Development of local infiltration anesthesia by Kazan obstetricians and gynecologists (dedicated to the 125th anniversary of the birth of professor P.V. Manenkov)

Abstract

The purpose of the article is to highlight the achievements of Kazan obstetricians and gynecologists in replacing general anesthesia with local infiltration anesthesia during obstetric and gynecological surgeries. In the period before the formation of anesthesiology and resuscitation into a separate branch of medicine with its equipment and medicines, local infiltration anesthesia with a tight creeping infiltrate, according to A.V. Vishnevsky, occupied a dominant position in surgery in the first half of the 20th century. In 1925 in Kazan, a student of Professor V.S. Gruzdev, Professor A.I. Timofeev, began to introduce it into the obstetric clinic and developed the technique of this type of anesthesia for gynecological abdominal surgeries. His work was continued by his colleagues, among whom was Professor P.V. Manenkov. He and the staff of the Department and Clinic of Obstetrics and Gynecology of the Kazan State Medical Institute performed more than 5,000 operations in obstetrics and gynecology, refined the technique of local anesthesia, improved technical equipment, expanded the range of indications for surgery under this type of anesthesia. Many years of clinical and laboratory developments, widely covered in the press, made it possible to perform up to 97% of operations in obstetrics and gynecology clinics in Kazan under local infiltration anesthesia.