Beresnev plasma scalpel in the treatment of phantom pain syndrome

Objective. Historical and scientific analysis of Beresnev plasma scalpel, its role in formation of plasma surgery in the USSR and Russia; to study the patent No. SU1551370A1 (1990) for a method of treating sciatic nerve stump neuroma as a key example of clinical use of technology. Material and methods. The study is aimed at restoring the historical context, identifying the contribution of Beresnev A.S. and Smolensk doctors in development of innovative surgical methods, as well as assessing the rehabilitation potential of this technology in modern medicine. We analyzed archival materials, scientific publications, patents and data from open electronic sources, including biographical information about Beresnev A.S. Research methods include historical and descriptive analysis, comparative assessment of technological features of the tool and synthesis of available clinical data. Results. Although plasma scalpel is not currently widespread, historical experience indicates its high efficiency in neurosurgery and traumatology. Integration of plasma surgery principles with modern technologies (for example, robotic systems) could open up new perspectives in the treatment of neuropathic and phantom pain. Conclusion. Beresnev plasma scalpel is a vivid example of innovation at intersection of engineering and clinical medicine. Its introduction into clinical practice of Soviet healthcare in the 1980s made a breakthrough in surgery, especially in the treatment of complex pain syndromes. A 1990 patent secured this method as scientifically sound and clinically tested. Historical retrospective highlights the need to preserve and rethink Beresnev’s technological legacy for modern medical realities, especially in rehabilitation of patients with consequences of amputations.