Clinical and morphological assessment of the effectiveness of using the radiowave surgery device «surgitron» and high – frequency electrosurgical device «kls martin» for treatment of patients with combined pathology of anal canal and rectum
ARTICLE PDF (Українська)

Keywords

Clinical and morphological assessment of the effectiveness of using the radiowave surgery device «surgitron» and high – frequency electrosurgical device «kls martin» for treatment of patients with combined pathology of anal canal and rectum

How to Cite

Balytskyy, V., Kuryk, O., & Zakharash, M. (2019). Clinical and morphological assessment of the effectiveness of using the radiowave surgery device «surgitron» and high – frequency electrosurgical device «kls martin» for treatment of patients with combined pathology of anal canal and rectum. Clinical and Preventive Medicine, (1), 25-32. https://doi.org/10.31612/2616-4868.1(7).2019.04

Abstract

The aim – to analyze the results of treatment of patients with combined pathology of the anal canal and rectum using Surgitron radio wave surgery and high-frequency electrosurgery "KLS Martin".

Materials and methods. The analysis of surgical treatment of 236 patients with combined anal canal and rectum with Surgitron radio wave surgery, 50 patients using KLS Martin high-frequency electrosurgery and 112 patients who have been traditionally operated using a metal scalpel. After surgical interventions using radio-wave and high-frequency electrosurgery devices, morphological examination of tissues was conducted to study the depth of their necrosis.

Results. It has been established that the use of Surgitron, as well as the high-frequency electrosurgical apparatus "KLS Martin", reduces the duration of the surgery to 15 ± 5 minutes, reduces the volume of blood loss to 20 ± 10 ml, the need for narcotic analgesics to 2 ± 1 ml, and terms of inpatient treatment of patients up to 4 ± 1 day. The results of the morphological study indicate that the application of the above-mentioned surgical techniques leads to a negligible depth of tissue necrosis from 0.165 ± 0.11 mm using the Surgitron apparatus to 0.192 ± 0.12 mm when used with the KLS Martin apparatus, ensuring cosmetic operations.

Conclusions. The use of the Surgitron radio-wave surgery and the KLS Martin electrosurgical apparatus for the treatment of patients with combined pathology of the anal canal and rectum due to insignificant tissue effects contributes to reducing the duration of the operation, reducing the volume of intraoperative blood loss, significantly reducing the pain in the postoperative period, reduction of the terms of inpatient treatment of patients, which determines their rapid medical and social rehabilitation. Also due to the minimal effect on the tissue, the healing of the postoperative wound is faster, which contributes to the formation of a delicate elastic scar and prevents the formation of scar strictures of the anal canal, as well as insufficiency of the anal sphincter in the postoperative period.

https://doi.org/10.31612/2616-4868.1(7).2019.04
ARTICLE PDF (Українська)

References

Borota A.V., Kuhto A.P., Bazijan-Kuhto N.K., Borota A.A. (2017). Hirurgicheskoe lechenie sochetannoj neopuholevoj patologii anal'nogo kanala i prjamoj kishki [Surgical treatment of comorbid non-neoplastic pathology of the anal canal and rectum]. Neoplasm, 9(4), 237-9. DOI: https://doi.org/10.26435/neoplasm.v9i4.240

Borota A.V., Kuhto A.P., Bazijan-Kuhto N.K., Borota A.A. (2018). Sravnitel'nіj analiz hirurgicheskogo lechenija sochetannoj neopuholevoj patologii anal'nogo kanala i prjamoj kishki [Comparative analysis of surgical treatment of combined non-tumor pathology of the anal canal and rectum]. Neoplasm,2018, 10(1), 18-21. DOI: https://doi.org/10.26435/neoplasm.v10i1.242

Zakharash M.P., Balytskyy V.V., Kuryk O.G. (2018). Vykorystannja suchasnyh miniinvazivnyh tehnologij v likuvanni pojednanoji patologii anal'nogo kanala i prjamoj kishki [Use of modern miniinvasive surgical techniques in the treatment of combined pathology of the anal canal and rectum]. Clinical Surgery, 85(2), 15-17. doi.org/10.26779/2522-1396.2018.02.15.

Bach H.H., Wang N., Eberhardt J.M. (2014). Common anorectal disorders for the intensive care physician. J. Intensive Care Med., 29(6), 334-41. https://doi.org/10.1177/0885066613485347 .

Chang J., Mclemore E., Tejirian T. (2016). Anal Health Care Basics. Perm J., 20(4), 15-222. DOI: 10.7812/TPP/15-222

Foxx-Orenstein A.E., Umar S.B., Crowell M.D. (2014). Common anorectal disorders. Gastroenterology and hepatology, 10(5), 294-301. PMCID: PMC4076876. PMID: 24987313.

Heng G., Tan K.Y. (2016). Excision Hemorrhoidectomy: New Methods to Improve the Outcomes of an Old Technique, Jentashapir J. Health Res., 7(3), e34119. doi: 10.17795/jjhr-34119.

Noori I.F. (2018). LigaSure hemorrhoidectomy versus excisional diathermy hemorrhoidectomy for all symptomatic hemorrhoids. Med. J. Babylon, 15, 83-8. Available at: http://www.medjbabylon.org/text.asp?2018/15/1/83/227820 DOI: 10.4103/MJBL.MJBL_21_18

Radu V., Radu S., Vasilescu D.S., Mustatea P., Constantinoiu S. (2015). Surgical treatment with radoofrequencies for outpatients with surgical benign ano-perianal diseases. Chirurgia, 3(110), 244-253. PMID: 26158734.

Talha A., Bessa S., Wahab M.A. (2014). Ligasure, Harmonic Scalpel versus conventional diathermy in excisional haemorrhoidectomy: a randomized controlled trial. ANZ J. Surg., 87(4), 252–56. DOI: 10.1111/ans.12838

Tsunoda A., Kiyasu Y., Fujii W., Kano N. (2015) Comparison of the early results of transanal hemorrhoidal dearterialization and hemorrhoidectomy using an ultrasonic scalpel. Surg. Today, 45(2), 175-80. DOI: 10.1007/s00595-014-0885-5

Vagholkar K., Chawathey S., Shekhar S., Vagholkar S. (2018). Hemorrhoids: which is the best therapeutic option? Int. Surg. J., 5, 2689-92. DOI: http://dx.doi.org/10.18203/2349-2902.isj20182996

Vivaldi C., Shaefer H. (2016). Radiofrequency ablation of haemorrhoids: first results of a new technique. In: Аbstracts of the 11th Scientific and Annual Meeting of the European Society of Coloproctology. 2016 September 28-30; Milan. Colorectal Disease, 18(1), 124.

Wald A., Bharucha A.E., Cosman B.C., Whitehead W.E. (2014) ACG clinical guideline: management of benign anorectal disorders. Am. J. Gastroenterol., 109(8), 1141–57. DOI: 10.1038/ajg.2014.190

Yanagita T., Tsunoda A., Hoshi K., Kano N., Kusanagi H. (2016). The Tissue Effect of Radiofrequency Ablation on Rectal Mucosa. Int Surg., 101(11-12), 498-502. https://doi.org/10.9738/INTSURG-D-15-00113.1

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