Surgical treatment of coexistent pathology of anal channel and rectum, using a modern high-frequency electro-surgical and radio-surgical apparatuses


Keywords: a high-frequency electrosurgical apparatuses «ERBE ICC 200»; «ЕFА», «KLS Martin»; аpparatus of a radio-wave surgery «Surgitron»; coexistent pathology; аnal channel; rectum

Abstract

Objective. Improvement of results of surgical treatment in patients with coexistent pathology of anal channel (АCH) and rectum, using high-frequency (HF) electrosurgical (ЕS) аpparatuses «ERBE ICC 200», «ЕFА»,  «KLS Martin», and apparatus of a radio-wave (RW) surgery «Surgitron» and studying of their comparative characteristics.

Маterials and methods. Results of treatment were analyzed in 564 patients with coexistent pathology of ACH and rectum, using a HF ES with apparatuses «ERBE ICC 200», «ЕFА», «KLS Martin» and apparatus of the RW surgery «Surgitron».

Results. There was established in the investigation, that application of the HF ES apparatuses «ERBE ICC 200», «ЕFА», «KLS Martin» and apparatus of RW surgery «Surgitron» reduces the operation duration tо (20 ± 5) min, volume of intraoperative blood loss - tо (20 ± 10) ml, necessity in narcotic analgetics - tо (2 ± 1) ml, terms of stationary treatment - tо (5 ± 1) days.

Conclusion. Application of the HF ES apparatuses «ERBE ICC 200», «ЕFА», «KLS Martin» and apparatus of RW surgery «Surgitron» guarantees the operation duration shortening, reduction of the intraoperative blood volume as well as the intensity of the pain syndrome in postoperative period, аnd nonsignificant depth of the tissues necrosis (from 0.055 tо 0.43 mm) as well, providing good cosmetic result of operation.

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Author Biographies


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

Mykhailo Petrovych Zakharash – MD, DSci (Med), professor

professor of chair of surgery №1

Bogomolets National Medical University;

 Kyiv, Shevchenko boulevard 17.

 Phone: 044 235-40-56 ;

E-mail: mzakharash@gmail.com

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


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

Vitaliy Victorovych Balytskyy – MD, PhD,

assistant of chair of surgery of postgraduate faculty

National Pirogov Memorial Medical University, Vinnytsya,

head of coloproctology department

Khmelnytskyi Regional Hospital,

Khmelnytskyi, 1 Pilotska str.

Phone:  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 - DSci (Med), professor

main scientific collaborator of the scientific miniinvasive surgery department

Scientific-Practical Centre of Prophylactic and Clinical Medicine,

Kyiv, Verhnia street 5.

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

E-mail: O_Kurik@ukr.net

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

Published
2018-12-28
How to Cite
Zakharash, M. P., Balytskyy, V. V., & Kuryk, O. G. (2018). Surgical treatment of coexistent pathology of anal channel and rectum, using a modern high-frequency electro-surgical and radio-surgical apparatuses. Klinicheskaia Khirurgiia, 85(12), 16-19. https://doi.org/10.26779/2522-1396.2018.12.16
Section
General Problems of Surgery