THE TECHNIQUE OF LATERAL ULTRASONIC DISSECTION IN THE SURGICAL TREATMENT OF HEMORRHOIDS PA- TIENTS

The high incidence of hemorrhoids, along with the frequent development of postoperative complications and relapses of the disease, does not allow one to doubt that improving the treatment results of patients with this pathology remains one of the urgent problems of modern surgery. The aim of the study was to evaluate the effectiveness of surgical treatment of hemorrhoids using the original technique of lateral ultrasonic dissection in the "cutting" mode. A comparative analysis of the immediate results of surgical treatment was performed in two groups of patients with 3-4 stages of chronic hemorrhoids. The main group included 20 patients in whom the original hemorrhoidectomy technique with lateral ultrasonic dissection was used. The control group consisted of 20 patients who underwent Milligan-Morgan hemorrhoidectomy using electrocoagulation. There was no statistically significant difference between the indicated groups by age, gender structure of patients, as well as by the main characteristics of the disease. Results of the comparative analysis demonstrated that the frequency of complications, the intensity of the pain syndrome, as well as the length of stay in the hospital among the representatives of the main group turned out to be less than in the control. Thus, the use of hemorrhoidectomy with lateral ultrasonic dissection in the “cutting” mode ensures a favorable course of the early postoperative period and accelerates the rehabilitation of patients.

hemorrhoidectomy with lateral ultrasound dissection