Application of modern surgical technologies for treatment of combined anal Canal and rectal pathology

Authors

  • V. V. Balytskyy M. Pyrohov Vinnytsia National Medical University, Khmelnytskyi Regional Hospital
  • M. P. Zakharash О. Bohomolets National Medical University, Kyiv
  • O. G. Kuryk State Scientific Institution “Scientific-Practical Centre of Preventive and Clinical Medicine”, State Administration of Affairs, Kyiv

DOI:

https://doi.org/10.11603/2414-4533.2019.4.10707

Keywords:

combined pathology, anal canal, rectum, high-frequency electrosurgery, radio- wave surgery

Abstract

The aim of the work: comparative assessment of effectiveness of using high-frequency electrosurgery devices “ERBE ICC 200”, “EFA”, “KLS Martin” and radio-wave surgery device “Surgitron” for treatment of patients with combined anal canal and rectal pathology.

Materials and Methods. The treatment results of 586 patients with combined pathology of anal canal and rectum have been analyzed. Using radio-wave surgery device “Surgitron” 245 (41.8 %) patients were operated, 169 (28.8 %) patients – high-frequency electrosurgery device “ERBE ICC 200”, 114 (19.4 %) patients – high-frequency electrosurgery device “EFA”, 58 patients (9.9 %) – high-frequency electrosurgery device “KLS Martin”.

Results and Discussion. During using radio-wave surgery device “Surgitron” the operation duration was on average (15±5) min, using high-frequency electrosurgery devices “ERBE ICC 200” – (20±5) min, “EFA” – (25±5) min, “KLS Martin” – (15±5) min. Volume of bleeding in research group with using radio-wave surgery device “Surgitron” averaged (20±10) ml, in cases of using high-frequency electrosurgery devices “ERBE ICC 200” – (15±5) ml, “EFA” – (20±5) ml, “KLS Martin” – (20±10) ml. In the postoperative period in research groups with using radio-wave surgery device “Surgitron” and using high-frequency electrosurgery devices “ERBE ICC 200” and “KLS Martin” patients needed for pain relief only (2±1) ml narcotic drugs. Only in case of using high-frequency electrosurgery device “EFA” need of narcotic drugs for pain relief was (3±1) ml. Inpatient period in research group with using radio-wave surgery device “Surgitron” and high-frequency electrosurgery device “KLS Martin” was (4±1) days, in case of using high-frequency electrosurgery device “ERBE ICC 200” it was (5±1) days, using high-frequency electrosurgery device “EFA” – (6±1) days.

References

Foxx-Orenstein, A.E., Umar, S.B., & Crowell, M.D. (2014). Common anorectal disorders. Gastroenterology and Hepatology, 10 (5), 294-301.

Borota, A.V., Kuhto, A.P., Bazijan-Kuhto, N.K., & Borota, A.A. (2018). Sravnitelnyy analiz hirurgicheskogo lecheniya sochetannoy neopuholevoy patologii analnogo kanala i pryamoy kishki [Comparative analysis of surgical treatment of combined non-tumor anal canal and rectal pathology]. Novoobrazovanie – Neoplasm, 10 (1), 18-21 [in Russian].

Rafibekov, E.D., Subanov, A.A., & Aisaev, A.A. (2011). HAL-RAR pri lechenii gemorroya 3-4 stadii v sochetanii s soputstvuyushchey analnoy patologiey [ HAL-RAR in the treatment of hemorrhoids 3-4 stages in combination with concomitant anal pathology]. Proceedinds of the 2nd Congress of Coloproctologists of the CIS Countries, the III Congress of Coloproctologists of Ukraine with the Participation of the Countries of Central and Eastern Europe. Odessa, May 18-20 (pp. 504-505). Kyiv: Publish centre Image of Ukraine [in Russian].

Belotskaya, L.V., & Chistokhin, S.Yu. (2016). Gibridnye operatsii pri khronicheskom gemorroe [Hybrid surgery for chronic haemorrhoids]. Proceedings of the All-Russian Congress of Coloproctologists with International Participation. Astrakhan, August 25-27. 2016. (pp. 14-15). Koloproktologiya – Coloproctology, 2 (56) [in Russian].

Hospodarskyi, A.Ia., Buratynskyi, R.V., & Drevnitskyi, R.S. (2016). Khirurhichne likuvannia hemoroiu 3-4 stadii u poiednanni z khronichnoiu analnoiu trishchynoiu [Surgical treatment of 3-4 stages of hemorrhoids combined with chronic anal fissure]. Proceedings of IV congress of coloproctologists of Ukraine. Kyiv, October 26-28. 2016. Klinichna khirurhiia – Clinical Surgery, 10.3 (893) [in Ukrainian].

