Modern methods of surgical treatment of anal canal and rectum combined pathology

Keywords: combined pathology of the anal canal and rectum; combined operations; apparatus of radio wave surgery

Abstract

Objective. To evaluate the effectiveness of surgical treatment of anal canal and rectum combined pathology, through combined surgical interventions using modern electro- and radiosurgical technologies.

Materials and methods. A comparative evaluation of the results of surgical treatment of 681 patients with combined pathology of the anal canal and rectum, who underwent combined single-stage operations using high-frequency electrosurgery and radio-wave surgery.

Results. In case of application the device for radio-wave surgery "Surgitron", and also devices of high-frequency electrosurgery "ERBE ICC 200", "EFA", "KLS Martin" duration of operation is reduced to (15 - 25 ± 3) minutes, volume of blood loss decreases to (15 ± 6) ml, the need for narcotic analgesics decreases up to (2 ± 1) ml, the duration of inpatient treatment was reduced up to (4 ± 1) days.

Conclusions. The use of modern radio- and electrosurgical technologies for the treatment of combined anorectal pathology prevents the occurrence of anal canal strictures and scarring of the perianal areas, causing the cosmeticity of combined operations.

Author Biographies

V. V. Balytskyy, National Pirogov Memorial Medical University, Vinnytsya

Balytskyy Vitaliy Victorovych- MD, PhD, Associate Professor
Department of Surgery
Faculty of Postgraduate Education,
National M. I. Pyrogov Memorial Medical University, Vinnytsya,
Head of the Department of Coloproctology
Khmelnytskyi regional hospital,
1 Pilotska str., Khmelnytskyi, Ukraine,
0382 65-13-17 ; 097-235-96-85.
E-mail: v.balytskyy@ukr.net
ORCID ID:orcid.org/0000-0003-1076-5237

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

Zakharash Mykhailo Petrovych - MD, DSci(Med), Professor,
Professor of Department of Surgery No1
Bogomolets National Medical University, Kyiv;
17 Shevchenko blvd, Kyiv, Ukraine
044 235-40-56
mzakharash@gmail.com
ORCID ID:orcid.org/0000-0003-4005-5172

O. G. Kuryk, Bogomolets National Medical University, Kyiv

Kuryk Olena Heorhiivna - MD, DSci(Med), Professor
Department of Pathological Anatomy No1
Bogomolets National Medical University,Kyiv;
5 Mechnikova str., Kyiv, Ukraine.
067-647-17-35.
E-mail:o_kurik@ukr.net
ORCID ID: orcid.org /0000-0003-3093-432

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Published
2021-03-28
How to Cite
Balytskyy, V. V., Zakharash, M. P., & Kuryk, O. G. (2021). Modern methods of surgical treatment of anal canal and rectum combined pathology. Klinicheskaia Khirurgiia, 88(1-2), 14-18. https://doi.org/10.26779/2522-1396.2021.1-2.14
Section
General Problems of Surgery

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