Scientific journal
Научное обозрение. Медицинские науки
ISSN 2500-0780
ПИ №ФС77-57452

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THE ALGORITHM FOR SELECTING A METHOD OF SURGICAL TREATMENT OF CHRONIC II–III DEGREE HEMORRHOIDS

Midlenko V.I. 1 Nguyen D.T. 1 Evtushenko E.G. 1 Kartashev A.A. 1
1 Ulyanovsk State University
We have developed the algorithm for selecting a method of surgical treatment of chronic II–III degree hemorrhoids. We perfomeed comparative analysis of the results of surgical treatment of 154 patients with chronic II-III degree hemorrhoids, using conventional approach (46 patients) and using our algorithm (108 patients). In the first group, all patients performed a traditional Milligan – Morgan hemorrhoidectomy in 2 modification of Coloproctology Research Institute, and in the second group, depending on the stage of the pathological process and the anatomical features according to developed algorithm (Milligan – Morgan hemorrhoidectomy, Longo`s stappled hemorrhoidectomy and proximal ligation of hemorrhoidal arteries). We found that the developed algorithm of choice of surgical treatment allowed to reduce the risk of postoperative complications from 30.4 % to 12.0 % and reduce the time of treatment from 29.1 to 22.3 days.