Pyrohovskyi, V.Iu., Sorokin, B.V., Feleshtynskyi, Ia.P., Zadorozhnyi, S.P., Taranenko, A.O., Zlobenets, S.O., … Noies, A.Y. (2016). Dosvid vykorystannia THD v kombinatsii z vysichenniam analnoi trishchyny [Experience of using THD in combination with excision of the anal fissure]. Proceedings of IV congress of coloproctologists of Ukraine. Kyiv, October 26-28. 2016. (p.90) Klinichna khirurhiia – Clinical Surgery, 10.3 (893) [in Ukrainian].

Kuzminov, A.M, & Borisov, I.F. (2009). Gemorroidektomiya s primeneniem vysokikh energiy [Haemorrhoidectomy with application of high energies]. Koloproctologiya –Coloproctology, 3 (29), 46-51 [in Russian].

Danilov, M.A., Atroshhenko, A.O., & Hatkov, I.E. (2016). Preimushchestva ispolzovaniya HARMONIС FOСUS pri vypolnenii otkrytoy gemorroidektomii [Advantages of using HARMONIС FOСUS during performing open haemorrhoidectomy]. Proceedings of the All-Russian Congress of Coloproctologists with International Participation. Astrakhan, August 25-27. 2016. (p. 24). Koloproktologiya – Coloproctology, 2 (56) [in Russian].

Muhin, I.A., Kuzminov, A.M., Fomenko, O.Yu., Korolik, V. Yu., Minbaev, Sh.T., & Vyshegorodtsev, D.V. (2017). Otsenka rezultatov gemorroidektomii ultrazvukovym skalpelem [Evaluation of haemorrhoidectomy results using ultrasonic scalpel]. Proceedings of the All-Russian Scientific and Practical Conference with International Participation. Voronezh, October 26-28. 2017. (p. 35-36). Koloproktologiya – Coloproctology, 3 (61) [in Russian].

Tyan, L.V., Tsoy, O.G., Kaukeev, A.S., Ramazanova, L.R., & Suleymenov, A.S. (2017). Modifitsirovannaya gemorroidektomiya ultrazvukovym skalpelem v ambulatornyh usloviyakh [Modified haemorrhoidectomy by ultrasonic scalpel on an outpatient conditions]. Proceedings of the All-Russian Scientific and Practical Conference with International Participation. Voronezh, October 26-28 (p.40). Koloproktologiya – Coloproctology, 3 (61) [in Russian].

Solovyov, O.L., & Solovyov, A.O. (2011). Sovremennaya fizioterapiya v lechenii gemorroya, analnykh treshchin i pararektalnykh svishhey [Modern physiotherapy for treatment of haemorrhoids, anal fissures and perianal fistulas]. Koloproktologiya – Coloproctology, 2 (36), 47-50 [in Russian].

Brodovskyi, S.P., Tarabanchuk, V.V., & Badovska, Ia.V. (2016). Maloinvazyvni tekhnolohii v khirurhii analnykh trishchyn [Minimal invasive technologies in anal fissure surgery]. Materials of IV Congress of Coloproctologists of Ukraine . Kyiv, October 26-28. (pp. 83-84). Klinichna khirurhiia – Clinical Surgery, 10.3 [in Ukrainian].

Radu, V., Radu, S., Vasilescu, D.S., Mustatea, P., & Constantinoiu, S. (2015). Surgical treatment with radiofrequencies for outpatients with surgical benign ano-perianal diseases. Chirurgia, 3 (110), 244-253.

Vivaldi, C., & Shaefer, H. (2016). Radiofrequency ablation of haemorrhoids: first results of a new technique. Colorectal Disease, 18 (1), 124.

Downloads

Published

2020-01-10

How to Cite

Balytskyy, V. V., Zakharash, M. P., & Kuryk, O. G. (2020). Application of modern surgical technologies for treatment of combined anal Canal and rectal pathology. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (4), 30–36. https://doi.org/10.11603/2414-4533.2019.4.10707

Issue

No. 4 (2019)

Section

ORIGINAL INVESTIGATIONS

License

Authors who publish their work in Hospital Surgery. Journal by L. Ya. Kovalchuk agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.  
  2. Лицензия Creative Commons
  3. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  4. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)