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
Related Articles
- EP ID EP416306
- DOI 10.30978/SU2018-3-88
- Views 133
- Downloads 0
Surgical treatment of Gottron’s carcinoide papillomatosis of the skin. Case study
The current case study has reported a successful surgical treatment of a 50‑years‑old female patient with Gottron’s carcinoid papillomatosis of the skin. The patient was hospitalized to the center of thermal trauma and p...
TNM classification of colorectal cancer, 8th edition (2017): clinical application
The article presents the 8th edition of the TNM classification of colorectal cancer (UICC, AJCC, 2017), which introduces changes to T, N, and M categories reflecting contemporary clinical (cTNM) and pathological (pTNM) p...
Endovenous electric welding in the comprehensive surgical treatment of acute ascending thrombophlebitis of great saphenous vein. First experience
The aim — to study the possibilities of endovenous electric welding during the comprehensive surgical treatment of acute ascending thrombophlebitis (AAT) of great saphenous vein (GSV). Materials and methods. The treatme...
Freeze-dried collagen implant for the surgical treatment of trans-sphincteric anal fistula
The aim — to improve the surgical treatment results of transsphincteric anal fistulas with freezedried collagen implant. Materials and methods. 88 patients with transsphincteric fistulas of rectum were operated in th...
Fluorescence cholangiography for the evaluation of extrahepatic bile ducts patency. The first experience
The aim — to study the possibility of fluorescent cholangiography application to assess extrahepatic bile ducts patency. Materials and methods. The results of the fluorescent cholangiography for evaluation of extrahepati...