PP 19. New Ways Of Surgical Treatment Of Hemorrhoids

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V. Totikov

18:28 - 18:34h at Margrit Room

Categories: Gastrointestinal Surgery, Poster Session , Robotic and Minimal Invasive Surgery

Session: Poster (P2) - Gastrointestinal Surgery / Minimal Invasive

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Background
The purpose of this study was to develop ways to treat hemorrhoids, allowing reducing postoperative pain syndrome, and reducing the likelihood of strictures of the anal canal and anal sphincter insufficiency.

Material and Methods
To solve the goal with the radical treatment of stage III-IV hemorrhoids we have developed a special mirror, which has improved access to the operating field and to exclude traumatic divulsion of the anal canal. Hemorrhoidectomy with the developed mirror, we performed in three versions: an open, closed and submucosa.

Result
Total hemorrhoidectomy using a special anal mirrors we have performed 528 patients. Postoperatively, reflex urinary retention was noted in 11 (2.1%) patients who wore a short-term nature. Pain syndrome, relief demanded a drug was noted in 15 (2.7%) patients, who were arrested for 2-3 days. In 3 (0.5%) patients there was bleeding from a skin wound. Another 2 patients (0.3%) showed submucosal abscess. None of our patients strictures of the anal canal is not revealed.

Conclusion
Special anal mirror creates access, allowing no traumatic divulsion not occupying the mucous anal canal to perform an open or closed hemorrhoidectomy without the formation of the stump. As well as creating more favorable conditions for the  implementation of submucosal hemorrhoidectomy.