THE FIRST EXPERIENCE OF SURGICAL TREATMENT OF HEMORRHOIDS USING THE WIRELESS DOPPLER OPERATING COMPLEX TRILOGY HAL-RAR UNIT

Summary. Objective: To improve the results of treatment of patients with stage II-III hemorrhoids using the wireless Doppler surgical complex Trilogy HAL-RAR Unit. Materials and methods. In the clinic of coloproctology of the Military Medical Clinical Center of the Southern region of Odessa according to the method of disarterization of hemorrhoidal arteries and recto-anal recovery using wireless Doppler surgical complex Wi-3 Trilogy HAL-RAR for the period from January 2019. to June 2020 19 patients were operated on. Results and discussion. In the postoperative period, moderate pain was observed for three days in 13 patients (68.4 %), only one of them had pain for the first 6 days after surgery. In 6 (31.6 %) patients no complaints of pain in the postoperative area were noted. In all patients, the pain was acquired by taking nonspecific anti-inflammatory drugs without the use of narcotic analgesics. In the postoperative period, patients were examined for 2, 7 and 90 days after surgery. No complications were noted in the postoperative period. In 4 (20 %) patients, due to the presence of enlarged hemorrhoids, the operation was extended by removing the external hemorrhoids and suturing the mucosal defect. All patients noted no reduction in quality of life in the postoperative period. Conclusions. Surgical treatment of hemorrhoids using Trilogy HAL-RAR technology is a minimally invasive method that reduces the patient’s stay in the hospital in the postoperative period, does not require the use of narcotic analgesics, promotes rapid recovery and may be the surgery of choice for surgical treatment of hemorrhoids II-III.