COMPARATIVE ANALYSIS OF THE RESULTS OF HEMORRHOIDECTOMY BY TRADITIONAL METHODS AND THE «HAL-RAR» METHOD

Abstract

In this study, we present the results of a retrospective comparative analysis of the results of hemorrhoidectomies by traditional methods and the «HAL-RAR» method. The purpose of the study. To conduct a retrospective comparative analysis of the results of traditional hemorrhoidectomies and «HAL-RAR» in patients treated in surgical departments of “A.N. Syzganov National Scientific Center for Surgery” JSC, Almaty, Kazakhstan. Material and methods. In the period from June 2018 to April 2021, 108 patients were operated on as planned for chronic hemorrhoids at A.N. Syzganov National Scientific Center for Surgery, and all patients were divided into 2 main groups: those operated by traditional methods and the «HAL-RAR» method. Results. The analysis data suggest that the «HAL-RAR» method has an advantage over traditional methods of hemorrhoidectomy. Conclusion. Based on a comparative analysis of the indicators of patients of both groups, it can be concluded that the duration of surgery with the minimally invasive «HAL-RAR» method is 40.6 minutes, which is significantly longer than with traditional methods, amounting to 48.4 minutes. Despite this, the duration of hospital stay after surgery by the «HAL-RAR» method is 2.6 days, which is much less than with traditional methods, in which the duration of hospital stay after surgery is 3.5 days. Local infiltration anesthesia during operations by the «HAL-RAR» method was performed by 77.7% of patients, when with traditional methods 25.9% of patients. This analysis shows that the «HAL-RAR» method has an advantage over traditional methods.