6. Surgical Treatment Of Anal Prolapse And Their Comparative Characteristics

Authors

  • L.F. Khalilova Scientific Center of Surgery named after M.A. Topchibasheva, Baku, Azerbaijan

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Abstract

In the presence of anal prolapse, perform operations on the loose, ulcerated mucous membrane of the anal canal for its sagging is fraught with the danger of bleeding during and after surgery. It is also highly likely that cidiva disease. The purpose of this study is to compare the methods of surgery used for anal prolapse, which most often accompanies stage 4 hemorrhoidal disease. In our study 400 patients in the age group from 20 to 71 years old were operated on from 2006 to 2016. All sick were divided into 3 groups. The main group included 308 (77.0%) patients who underwent hemorrhoidectomy linear stapler. Control group I included 74 patients (18.5%), who produced a typical open. hemorrhoidectomy. The control group II consisted of patients who underwent surgery according to the method of Longo with use of a circular stapler PPH-18 patients (4.5%). For the duration of the operation using linear the stapler lasted 22.9 ± 0.4 min. The classic Milligan-Morgan operation lasted on average 34.9 ± 0.8 min. Operation Longo took an average of 29.3 ± 1.2 min. Bleeding during surgery was observed in 3 patients (1%) when using a linear stapler, in 6 patients (8.1%) during standard hemorrhoidectomy and in 2 patients comrade (11.1%) during the Longo operation. Long-term complications such as stricture and relapse in the main group one case is 0%; in the control group I, 6 patients had a relapse of the disease (8.1%), in 12 cases - a stricture Anal canal (16.2%); in the control group II, there were 2 cases of relapse (11.1%) and 2 cases of stricture (11.1%). Good quality of life was considered by 162 patients (76.4%) who underwent surgery using a linear stapler; 26 patients comrades (50%) who had open hemorrhoidectomy, and 6 patients (46.2%) after Longo surgery. Thus, when evaluating the immediate results of the treatment of anal prolapse, surgery using linear stapler has several advantages. The advantage is expressed in the relative simplicity of the technique, and from the absence of a long-term relapse. hemorrhoidectomy

Keywords

anal prolapse, linear stapler, Longo operation, anal mucosa

References

  1. Surgical treatment of anal prolapse using a linear stapler is a pathogenetically based, radical method, which allows to achieve good results
  2. The elimination of anal prolapse using a linear stapler allows you to minimize pain, to avoid bleeding during surgery and in the early post-operative period. The use of a linear stapler for hemorrhoidectomy makes it possible to avoid such complications as insufficiency of the anal sphincter and anal stricture in the late postop-erative period
  3. After hemorrhoidectomy with the use of a lin-ear stapler, preventive therapy with analgesic drugs is shown, although the pain syndrome with this technique is moderate
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Published

2019-07-01

Issue

No. 2 (2019)

Section

Статьи