Comprehensive evaluation of the effectiveness of excision methods of hemorrhoidectomy
DOI:
https://doi.org/10.11603/2414-4533.2020.2.10776Keywords:
hemorrhoid disease, hemorrhoidectomy, high-frequency electrocoagulator, postoperative complicationsAbstract
The aim of the work: to increase the effectiveness of treatment of patients with chronic hemorrhoids III-IV degree by using high-frequency currents at excisional hemorrhoidectomy (HE).
Materials and Methods. The study is based on the results of a comprehensive examination and treatment of 180 patients with combined HD stage III-IV, who were hospitalized in the Surgical Department of the Ivano-Frankivsk Central City Clinical Hospital from 2012 to 2018. All patients underwent a three-quadrant excision of HE. Depending on the surgical treatment, all patients were divided into 3 groups. Group 1 of patients (n = 62) performed a classic closed HE. Group 2 of patients (n = 60) performed a HE on Milligan-Morgan monopolar ERBE ACC450 electrocoagulation unit. Group 3 of patients (n = 58) underwent the HE on a Milligan-Morgan bipolar EC-300-M1 high frequency electrocoagulator.
Results and Discussion. Therefore, HE using the high-frequency EC-300-M1 electrocoagulator has several advantages over standard open electrocoagulation HE and classical closed HE, namely: reduction of the time of surgery, reduction of duration and intensity of pain syndrome and need for analgesics, short term reducing the frequency of early and late postoperative complications, which in turn improves the quality of life of patients.
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