Stapled hemorrhoidectomy when combined hemorrhoid grade iii–iv complicated with chronic anal fissure

Authors

  • S. I. Savoliuk P. Shupyk National Medical Academy of Postgraduate Education Clinic “Medicom” Kyiv City Clinical Hospital №8
  • I. M. Ignatov P. Shupyk National Medical Academy of Postgraduate Education Clinic “Medicom” Kyiv City Clinical Hospital №8
  • O. V. Shulyarenko P. Shupyk National Medical Academy of Postgraduate Education Clinic “Medicom” Kyiv City Clinical Hospital №8
  • V. V. Zuenko P. Shupyk National Medical Academy of Postgraduate Education Clinic “Medicom” Kyiv City Clinical Hospital №8
  • H. Hkiri P. Shupyk National Medical Academy of Postgraduate Education Clinic “Medicom” Kyiv City Clinical Hospital №8

DOI:

https://doi.org/10.11603/2414-4533.2017.2.7952

Keywords:

staple hemostaticectomy, hemorrhoids, chronic anal fissure.

Abstract

The aim of the work: to compare early results of stapler circular hemorrhoidectomy and hemorrhoidectomy according to Milligan- Morgan in chronic combined hemorrhoids III-IV stage complicated by chronic anal fissure.

Materials and Methods. All patients in the preoperative period underwent clinical and biochemical studies of blood and urine, ultra­sound examination of the abdominal cavity, consultation of an infectionist, oncologist. All patients have instrumental studies of the rectum and colon to exclude other pathology.

Results and Discussion. In the work the comparative analysis of early results of surgical treatment of chronic hemorrhoids III-IV stage complicated by a chronic anal fissure was presented: 27 (55.1 %) patients in the first group underwent stapler hemorrhoidectomy ac­cording to the method we developed, excision of the anal fissure by a laser, 22 (44.9 %) of patients in the second group suffered hemor­rhoidectomy by Milligan-Morgan in the second modification of the Institute of Proctology of Moscow, excision of the anal fissure by a laser. In the early postoperative period (up to 10 days) evaluated: the duration of the operation; Pain intensity at the 10-point visual analog scale after 24, 120 and 240 hours after surgery; duration of pain syndrome; return time to normal activity; the frequency of early (up to 30 days) postoperative complications. It was found that return to normal activity in the second group lasted 1.6 times longer than in the first one; early results in the first group were better th an in the second.

Author Biography

S. I. Savoliuk, P. Shupyk National Medical Academy of Postgraduate Education Clinic “Medicom” Kyiv City Clinical Hospital №8

 

References

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Published

2017-07-14

How to Cite

Savoliuk, S. I., Ignatov, I. M., Shulyarenko, O. V., Zuenko, V. V., & Hkiri, H. (2017). Stapled hemorrhoidectomy when combined hemorrhoid grade iii–iv complicated with chronic anal fissure. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (2), 50–54. https://doi.org/10.11603/2414-4533.2017.2.7952

Issue

No. 2 (2017)

Section

EXPERIENCE OF WORK

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