SURGICAL TREATMENT OF COMBINED ANORECTAL PATHOLOGY USING CURRENT TECHNOLOGIES

Q4 Medicine
V. Balytskyy, M. Zakharash, E. Kuryk, Y. Zakharash
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引用次数: 0

Abstract

Objective. To evaluate the effectiveness of application radio-wave surgery device “Surgitron” and high-frequency electrosurgery devices “ERBE ICC 200”, “EFA”, “KLS Martin” for treatment of patients with combined anorectal pathology. Methods. The treatment results of patients (n=635) with a combined anorectal pathology have been analyzed. The use of the «Surgitron» radio-wave surgery apparatus 245 (38.6%) patients were operated on, the «ERBE ICC 200» high-frequency electrosurgery apparatus - 169 (26.6%) patients, the «EFA» high-frequency electrosurgery apparatus - 114 (17.9 %) patients, «KLS Martin» high-frequency electrosurgery apparatus - 107 (16.9%) patients. After those surgical interventions to assess the effectiveness of the abovementioned current technologies, patients were conducted a morphological examinationto determine the depth of the necrosis of tissues. Results. According to the study results it has been established that application of the “Surgitron” radio-wave surgery device, “ERBE ICC 200” high-frequency electrosurgical devices “EFA”, “KLS Martin” reduces duration of the operation up to 15-30 min, the volume of bleeding - up to 10-30 ml, need in narcotic drugs - up to 1-4 ml, period of hospitalization - up to 3-6 days. Using these technologies prevented the formation of anal strictures and scar pararectal deformations due to the insignificant depth of tissue necrosis (the depth 0,036 -l 0,453 mm), ensuring the cosmetic effect of combined operations. Conclusion. Application of the “Surgitron” radio-wave surgery device and “ERBE ICC 200” high-frequency electrosurgical devices, “EFA”, “KLS Martin” for treatment of patients with combined anorectal pathology reduces the operation duration, volume of bleeding and intensity of the postoperative pain. Use of these current technologies promotes the formation of a delicate elastic scar causing faster healing of postoperative wounds and improving the terms of patients’ rehabilitation. What this paper adds A comparative evaluation of the effectiveness of using high-frequency electrosurgery devices “ERBEICC 200”, “EFA”, “KLSMartin” and radio-wave surgery device “Surgitron” for treatment of patients with combined anorectal pathology has been firstly made; also a degree of pathomorphological changes in tissues of anal canal and rectum after using the aforementioned current technologies has been studied to assess the effectiveness of their use for treatment of combined anorectal pathology.
应用现有技术对肛肠合并病理的外科治疗
目标。评价应用无线电波手术装置“Surgitron”与高频电手术装置“ERBE ICC 200”、“EFA”、“KLS Martin”治疗肛肠合并病变患者的疗效。方法。对635例合并肛肠病变患者的治疗结果进行了分析。使用“Surgitron”无线电波手术器械245例(38.6%)患者接受手术,使用“ERBE ICC 200”高频电手术器械169例(26.6%)患者,使用“EFA”高频电手术器械114例(17.9%)患者,使用“KLS Martin”高频电手术器械107例(16.9%)患者接受手术。在这些手术干预后评估上述现有技术的有效性,患者进行形态学检查以确定组织坏死的深度。结果。根据研究结果,应用“Surgitron”无线电波手术装置、“ERBE ICC 200”高频电手术装置“EFA”、“KLS Martin”可将手术时间缩短至15-30分钟,出血量可达10-30毫升,所需麻醉药物可达1-4毫升,住院时间可达3-6天。由于组织坏死深度不明显(深度0.036 ~ 0.0453 mm),避免了肛管狭窄和直肠旁瘢痕变形的形成,保证了联合手术的美容效果。结论。应用“Surgitron”无线电波手术装置和“ERBE ICC 200”高频电手术装置、“EFA”、“KLS Martin”等治疗肛肠合并病变患者,减少手术时间、出血量和术后疼痛程度。目前这些技术的使用促进了精致弹性疤痕的形成,使术后伤口愈合更快,并改善了患者的康复条件。本文首次对高频电手术装置“ERBEICC 200”、“EFA”、“KLSMartin”与无线手术装置“Surgitron”治疗肛肠合并病变患者的疗效进行了比较评价;此外,研究了使用上述现有技术后肛管和直肠组织的一定程度的病理形态学变化,以评估其用于治疗肛肠联合病理的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Novosti Khirurgii
Novosti Khirurgii Medicine-Surgery
CiteScore
0.50
自引率
0.00%
发文量
15
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