ref-type="aff" rid="aff-4"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">БУ ВО Ханты-Мансийского автономного округа - Югры «Сургутский государственный университет»;&#13;
БУЗ Ханты-Мансийского автономного округа - Югры «Сургутская окружная клиническая больница»<country>Россия</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">БУ ВО Ханты-Мансийского автономного округа - Югры «Сургутский государственный университет»<country>Россия</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru">БУЗ Ханты-Мансийского автономного округа - Югры «Сургутская окружная клиническая больница»<country>Россия</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru">БУЗ Ханты-Мансийского автономного округа - Югры «Сургутская окружная клиническая больница»;&#13;
БУ ВО Ханты-Мансийского автономного округа - Югры «Сургутский государственный университет»<country>Россия</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>28</day><month>03</month><year>2026</year></pub-date><volume>0</volume><issue>1</issue><fpage>53</fpage><lpage>57</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Ильканич А.Я., Мальков О.А., Бодениязов М.С., Зубаилов К.З., Панфилов С.В., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Ильканич А.Я., Мальков О.А., Бодениязов М.С., Зубаилов К.З., Панфилов С.В.</copyright-holder><copyright-holder xml:lang="en">Ilkanich A.Y., Malkov O.A., Bodeniyazov M.S., Zubailov K.Z., Panfilov S.V.</copyright-holder><license 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://ymj.elpub.ru/jour/article/view/3192">https://ymj.elpub.ru/jour/article/view/3192</self-uri><abstract><p>Проведено изучение современных подходов в управлении болевым синдромом в малой колопроктологии. Проведен систематический обзор литературы за последние 8 лет по базам PubMed, eLibrary и Google Академия с включением обзоров, мета-анализов и когортных исследований на русском и английском языках. Современная тактика ведения пациентов в малой колопроктологии основана на персонализированном анестезиологическом обеспечении ‒ от выбора регионарных техник до мультимодальной превентивной анальгезии и немедикаментозных методов. Междисциплинарная интеграция инновационных хирургических технологий и современных стратегий управления болью способствует улучшению клинических результатов и качества жизни пациентов в периоперационном периоде.</p></abstract><trans-abstract xml:lang="en"><p>The study of current approaches to pain management in minor coloproctology has been conducted. A systematic review of the literature over the past 8 years was conducted using PubMed, eLibrary, and Google Scholar databases, including reviews, meta-analyses, and cohort studies in Russian and English. Current patient management tactics in minor coloproctology are based on personalized anesthetic care—from the choice of regional techniques to multimodal preventive analgesia and non-drug methods. Interdisciplinary integration of innovative surgical technologies and modern pain management strategies helps improve clinical outcomes and patient quality of life in the perioperative period.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>боль</kwd><kwd>перианальная область</kwd><kwd>геморроидэктомия</kwd><kwd>обезболивание</kwd><kwd>спинальная анестезия</kwd><kwd>эпидуральная анестезия</kwd><kwd>пудентальный нерв</kwd><kwd>параректальная анальгезия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>pain</kwd><kwd>perianal area</kwd><kwd>hemorrhoidectomy</kwd><kwd>anesthesia</kwd><kwd>spinal anesthesia</kwd><kwd>epidural anesthesia</kwd><kwd>pudental nerve</kwd><kwd>pararectal analgesia</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">Khalil H., Shajrawi A., Al-Smadi A.M. et al. 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