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  • Analysis of treatment outcome of two minimally invasive methods in case by chronic hemorrhoids

    Редактор | 2019, Original articles, Practical medicine part 17 №6 (2) 2019 | 20 октября, 2019

    M.M. MINNULLIN¹, I.M. FATKHUTDINOV²

     1Republican Clinical Hospital” of the Ministry of Healthcare of the Republic of Tatarstan, Kazan

    2Kazan State Medical University of the Ministry of Health of the Russian Federation, Kazan

     Minnullin M.M. — PhD (medicine), First Deputy Chief Medical Officer, Head of Surgical Service

    Address: 138 Orenburgskiy trakt, Kazan, Russian Federation, 420064, tel. (843) 231-20-60, е-mail: Marsel.Mansurovich@tatar.ru

    This article analyzes treatment outcome of patients with chronic hemorrhoids 2-4 stages using the HAL-RAR method and the method of submucous laser vaporization of hemorrhoidal collectors. Operations using the HAL-RAR method were performed under local anesthesia; laser operations were performed under intravenous anesthesia. A good result of treatment with the first method was observed in patients without a pronounced external component. The use of submucous laser vaporization is most justified in case of a pronounced external component of chronic hemorrhoids. Both methods allow achieving a good result of treatment of hemorrhoidal disease. 

    Key words: HAL-RAR method, submucous laser vaporization of hemorrhoidal collectors.

    (For citation: Minnullin M.M., Fatkhutdinov I.M. Analysis of treatment outcome of two minimally invasive methods in case by chronic hemorrhoids. Practical medicine. 2019. Vol. 17, № 6 (part 2), P. 23-25)

    REFERENCES

    1. Andreev A.L. Laser hemorrhoidoplasty (LHP) and mucopexy (RAR) in the treatment of stage 3-4 chronic combined hemorrhoids. Koloproktologiya, 2018 (prilozhenie), no. 2, p. 9 (in Russ.).
    2. Zagryadskiy E.A. Maloinvazivnaya khirurgiya gemorroidal’noy bolezni [Minimally invasive surgery for hemorrhoidal disease]. Moscow, 2014. 232 p.
    3. Zagryadskiy E.A., Bogomazov A.M., Golovko E.B. Classification of chronic hemorrhoids. The criterion of objectivity. Koloproktologiya, 2019, no. 1, pp. 46-56 (in Russ.).
    4. Shelygin Yu.A., Titov A.Yu., Abritsova M.V. Modified classification of hemorrhoids. Koloproktologiya, 2015, no. 2, pp. 4-10 (in Russ.).
    5. Kovalenko D.E., Artoshchenko A.O., Vardanyan A.V. et al. Minimally invasive methods of treating hemorrhoidal disease in patients with inflammatory bowel disease. Koloproktologiya, 2018, no. 3, pp. 75-78 (in Russ.).

    Метки: 2019, HAL-RAR method, I.M. FATKHUTDINOV, M.M. MINNULLIN, Practical medicine part 17 №6 (2) 2019, submucous laser vaporization of hemorrhoidal collectors

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