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Year 2021 Vol. 29 No 4

GENERAL & SPECIAL SURGERY

V.V. BALYTSKYY 1, 2, M.P. ZAKHARASH 3, Å.G. ÊURYK 3, Y.M. ZAKHARASH 3

SURGICAL TREATMENT OF COMBINED ANORECTAL PATHOLOGY USING CURRENT TECHNOLOGIES

N.I. Pirogov Vinnitsa National Medical University 1, Khmelnitsky,
Khmelnitsky Regional Hospital 2, Khmelnitsky,
A.A. Bogomolets National Medical University 3, Kiev,
Ukraine

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 examination to 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.

Keywords: combined pathology, anal canal, rectum, high-frequency electrosurgery devices, radio- wave surgery device
p. 434-444 of the original issue
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Address for correspondence:
29000, Ukraine, Khmelnitsky,
Pilotskaya Str., 1 N.I. Pirogov Vinnitsa National Medical University, the Surgery
Department of the Postgraduate Training Faculty,
Khmelnitsky Regional Hospital
tel. mobile +38 097-235-96-85.
e-mail: v.balytskyy@ukr.net
Balytskyy Vitaly V.
Information about the authors:
Balytskyy Vitaly V., PhD, Associate Professor of the Surgery Department of the Postgraduate Training Faculty, N.I. Pirogov Vinnitsa National Medical University, Khmelnitsky regional hospital, Khmelnitsky, Ukraine.
http://orcid.org/0000-0003-1076-5237
Zakharash Mikhail P., MD, Corresponding member of NAMS of Ukraine, Professor of the Surgery Department No1, A.A. Bogomolets National Medical University, Kiev, Ukraine.
http://orcid.org/0000-0003-4005-5172
Kuryk Elena G., MD, Professor of the Department of Pathologic Anatomy No1, A.A. Bogomolets National Medical University, Kiev, Ukraine.
https://orcid.org/0000-0003-3093-4325
Zakharash Yury M., MD, Professor of the Surgery Department No1, A.A. Bogomolets National Medical University, Kiev, Ukraine.
https://orcid.org/0000-0003-3093-4325
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