Algorithms of surgical treatment of combined anorectal pathology using modern technologies
DOI:
https://doi.org/10.11603/2414-4533.2022.1.12921Keywords:
surgical treatment, combined anorectal pathology, modern radio-wave and high-frequency electrosurgical technologiesAbstract
The aim of the work: development of algorithms of surgical treatment of various variants of the combined pathology of the anal canal and rectum using modern high-frequency electrosurgery and radio-wave surgery devices.
Materials and Methods. The results of surgical treatment of 441 patients with the most frequent variants of combined anorectal pathology using modern radiosurgical and high-frequency electrosurgical technologies are analyzed. Among them, 146 (33.1 %) patients were operated with the help of the “Surgitron” radiosurgery device, 73 (16.5 %) patients – with “ERBE ICC 200” high-frequency electrosurgery device, 104 (23.6 %) patients with “EFA” high-frequency electrosurgery and high-frequency electrosurgery device “KLS Martin” – 118 (26.7 %) patients.
Results and Discussion. When using “Surgitron” radio-wave surgery device the suppuration of the postoperative wound was detected in 0.7 % of cases, with using of high-frequency electrosurgery devices “ERBE ICC 200” – 1.3 %, “EFA” – 1.9 %, “KLS Martin” – 0.8 %. Postoperative bleeding in case of using of radio-wave surgery device “Surgitron” was found with a frequency of 0.7 %, with using of high-frequency electrosurgery devices “ERBE ICC 200” – 1.3 %, “EFA” – 1.9 %, “KLS Martin” – 0.8 %. The formation of scar strictures of the anal canal was not diagnosed in any of the study groups. Relapses of anorectal pathology when using the “Surgitron” radio-wave surgery were absent, with using of high-frequency electrosurgery devices “ERBE ICC 200” they were only 1.3 %, “EFA” – 0.9 %, “KLS Martin” – 0.8 % .
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