THE BENEFITS OF COMBINED MINIMALLY INVASIVE TREATMENT IN REHABILITATION OF PATIENTS WITH CHRONIC HEMORRHOIDS

Abstract

Currently, the post-surgical rehabilitation of patients with hemorrhoidal disease is a serious medical and social problem. The authors proposed a comprehensive method of the management of hemorrhoids, combining seam artery ligation under Doppler ultrasound control with subdermal-submucous laser destruction of internal and external hemorrhoids. There was executed the comparative study of the safety and efficiency of both this method and the closed hemorrhoidectomy, with the use of linear stapler, in patients with chronic hemorrhoids at the stage II and III. The combined method of HAL + laser was shown to be potent of both improving the quality of life for patients during the rehabilitation period and significantly diminishing its duration. This method eliminates the risk of wound complications, reduces the risk of urinary retention by 7 times, and significantly relief from the pronounced pain in the postoperative period.

Keywords

HAL / hemorrhoids / HAL / laser destruction

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