Surgical treatment of patients with hemorrhoids by using traditional and minimally invasive methods
Journal Title: Moldovan Medical Journal - Year 2017, Vol 60, Issue 3
Abstract
Background: Hemorrhoids are a common pathology of the ano-rectal region and their treatment remains relevant. New minimally invasive methods of surgical treatment of hemorrhoids have been developed recently. Transanal Doppler-Guided Hemorrhoidal Artery Ligation (DG-HAL) of internal hemorrhoids is an up-to-date minimally invasive surgical method of hemorrhoid treatment. In the Republic of Moldova, many patients seek medical help only in advanced stages with large prolapse. It is not always possible to resolve the problem with minimally invasive methods. In medical literature there is little elucidation of the simultaneous combination of the DG-HAL method with the excision of external hemorrhoidal nodes. In the Republic of Moldova this study is being carried out for the first time. The authors present the results of combined surgical treatment of patients with hemorrhoids. The combined method of surgical treatment of hemorrhoidal disease has been implemented in our country and the efficacy of the method for individual approach has been demonstrated. Material and methods: The results of the surgical treatment of 15 patients with the diagnosis of chronic hemorrhoids III-IV grade were evaluated. Patients were treated with the combined surgical method (DG-HAL with excision of hypertrophied external hemorrhoids and / or skin tags). Results: Postoperative pain after “visual analogue scale” ranged from 3 to 6. Postoperative hospitalization constituted from 1 to 6 days. The duration of the surgery during adoption of approach was 30-60 minutes, but in the years 2016-2017 it constitutes 25-40 minutes. Severe complications have not been detected. Conclusions: The individual approach by combined surgical treatment of patients with hemorrhoidal disease improves treatment outcomes.
Authors and Affiliations
Alin Bour, Vahtang Gugava
Keywords
Related Articles
- EP ID EP487896
- DOI 10.5281/zenodo.1051138
- Views 138
- Downloads 0
Supportive principles in the pharmacological management of the patients with epilepsy
Background: Pharmacological management of patients with epilepsy is still a very challenging approach for the best outcome of these patients. When considering the appropriate treatment choice for patients it is necessary...
Acupuncture, Moxibustion and Chinese herbs in prevention of nosocomial infection in patients with acute cerebrovascular accident
Background: Nosocomial infection is a current medical issue, particularly in patients with acute cerebrovascular accident. The present study purpose isto evaluate the effectiveness of acupuncture, Chinese herbs and moxib...
Anti-inflammatory activity of Adenoprosin in nonbacterial prostatitis
Background: The treatment of chronic nonbacterial prostatitis remains an unexplained urology problem. Adenoprosin is a new entomological product containing lipoprotein extract of Lepidopteran insect species. Laboratory s...
Management of Delphi study regarding the development of ongoing behavioral risk factor surveillance system in the Republic of Moldova
Background: Implementation of ongoing behavioral risk factor surveillance system (BRFSS) can improve prevention and control of noncommunicable diseases (NCDs) in the Republic of Moldova. Delphi study regarding the develo...
Evolution of the toxocariasis monoinvasion in comparison with the toxocariasis associated with other parasites in children
Background: Toxocariasis is a parasitic infection with a major risk to children, especially because of their incompletely developed immune system, high risk of infection or frequent re-infection, all correlated with livi...