RESUMO
The treatment results in patients, suffering chronic hemorrhoidal disease stages III- IV, in accordance to the elaborated method of hemorrhoidectomy, using radio-wave scalpel «Surgitron TM¼ with further welding of vascular pedicle, applying high-frequency electrocoagulator ÐÐ-301Ð1, are presented. In the patients, оperated on in accordance to the method proposed, the intraoperative complications rate and the blood loss severity were essentially lesser than in a comparison group. Owing an adequate level of surgical skills, the operative treatment method elaborated guarantees the reduction of early and late postoperative morbidity, rapid coming back to routine way of living postoperatively.
Assuntos
Eletrocoagulação/métodos , Hemorroidectomia/métodos , Hemorroidas/cirurgia , Terapia a Laser/métodos , Recuperação de Sangue Operatório/métodos , Recuperação de Função Fisiológica , Abscesso/diagnóstico , Abscesso/patologia , Adulto , Canal Anal/anormalidades , Canal Anal/patologia , Eletrocoagulação/instrumentação , Incontinência Fecal/diagnóstico , Incontinência Fecal/patologia , Feminino , Hemorroidectomia/instrumentação , Hemorroidas/patologia , Humanos , Complicações Intraoperatórias/diagnóstico , Complicações Intraoperatórias/patologia , Terapia a Laser/instrumentação , Masculino , Pessoa de Meia-Idade , Doenças Musculares/diagnóstico , Doenças Musculares/patologia , Terapia por Radiofrequência , Índice de Gravidade de Doença , Resultado do TratamentoRESUMO
The experience of preoperative application of the intratissue electrophoresis with the dioxysol solution was analyzed for the patients, suffering chronic anal fissure. In the patients, beginning from the first day, there was proved the reduction of the pain syndrome severity, hemodynamic disorders, an acute inflammatory reactions in the anal fissure tissue, the young granulations growth in the edge of the wound and resection. Application of the method proposed have promoted the inflammatory process severity reduction, the reparative processes in anal fissure stimulation, the operation wound epithelization acceleration, the anal sphincter muscle spasmelimination, which constitutes the main pathogenetic mechanism of the disease.