Open AccessPrevention of pain syndrome and immediate postoperative complications in the surgical treatment of chronic hemorrhoids
Author(s) -
В. Н. Ищенко,
A. E. Krasnobaev,
А. А. Grigoryuk
Publication year - 2020
Publication title -
tihookeanskij medicinskij žurnal
Language(s) - English
Resource type - Journals
ISSN - 1609-1175
DOI - 10.34215/1609-1175-2020-1-68-71
Subject(s) - medicine , hemorrhoids , urinary retention , surgery , postoperative pain , bolus (digestion) , anesthesia , urinary system , betamethasone
Objective: To assess the efficacy of hemorrhoidectomy with Milligan-Morgan technique in the author’s modification. Methods : Results of surgical treatment of 558 patients aged 21–72 years with complicated hemorrhoids of III–IV stage were analyzed. The group of clinical comparison (207 patients) was operated according to standard scheme, the main group (351 patients) – according to author’s technology with modified technique for treating the hemorrhoid bolus using betamethasone. Results : When using the author’s technique, a more significant decrease in postoperative pain syndrome severity was achieved: injection analgesics were not required already in a day, and after 6 days the pain syndrome was stopped in all cases. Only three patients (0.9%) demonstrated an acute urinary retention up to two days. The group of clinical comparison maintained a longterm (up to three months) pain syndrome; postoperative urinary retention was registered in 38 cases (18.4%); 9 patients (4.3%) developed blood loss in the area of surgical intervention. Conclusions : Suggested technique of surgical treatment for hemorrhoids is quite effective, simple and can be implemented in any surgical inpatient facility.