TRANSANAL HEMORRHOIDAL DEARTERIALIZATION WITH LASER ABLATION EXTERNAL HEMORRHOIDS ASA LOW-IMPACT METHODS OF SOLUTION OF COMBINED HEMORROIDS IN THE OUTPATIENT SETTING
DOI:
https://doi.org/10.11603/2414-4533.2016.2.6423Abstract
The presence combined with enlarged hemorrhoids external hemorrhoids limits the performance of minimally invasive
techniques, most focused on internal hemorrhoids. The open hemorrhoidectomy does not satisfy the duration with postoperative
rehabilitation. Ultrasound reсtodopleromety made possible to fi nd the most controlled and effi cient surgical solutions in the
treatment of internal hemorrhoids II-III stages. Laser vaporization external hemorrhoids proves effectiveness in the combined
treatment of hemorrhoids. In our study, we combined two aforementioned surgical techniques for the treatment of chronic
combined hemorrhoids. We analyzed the results of treatment of 52 patients with chronic combined hemorrhoids in 2-3 stages.
All patients left the hospital in the fi rst days after surgery. Smaller duration of the operation, minimal postoperative pain
reaction, a rapid return to normal life, permit to recommend a combination of hemorrhoids dearterialization
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