The treatment of concomitant pathology of anal channel and rectum, using electro-surgical high-frequency apparatus «EFА»

Keywords: concomitant pathology; аnal channel; rectum; еlectro-surgical high-frequency apparatus «ЕFА»

Abstract

Objective. To improve the results of surgical treatment in patients with concomitant pathology of anal channel and rectum, using electro-surgical high-frequency apparatus «ЕFА».

Маterials and methods. The results of treatment of 114 patients with concomitant pathology of anal channel and rectum, using еlectro-surgical high-frequency apparatus «ЕFА», were analyzed.

Results. There was established, that while application of electric high-frequency apparatus «ЕFА» the operation duration diminishes down to (25 ± 5) min, the blood loss volume - tо (20 ± 5) ml, the need for narcotic analgetics - tо (3 ± 1) ml, a stationary treatment stay - tо (6 ± 1) days.

Conclusion. Application of electro-surgical high-frequency apparatus «ЕFА» leads to the operation duration shortening, its volume and the intraoperative blood loss restriction, reduction of the pain syndrome intensity in postoperative period. After application of this surgical technology the tissues necrosis depth is not significant - (0.254 ± 0.18 mm), thus providing the operation cosmetics.

Author Biographies

M. P. Zakharash, Bogomolets National Medical University, Kyiv

Mykhailo Petrovych Zakharash - MD, ScD (Med), professor,

Department of surgery №1

Bogomolets National Medical University;

Kyiv, Shevchenko boulevard 17.

Phone: 044 235-40-56 ; Mobile: 093-330-70-22.

E-mail: mzakharash@gmail.com

ORCID ID:orcid.org/0000-0003-4005-5172

V. V. Balytskyy, Pyrogov Memorial National Medical University, Vinnytsya, Khmelnytskyi Regional Hospital

Vitaliy Victorovych Balytskyy - MD,PhD, assistant

Department of surgery of postgraduate faculty

Pyrogov Memorial National Medical University, Vinnytsya

Khmelnytskyi Regional Hospital,

0382 65-13-17

E-mail: V.balytskyy@ukr.net

ORCID ID:orcid.org/0000-0003-1076-5237

O. G. Kuryk, Scientific-Practical Centre of Prophylactic and Clinical Medicine, Kyiv

Olena Georhiivna Kuryk - ScD (Med), professor

main scientific collaborator

Scientific-practical centre of preventive and clinical medicine

Kyiv, Verhnia street 5.

Phone: 044 284 6272 ; 067-647-17-35.

E-mail: O_Kurik@ukr.net

ORCID ID: orcid.org /0000-0003-3093-4325

References

1. Raiymbekov OR, Attokurov BK, Zholbolduev ZhM. Rezul'taty hirurgicheskogo lechenija anal'noi treshhiny v sochetanii s hronicheskim gemorroem. Koloproctologia Prilozhenie. 2016;(2):39-40. [In Russian].
2. Borota AV, Kuhto AP, Hul’mamedov VA, Borota AA, Bashmakov MN, Baziyan- Kuhto NK, Fedoryshyn AA. Khirurhicheskoe lechenie sochetannoi neopukholevoi patologii anorektal'noi zony. 2017.10.26-28; Voronezh. Koloproctologia. 2017;(3):17-8.[In Russian].
3. Rajymbekov OR, Zholbolduev ZhM, Ajdarov UA. Sovremennye vzgljady na diagnostiku i lechenie pararektal'nogo svishha v sochetanii s hronicheskim gemorroem. Koloproctologia. 2017;(3):37-8.[In Russian].
4. Belotskaya LV, Chistokhin SY. Gibridnye operatsii pri khronicheskom gemorroe. Koloproctologia Prilozhenie. 2016;(2):14-5. [In Russian].
5. Pyrohovskyi VIu, Sorokin BV, Feleshtynskyi IaP, Zadorozhniy SP, Taranenko AO, Zlobenets SO, Noies AJ. Dosvid vykorystannia THD v kombinatsii z vysichenniam analnoi trishchyny. Klinichna khirurhiia. 2016;910(3):86. [In Ukrainian].
6. Rafibekov ED, Subanov AA, Aisaev AA. HAL-RAR pri lechenii gemorroia 3-4 stadii v sochetanii s soputstvuyushchei anal’noy patologiyey. In: ІІ siezd koloproktologov stran SNG, ІІІ siezd koloproktologov Ukrainy. Materialy siezdjv. Kiev: Publish centre Image of Ukraine; 2011:504-5. [In Russian].
7. Shamaeva TE, Nikishina TG, Chukardin AV, Jakimov SA. Hirurgicheskoe lechenie anal'noj treshhiny pri sochetanii s hronicheskim gemorroem. Koloproctologia. 2017;(3):48-9.[In Russian].
8. Groshilin VS, Cherkasov MF, Mirzoev LA, Mryhin GA. Korrekcija pokazanij k primeneniju metodov maloinvazivnogo lechenija gemorroja s uchjotom sovershenstvovanija tehnologij. Koloproctologia. 2017;(3):20.[In Russian].
9. Pleshkov AS.Opyt primenenija metodiki HAL-RAR pri lechenii gemorroidal'noj bolezni v stacionare "odnogo dnja". Koloproctologia. 2017;(3):36-7.[In Russian].
10. Chistohin SJu, Belockaja LV. Rezul'taty razlichnyh operacij pri gemorroe. Koloproctologia. 2017;(3):47-8.[In Russian].
Published
2018-10-29
Section
General Problems of Surgery