Email this article THE BENEFITS OF COMBINED MINIMALLY INVASIVE TREATMENT IN REHABILITATION OF PATIENTS WITH CHRONIC HEMORRHOIDS
- Authors: Rodoman G.V1,2, Kornev L.V1,2, Shalaeva T.I1,2
-
Affiliations:
- N.I. Pirogov Russian National Research University, Moscow
- Municipal Clinical Hospital No 24, Moscow
- Issue: Vol 20, No 1 (2017)
- Pages: 4-8
- Section: Articles
- URL: https://ogarev-online.ru/1560-9537/article/view/35905
- DOI: https://doi.org/10.18821/1560-9537-2017-20-1-4-8
- ID: 35905
Cite item
Full Text
Abstract
Currently, the post-surgical rehabilitation of patients with hemorrhoidal disease is a serious medical and social problem. The authors proposed a comprehensive method of the management of hemorrhoids, combining seam artery ligation under Doppler ultrasound control with subdermal-submucous laser destruction of internal and external hemorrhoids. There was executed the comparative study of the safety and efficiency of both this method and the closed hemorrhoidectomy, with the use of linear stapler, in patients with chronic hemorrhoids at the stage II and III. The combined method of HAL + laser was shown to be potent of both improving the quality of life for patients during the rehabilitation period and significantly diminishing its duration. This method eliminates the risk of wound complications, reduces the risk of urinary retention by 7 times, and significantly relief from the pronounced pain in the postoperative period.
Keywords
Full Text
##article.viewOnOriginalSite##About the authors
G. V Rodoman
N.I. Pirogov Russian National Research University, Moscow; Municipal Clinical Hospital No 24, Moscow117997, Russian Federation; 127015, Russian Federation
L. V Kornev
N.I. Pirogov Russian National Research University, Moscow; Municipal Clinical Hospital No 24, Moscow
Email: kornev.leonid@yandex.ru
117997, Russian Federation; 127015, Russian Federation
T. I Shalaeva
N.I. Pirogov Russian National Research University, Moscow; Municipal Clinical Hospital No 24, Moscow117997, Russian Federation; 127015, Russian Federation
References
- Воробьев В.В. Стационарозамещающая медицинская помощь в хирургии. Амбулаторная хирургия. Стационарозамещающая технология. 2009; (3-4): 6-8.
- Даценко Б.М., Даценко А.Б. Геморрой. Харьков: Новое слово; 2011.
- Ривкин В. Л., Капуллер Л.Л., Белоусова Е.А. Колопроктология: Руководство для врачей. М.: ГЭОТАР-Медиа; 2011.
- Hetzer F.N., Schafer M., Demartines N., Clavien P.A. Prospective assessment of the learning curve and safety of stapler hemorrhoidectomy. Swiss Surg. 2002; 8 (1): 31-6.
- Coskun A., Duzgun S., Uzunkoy A., Bozer M., Asian O., Canbeyli B. Nitroderm ITS band application for pain after hemorrhoidectomy. Dis. Colon Rect. 2001; 44: 680-5.
- Kairaluoma M., Nuorva K., Kellokumpu I. Day-case stapled (circular) vs. diathermy hemorrhoidectomy: a randomized, controlled trial evaluating surgical and functional outcome. Dis. Colon Rect. 2003; 46: 93-9.
- Giamundo P., Cecchetti W., Esercizio L., Fantino G., Geraci M., Lombezzi R. et al. Doppler-guided hemorrhoidal laser procedure for the treatment of symptomatic hemorrhoids: experimental background and short-term clinical results of a new mini-invasive treatment. Surg. Endosc. 2011; 25 (5): 1369-75.
- Ratto C., Parello A., Donisi L., Litta F., Zaccone G., Doglietto G. B. Assessment of haemorrhoidal artery network using colour duplex imaging and clinical implications. Br. J. Surg. 2012; 99: 112-8.
- Hardy A., Chan C.L., Cohen C.R. The surgical management of haemorrhoids-a review. Dig. Surg. 2005; 22: 26-33.
- Lawes D.A., Palazzo F.F., Clifton M.A. The use of Ligasure haemorrhoidectomy in patients taking oral anticoagulation therapy. Colorect. Dis. 2004; 6 (2): 111-2.
- Jayaraman S., Colquhoun P.H., Malthaner R.A. Stapled hemorrhoidopexy is associated with a higher long-term recurrence rate of internal hemorrhoids compared with conventional excisional hemorrhoid surgery. Dis. Colon Rect. 2007; 50: 1297-305.
- Arrayo A., Perez F., Miranda E., Serrano P., Candela F., Lacueva J. et al. Open versus closed day-case haemorrhoidectomy: is there any difference? Results of a prospective randomised study. Int. J. Colorect. Dis. 2004; 19 (4): 370-3.
- Faucheron J.L., Arvin-Berod A., Riboud R., Morra I. Rectal perforation and peritonitis complicating stapled haemorrhoidopexy. Colorect. Dis. 2010; 12: 831-2.
- Bursics A., Morvay K., Kupcsulik P., Flautner L. Comparison of early and 1-year follow-up results of conventional hemorrholdectomy and hemorrhoid artery ligation: a randomized study. Int. J. Colorect. Dis. 2004; 19 (2): 176-80.
- Rowsell M., Bello M., Hemingway D.M. Circumferential mucosectomy (stapled haemorrhoidectomy) versus conventional haemorrhoidectomy: randomized controlled trial. Lancet. 2000; 355 (4): 779-81.
- Ho Y.H., Seow-Choen F., Tsang C., Eu K.W. Randomized trial assessing anal sphincter injuries after stapled haemorrhoidectomy. Br. J. Surg. 2001; 88: 1449-55.
Supplementary files
