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Year 2022 Vol. 30 No 5

GENERAL & SPECIAL SURGERY

V.L. DENISENKO

COMPARATIVE EVALUATION OF THE IMMEDIATE RESULTS OF TREATMENT AND QUALITY OF LIFE OF PATIENTS AFTER VARIOUS TYPES OF SURGICAL INTERVENTIONS IN CHRONIC HEMORRHOIDS

Vitebsk State Medical University,
Vitebsk Regional Clinical Specialized Center, Vitebsk,
Republic of Belarus

Objective . To conduct a comparative quality of life assessment of patients after surgical treatment of chronic hemorrhoid in the early postoperative and rehabilitation periods.
Methods. The object of the study were patients (n=90) with chronic hemorrhoids (stage III-IV). The control group patients (n=30) underwent closed hemorrhoidectomy (standard technique). The second group (n=30) included patients underwent the effect vacuum ligator tool for the treatment of hemorrhoids by latex rings for internal hemorrhoids. (Manufacturer: Karl Storz (Germany). The third group (n=15) included patients who underwent desarterization of hemorrhoids, submucosal lifting and mucopexy. The operation was performed using the apparatus of the company A.M.I. (Austria) with a special nozzle RAR-2013 for performing mucopexy and mucosal lifting, as well as a modified Moricorn-RAR-2011 anoscope. Group 4 involved patients (n=15) who were underwent with the LigaSure device. Since the usage of the Ligasure technique results in significantly less immediate postoperative pain after hemoroidectomy, this technique is superior in terms of patient tolerance.
Results. The use of minimally invasive technique for the treatment of hemorrhoidal disease. Stage III-IV (latex ligation of hemorrhoids, Doppler-guided hemorrhoidal artery ligation, treatment of chronic hemorrhoids and the application of the LigaSure device) let minimizing excess opioid prescriptions in the postoperative period, diminishing postoperative morbidity, reducing the length of hospital stay and a short-term disability in order to return a patient back to the fullest life within the out-patient care.
Conclusion. In the first group of patients the average length of stay for a hospitalization was restored in 10.3±0.4 days (M±σ), in the second group - 1.8±0.3 days (M±σ), in the third one - 1, 3±0.3 days (M±σ), in the fourth group - 7.8±1.8 days (M±σ). The use of current techniques such as trans-anal disarterization of internal hemorrhoids under Doppler control with mucopexy and lifting, haemorrhoidectomy using a ligature device, latex ligation of hemorrhoids has significant advantages over classical methods (Milligan-Morgan hemorrhoidectomy).

Keywords: chronic hemorrhoids, surgical treatment of hemorrhoids, ligation of hemorrhoidal arteries using HAL-RAR technology, Ligasure device in the treatment of chronic hemorrhoids, latex ligation of hemorrhoids
p. 462-468 of the original issue
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Address for correspondence:
210001, Republic of Belarus,
Vitebsk, Nekrasov st., 10,
ME «Vitebsk Regional Clinical Specialized Center»,
tel. +375 212 33 22 47,
e-mail: vl_denisenko@mail.ru,
Denisenko Valery L.
Information about the authors:
Denisenko Valery Larionovich, MD, Associate Professor of the Department of General Surgery of Vitebsk State Medical University, Chief Physician of Vitebsk Regional Clinical Specialized Center, Vitebsk, Republic of Belarus.
https://orcid.org/0000-0003-2394-340X
Contacts | ©Vitebsk State Medical University, 2007-2023