Effectiveness of minimally invasive and surgical methods of treatment of chronic hemorrhoids using phlebotonics

PURPOSE: to evaluate the effect of phlebotropic therapy on the effectiveness of surgical treatment of hemorrhoids. PATIENTS AND METHODS: a comparative evaluation of the results of treatment of 406 patients with chronic hemorrhoids of stages III and IV was performed. With surgical treatment of hemorrhoids, standard conservative therapy was performed in 205 patients (group I) and 201 patients (group II) in the perioperative period, as well as at the rehabilitation stage, the standard program of drug treatment was supplemented with phlebotropic therapy using Detralex (1000 mg). RESULTS: in group II patients, compared with group I patients, pain syndrome was stopped faster, quality of life and working capacity were restored, and the period of epithelization of the anal canal wound was shortened (21.4 ± 1.7 days versus 26.8 ± 2.1 days). This made it possible to increase the number of good and satisfactory results of surgical treatment of hemorrhoids from 82.4% to 91.5%. CONCLUSION: outpatient surgical treatment of hemorrhoids of stages III-IV in combination with phlebotropic therapy can reduce the number of postoperative complications from 17.6% to 8.5% and increase the overall number of good and satisfactory treatment results from 82.4% to 91.5% (p < 0.005).