Desarterization of hemorrhoidal arteries in outpatient treatment of chronic hemorrhoids
Introduction. Desarterization of hemorrhoidal arteries with mucopexia, a pathogenetically caused minimally invasive operation, is more often performed in stationary conditions under regional or general anesthesia. Aim. To study the results of desarterization of hemorrhoidal arteries in patients with...
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Remedium Group LTD
2023-11-01
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| Series: | Амбулаторная хирургия |
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| Online Access: | https://www.a-surgeon.ru/jour/article/view/406 |
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| author | I. A. Matveev A. I. Matveev V. T. Dgebuadze N. N. Povarnin S. N. Zobov L. A. Morozova K. E. Kurakina |
| author_facet | I. A. Matveev A. I. Matveev V. T. Dgebuadze N. N. Povarnin S. N. Zobov L. A. Morozova K. E. Kurakina |
| author_sort | I. A. Matveev |
| collection | DOAJ |
| description | Introduction. Desarterization of hemorrhoidal arteries with mucopexia, a pathogenetically caused minimally invasive operation, is more often performed in stationary conditions under regional or general anesthesia. Aim. To study the results of desarterization of hemorrhoidal arteries in patients with hemorrhoids operated on an outpatient basis under local anesthesia.Materials and methods. 459 patients with chronic hemorrhoids of stage 2–4 with varying degrees of node prolapse under local infiltration anesthesia with Ultracaine were operated on by one surgeon. The duration of the intervention, the intensity of the pain syndrome, and the complications of treatment were studied. Results. The median duration of the operation is 25 minutes, the intensity of pain during the operation on a 10-point scale is 2 points, on the 3rd day of the postoperative period-2 points. Complications occurred in 6 (1.3%) people, in the 1st urinary retention, paraproctitis, and in the 4th – bleeding. Discussion. The obtained results of a longer procedure in patients with stage II hemorrhoids are associated with the training period. The intensity of pain during the HAL-RAR procedure performed under local anesthesia, including in patients of stage III-IV and IV, was acceptable and was tolerated by patients satisfactorily. The structure of the complications that have arisen is limited by a narrow range of pathology: bleeding, acute urinary retention, paraproctitis. Conclusion. Hemorrhoidal artery desarterization is an effective method of treating patients with chronic hemorrhoids on an outpatient basis: low duration ofsurgery, low frequency of complications. Local anesthesia during the ligation of hemorrhoidal arteries with mucopexia provides adequate anesthesia, patients tolerate the procedure and pain in the postoperative period, regardless of the stage of the disease, therefore, this method of treatment is advisable to use in outpatient practice. |
| format | Article |
| id | doaj-art-98c05fa9063c47abbf4b74cd275d5326 |
| institution | DOAJ |
| issn | 2712-8741 2782-2591 |
| language | Russian |
| publishDate | 2023-11-01 |
| publisher | Remedium Group LTD |
| record_format | Article |
| series | Амбулаторная хирургия |
| spelling | doaj-art-98c05fa9063c47abbf4b74cd275d53262025-08-20T03:05:27ZrusRemedium Group LTDАмбулаторная хирургия2712-87412782-25912023-11-0120224925710.21518/akh2023-022331Desarterization of hemorrhoidal arteries in outpatient treatment of chronic hemorrhoidsI. A. Matveev0A. I. Matveev1V. T. Dgebuadze2N. N. Povarnin3S. N. Zobov4L. A. Morozova5K. E. Kurakina6Tyumen State Medical University; Tyumen Regional Clinical Hospital No. 1Tyumen Regional Clinical Hospital No. 1Medical and Sanitary Unit “Neftyanik”NanoMed PlusNanoMed PlusNanoMed PlusTyumen State Medical UniversityIntroduction. Desarterization of hemorrhoidal arteries with mucopexia, a pathogenetically caused minimally invasive operation, is more often performed in stationary conditions under regional or general anesthesia. Aim. To study the results of desarterization of hemorrhoidal arteries in patients with hemorrhoids operated on an outpatient basis under local anesthesia.Materials and methods. 459 patients with chronic hemorrhoids of stage 2–4 with varying degrees of node prolapse under local infiltration anesthesia with Ultracaine were operated on by one surgeon. The duration of the intervention, the intensity of the pain syndrome, and the complications of treatment were studied. Results. The median duration of the operation is 25 minutes, the intensity of pain during the operation on a 10-point scale is 2 points, on the 3rd day of the postoperative period-2 points. Complications occurred in 6 (1.3%) people, in the 1st urinary retention, paraproctitis, and in the 4th – bleeding. Discussion. The obtained results of a longer procedure in patients with stage II hemorrhoids are associated with the training period. The intensity of pain during the HAL-RAR procedure performed under local anesthesia, including in patients of stage III-IV and IV, was acceptable and was tolerated by patients satisfactorily. The structure of the complications that have arisen is limited by a narrow range of pathology: bleeding, acute urinary retention, paraproctitis. Conclusion. Hemorrhoidal artery desarterization is an effective method of treating patients with chronic hemorrhoids on an outpatient basis: low duration ofsurgery, low frequency of complications. Local anesthesia during the ligation of hemorrhoidal arteries with mucopexia provides adequate anesthesia, patients tolerate the procedure and pain in the postoperative period, regardless of the stage of the disease, therefore, this method of treatment is advisable to use in outpatient practice.https://www.a-surgeon.ru/jour/article/view/406hemorrhoidshemorrhoidal artery ligationlocal anesthesiaoutpatient treatmentpain intensity |
| spellingShingle | I. A. Matveev A. I. Matveev V. T. Dgebuadze N. N. Povarnin S. N. Zobov L. A. Morozova K. E. Kurakina Desarterization of hemorrhoidal arteries in outpatient treatment of chronic hemorrhoids Амбулаторная хирургия hemorrhoids hemorrhoidal artery ligation local anesthesia outpatient treatment pain intensity |
| title | Desarterization of hemorrhoidal arteries in outpatient treatment of chronic hemorrhoids |
| title_full | Desarterization of hemorrhoidal arteries in outpatient treatment of chronic hemorrhoids |
| title_fullStr | Desarterization of hemorrhoidal arteries in outpatient treatment of chronic hemorrhoids |
| title_full_unstemmed | Desarterization of hemorrhoidal arteries in outpatient treatment of chronic hemorrhoids |
| title_short | Desarterization of hemorrhoidal arteries in outpatient treatment of chronic hemorrhoids |
| title_sort | desarterization of hemorrhoidal arteries in outpatient treatment of chronic hemorrhoids |
| topic | hemorrhoids hemorrhoidal artery ligation local anesthesia outpatient treatment pain intensity |
| url | https://www.a-surgeon.ru/jour/article/view/406 |
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