SURGICAL TREATMENT OF CHRONIC HEMORRHOIDS (LITERATURE REVIEW)

Author:

Vasyliuk S. M.,Gutculiak A. I.,Gudyvok V. I.,Dmytruk O. M.,Osadetc V. S.,Labyak I. R.

Abstract

Summary. An analysis of clinical guidelines and literary articles on the treatment of patients with chronic hemorrhoids was carried out. Clinical recommendations do not differ in different countries regarding the approaches in terms of choosing options for conservative or operative therapy and methods of surgical treatment. Changing the diet, which allows you to eliminate constipation, normalize intestinal motility and obtain soft and voluminous stools, is an important stage of treatment. Pharmacological therapy has a low evidence base. Studies on the effectiveness of flavonoids for the treatment of chronic hemorrhoids are very heterogeneous, which does not allow for unequivocal conclusions. Rubber band ligation is the most effective procedure for the rapid elimination of chronic hemorrhoid symptoms, but it cannot effectively eliminate hemorrhoidal prolapse. Injection sclerotherapy has severe specific complications, which is why it is predicted to decrease in frequency for the treatment of chronic hemorrhoids. The only surgical approaches that experts recommend are open and closed hemorrhoidectomy. Stapler hemorrhoidopexy has a high frequency of specific complications, so it is necessary to approach its choice for the treatment of chronic hemorrhoids with caution. Doppler-guided hemorrhoid artery ligation is a physiological method of treatment, but it has a very high cost and is not economically viable. Conclusions. In patients with chronic hemorrhoids Goligher-1, Goligher-2, and in some cases - Goligher-3, “office procedures” can be chosen, but the patient should be informed about questionable results in the remote period. The operation of choice for patients with chronic Goligher-3 and Goligher-4 hemorrhoids remains open hemorrhoidectomy, the current modifications of which mainly include various technological approaches to cutting out nodes. Techniques in which a slightly different principle was proposed can be used as an alternative approach due to worse results when observing in distant terms.

Publisher

Institute of General and Emergency Surgery Named after V.T. Zaitsev NAMS of Ukraine

Subject

General Medicine

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3