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    M. I. Kravtsiv, M. O. Dudchenko, D. M. Ivashchenko, R. A. Prykhidko, M. P. Shevchuk, S. M. Zaiets, G. O. Ivanova

    THE CHOICE OF A METHOD FOR SURGICAL TREATMENT OF INTERNAL CHRONIC HEMORRHOIDS


    About the author: M. I. Kravtsiv, M. O. Dudchenko, D. M. Ivashchenko, R. A. Prykhidko, M. P. Shevchuk, S. M. Zaiets, G. O. Ivanova
    Heading CLINICAL MEDICINE
    Type of article Scentific article
    Annotation Haemorrhoids are one of the most common diseases in the anorectal zone. Often this disease requires surgical treatment, so the study of types of operations for treatment of hemorrhoids is very important in our time. The aim of our study was to compare Rafaelo radiofrequency ablation of hemorrhoids and Milligan-Morgan hemorrhoidectomy to determine the best method of surgical treatment of chronic hemorrhoids. Our study included 135 patients divided into two groups. The first group consisted of 75 patients operated on by radiofrequency ablation, the second group consisted of 60 patients who underwent classical Milligan-Morgan hemorrhoidectomy. Obtained results showed that the method of radiofrequency ablation of hemorrhoids using the Rafaelo method is less traumatic, easier to perform for surgeons, has an insignificant level of postoperative pain, low frequency of early and late postoperative complications and recurrence, does not require additional drug therapy and is characterized by a short postoperative period and recovery.
    Tags internal hemorrhoids,radiofrequency ablation,hemorrhoidectomy,Milligan-Morgan,Rafaelo
    Bibliography
    • Vaslyk SM, Shevchuk AG, Gudyvok VI, Labiak IR, Sidouk SS. Khirurhichne likuvannya patsiyentiv iz khronichnym hemoroyem. Kharkiv Surgical School. 2020;1(100):137- 142. doi: https://doi.org/10.37699/2308-7005.1.2020.23 [in Ukrainian]
    • Dudchenko MO, Mishura ZI. Vplyv zakhvoryuvannya na yakist zhyttya patsiyentiv z ekstrasfinkternymy ta transsfinkternymy norytsyamy. Actual Problems of the Modern Medicine: Bulletin of Ukrainian Medical Stomatological Academy. 2019;1(65):27-31. doi: 10.31718/2077-1096.19.1.27 [in Ukrainian]
    • Kondratenko AP. Suchasni metodyky hemoroyidalnoyi khvoroby z vykorystannyam riznykh vydid enerhiyi (ohlyad literatury). Ukrainian Journal of Surgery. 2018;2(37):68-73. doi:10.22141/1997-2938.2.37.2018.147853 [in Ukrainian]
    • Makukha AV, Kashtalyan MA, Shapovalov VY, Enin RV. Porivnyalna kharakterystyka riznykh metodyk likuvannya uskladnenoho hemoroyu. Kharkiv surgical school. 2021;2(107):36-42. doi: https://doi.org/10.37699/2308-7005.4.2021/07 [in Ukrainian]
    • Solomchak PV, Skryrko VD, Pasko AY. Optymalni pidkhody do cuchasnykh modyfikatsiy operatsiyi Milligan–Morgana v likuvanni uskladnenoho hemoroyu. Art of Medicine. 2019;3(11):67-72. doi: 10.21802/artm.2019.3.11.67 [in Ukrainian]
    • Bhatti MI, Sajid MS, Baing MK. Milligan – Morgan (open) versus Ferguson haemorrhoidectomy (closed): a systematic review and meta – analysis of published randomized, controlled trials. World J Surg. 2016;40:1509–1519. doi: 10.1007/s00268-016-3419-z
    • Brown SR. Haemorrhoids: an update on management. TherAdv Chronic Dis. 2017 Oct;8(10):141–7. Doi: 10.1177/2040622317713957
    • Davis BR, Lee – Kong SA, Migly J, Feingold DL, Steele SR. The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for Management of Hemorrhoids. Dis Colon Rectum. 2018 Mar;61(3):284–92. doi: 10.1097/DCR.0000000000001030
    • Davies D, Bailey J. Diagnosis and Management of Anorectal Disorders in the Primary Care Settings. Prim Care. 2017 Dec;44(4):709–20. doi: 10.1016/j.pop.2017.07.012.
    • Mott T, Latimer K, Edwards C. Haemorroids: Diagnosis and Treatment Options. Am Fam Physician. 2018 Feb 1;97(3):172–9.
    • Sidoruk S. Blood supply of the anal canal in patients with chronic hemorrhoids. Journal of Education, Health and Sport. 2021;11(04): 217–21. doi: http://dx.doi.org/10.12775/JEHS.2021.11.04.22
    • Transanal hemorrhoidal dearterialization with mucopexy versus open hemorrhidektomy in the treatment of hemorrhoids: a meta – analysis of randomized control trials. Teach Coloproctol. 2016;(12):825–33. doi: 10.1007/s10151-016-1551-2.
    Publication of the article «World of Medicine and Biology» №3(81), 2022 year, 071-075 pages, index UDK 616.147.17-007.64-089.8
    DOI 10.26724/2079-8334-2022-3-81-71-75