The latest approaches in surgical treatment of combined diseases of anal canal and rectum
DOI:
https://doi.org/10.11603/2414-4533.2021.3.12542Keywords:
combined anorectal pathology, radio-wave surgery device, high-frequency electrosurgery device, surgical treatmentAbstract
The aim of the work: to make a comparative evaluation of the results of surgical treatment of patients with combined anorectal pathology using modern high-frequency electrosurgical and radiosurgical devices and also traditional techniques.
Materials and Methods. The results of surgical treatment of 112 patients of the control group with combined anorectal pathology who were operated with a conventional surgical scalpel and 689 patients with combined pathology of the anal canal and rectum using modern electro- and radiosurgical technologies were analyzed. Among them 245 (35.5.8 %) patients were operated by radio-wave surgery device “Surgitron”, 170 (24.7 %) patients with high-frequency electrosurgery device “ERBE ICC 200”, 114 (16.5 %) patients with high-frequency electrosurgery device “EFA”, 160 (23.2 %) patients with high-frequency electrosurgery device “KLS Martin”.
Results and Discussion. In case of using the radiowave surgery device “Surgitron” edema of the anodermal “bridges” occurred with a frequency of 0.8 %, when using high-frequency electrosurgery devices “ERBE ICC 200” – 1.1 %, “EFA” – 1.7 %, “KLS Martin” – 1.2 % and in the control group – 5.4 %. The formation of subcutaneous hematomas using radio-surgery device “Surgitron” was observed with a frequency of 0.8 %, using high-frequency electrosurgery devices “ERBE ICC 200” – 0.6%, “EFA” – 0.8 %, “KLS Martin” – 1.2 % and in the control group – 7.1 %. Occurrence of acute subcutaneous and submucosal paraproctitis when using the device of radio-wave surgery “Surgitron” was established in 0.4 % of cases, when using devices of high-frequency electrosurgery “ERBE ICC 200” – 0.6 %, “EFA” – 1.7 %, “KLS Martin” – 0.6 % and in the control group – 3.6 %. Postoperative bleeding using radiosurgery device “Surgitron” occurred with a frequency of 0.4 %, using high-frequency electrosurgery devices “ERBE ICC 200” – 0.6 %, “EFA” – 1.7 %, “KLS Martin” – 0.6 % and in the control group – 4.4 %. The formation of hypertrophied perianal skin tags in the first group using the radio-wave surgery device “Surgitron” was absent and when using high-frequency electrosurgery devices “ERBE ICC 200” was detected in 1.1 %, “EFA” – 1.7 %, KLS Martin” – 0.8 % and in the control group – 8 %. Recurrences of anorectal pathology when using the device of radiowave surgery “Surgitron” were absent, when using devices of high-frequency electrosurgery “ERBE ICC 200” they were only 0.6 %, “EFA” – 0.8 %, “KLS Martin” – 0.6 % and in the control group – 2.7 %. The formation of scar strictures of the anal canal was not diagnosed in any of the studied groups, while in the control group they were detected with a frequency of 1.8 %.
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