Combined operations in outpatient laser treatment of chronic hemorrhoids of stage 2–3
نویسندگان
چکیده
Introduction . When performing laser coagulation of hemorrhoids, there is a demand for the elimination simultaneous diseases, but their treatment under study and implementation in practice coloproctologists. Aim To features transmucous thermal ablation chronic hemorrhoids stage 2–3 with other anal canal diseases outpatient settings. Materials methods Transmucous degrees was performed 104 (27.5%) people combination removal fissures 82 (75%) patients, intra-sphincter fistulas 10 (9.6%) pathology 18 (17.4%) patients. The median age patients 43 years, 48 men (46.2%), 56 women (53.8%). Results Surgical tactics underlying allowed one-step both all 100% duration combined operations 20.0 min. (15; 20) pain intensity 2.5 points (2; 3). Intraoperative blood loss minimal. Pain postoperative period persisted 5 days. After surgery, bleeding occurred 2 (1.9%) During year, recurrence (1.9%), fissure (12.2%), condyloma out 3 operated. Discussion obtained characteristics showed that signs corresponded to minimally invasive interventions, operations, main combined, were low-traumatic, local anesthesia had one access common operating field. Conclusion Combined anorectal region observed quarter hemorrhoids. In 100%, it eliminated by invasive, which them be on an basis anesthesia.
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چکیده ندارد.
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85 patients at age of 27-68 years (44.78+/-9.02) with stage III-IV hemorrhoids were treated. Trans-anal disarterization of internal hemorrhoids under Doppler control with mucopexy and lifting was carried out using modified Moricorn proctoscope. Operation duration amounted 24-45 minutes (32+/-5.21). Postoperative pain syndrome amounted on average 33.2+/-0.52 mm (range 20-50 mm) on the first day ...
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ژورنال
عنوان ژورنال: ???????????? ????????
سال: 2023
ISSN: ['1605-220X', '2618-9593']
DOI: https://doi.org/10.21518/akh2023-003