Improvement of Surgical Treatment of Chronic Hemorroy
DOI:
https://doi.org/10.31149/ijimm.v4i3.2787Keywords:
Chronic Hemorrhoids, Hemorrhoidectomy, Lateral Ultrasound DissectionAbstract
The dissertation research is based on a comparative analysis of the results of providing specialized surgical care to 161 hemorrhoids patients. Hemorrhoidectomy with lateral ultrasound dissection in a cutting pattern is accompanied by significantly less pronounced disorders in the contractile activity of the rectal obturator apparatus compared to the electrochemical dissection of hemorrhoidal nodes. Changes in the average indicators of intraanal resting pressure and voluntary contraction of the sphincter after its execution did not reach statistical significance. At the same time, after Milligan-Morgan's operation using electrocoagulation, a decrease in the mean intraanal pressure of the voluntary contraction of the sphincter was noted by more than 33% of the initial value (p<0.05). Hemorrhoidectomy with lateral ultrasound dissection in a cutting pattern is characterized by a low frequency of complications compared to Milligan-Morgan surgery performed using electrocoagulation (4.5% and 19.4%, p<0.05), less pronounced pain syndrome, which significantly improves the course of the early postoperative period and ensures a reduction in the rehabilitation period of patients.
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