
IMPROVEMENT OF THE METHODOLOGY OF MINIINVASIVE METHOD FOR THE TREATMENT OF CHRONIC HEMORRHOIDS
Author(s) -
В. Н. Эктов,
К. А. Сомов,
А. В. Куркин,
В. А. Музальков
Publication year - 2017
Publication title -
koloproktologiâ
Language(s) - English
Resource type - Journals
eISSN - 2686-7303
pISSN - 2073-7556
DOI - 10.33878/2073-7556-2017-0-2-68-74
Subject(s) - hemorrhoids , medicine , ligation , submucosa , surgery , rectum
AIM. To improve results of latex ligation of internal hemorrhoids. MATERIAL AND METHODS. Results of 432 latex ligation of hemorrhoids were analyzed. The average age of the patients was 42,1 ± 7,3 years, 293 (67,8%) patients had third or the fourth degree of the disease. A new method of latex ligation of the mucosa and submucosa of the lower rectum with the aim to close hemorrhoidal vessels and lifting hemorrhoidal tissue complex was suggeste and usedfor III-IV degree hemorroids. RESULTS. In the early postoperative period complications not requiring reinterventions developed in 5 patients. In the late period good results were obtained in 87,3% of patients. CONCLUSION. Suggested modified latex ligation in the treatment of chronic hemorrhoids is minimally invasive, simple and low cost. It extends the indication of this method for hemorroids of advanced stages.