Transanal hemorrhoidal desarterization under ultrasound rectodopplerometry control in surgical treatment of hemorrhoids
| Autor: | V. A. Grushka, E. I. Haidarzhi, A. S. Aleksandrov, N. G. Golovko, I. V. Zubryk, A. A. Nykonenko, T. V. Gurov, G. I. Okhrimenko |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Pain syndrome business.industry Ultrasound General Medicine medicine.disease Submucosal hemorrhoidectomy Surgery 03 medical and health sciences 0302 clinical medicine Hemorrhoids 030220 oncology & carcinogenesis medicine 030211 gastroenterology & hepatology In patient Surgical treatment business |
| Zdroj: | Klinicheskaia khirurgiia. 87:62-66 |
| ISSN: | 2522-1396 0023-2130 |
| DOI: | 10.26779/2522-1396.2020.11-12.62 |
| Popis: | Objective. To study the immediate and late follow-up results of treatment in patients, suffering hemorrhoids, to whom transanal hemorrhoidal desarterization under ultrasound rectodopplerometry control was done, and to compare them with results of treatment in patients, operated in accordance to procedure of standard hemorrhoidectomy. Materials and methods. There were analyzed the results of treatment of 111 patients, suffering hemorrhoids. The main group have consisted of 50 patients, to whom transanal hemorrhoidal desarterization under ultrasound rectodopplerometry control was performed. Into control group 61 patients were included, who were operated in accordance to Parks procedure. Results. In the main group the average time of the operation have constituted (50.1 ± 1.4) min, the patient stationary stay - (9.9 ± 0.7) days, the pain syndrome intensity in postoperative period was estimated as 2 - 3 points, what have appeared significantly lesser, than in the control group of the patients (p < 0.01). Good late follow-up results were achieved in 100% patients of the main group and in 88% of the control group. Conclusion. There was established, that transanal hemorrhoidal desarterization under ultrasound rectodopplerometry control permits to reduce essentially the average time of the operation, the patients’ stationary stay, to lower the pain syndrome intensity, and to improve late follow-up results of the hemorrhoids treatment. |
| Databáze: | OpenAIRE |
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