Individualized treatment for chronic hemorrhoids
Journal Title: Хірургія України - Year 2018, Vol 0, Issue 3
Abstract
The aim — to improve the surgical treatment results in patients with chronic hemorrhoids with individual approach. Materials and methods. The study included 385 patients divided into three groups. In the main group (n = 153), an individual approach was used: in case of hemorrhoidal nodes grade I/II and grade III/IV in the same patient, grade III/IV hemorrhoidal nodes were resected followed by oblige dearterialization with possible mucopexy of grade I/II hemorrhoidal nodes. All interventions were accompanied by a systematic approach. In the control group I in 110 patients the Milligan — Morgan hemorrhoidectomy were performed in the presence of at least one grade III/IV hemorrhoid node. In the 2nd control group — 122 patients performed hemorrhoidectomy only for hemorrhoid node grade III/IV. Results and discussion. Sustainable results were achieved with an individual approach. At the same time, the wound healing period and the pain syndrome were reduced in comparison with the Milligan — Morgan hemorrhoidectomy ones. Conclusions. The individualized treatment for hemorrhoids allowed to reduce the healing term of postoperative wounds by 30 %, to reduce the intensity of pain syndrome by 3 points, while maintaining the intervention radicality.
Authors and Affiliations
V. S. Andriyets, V. I. Smovzhenko, S. O. Symonenko, I. V. Khmelyar, I. P. Lukyancuk, I. S. Unguryan, V. V. Ignatyuk, Yu. V. Andriets
Keywords
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- EP ID EP416306
- DOI 10.30978/SU2018-3-88
- Views 109
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