IMPROVEMENT OF THE SURGICAL TREATMENT OF CHRONIC HEMORRHOIDS USING «LIGASURE»
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This study included 224 patients with chronic internal and combined hemorrhoids. The main group comprised 122 patients. Correction of chronic hemorrhoids in them was performed by a minimally invasive method using the hardware-controlled bipolar electrosurgical unit LigaSure. The control group consisted of 102 patients operated on by the traditional surgical Milligan-Morgan method. In the surgical treatment of chronic hemorrhoids using the developed and improved methods of hemorrhoidectomy with the «LigaSure» device, good results were obtained in 94.1% to 94.6% and satisfactory results in 5.4% to 5.9% of the patients of the main group, compared with the patients of the control group, where good results were obtained in 84.4%, satisfactory in 8.9% and unsatisfactory in 6.7%.
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Festen S., van Hogezand R.M., van Deventer S.J.H., Dekker W., Mulder C.J.J. Stapled hemorrhoidopexy versus open hemorrhoidectomy: A randomized controlled trial with long-term follow-up. Surgical Endoscopy. 2017; 31 (5): 2151-2158. DOI: 10.1007/s00464-016-5276-1
Giordano P., Gravante G., Morano G., Porretto F., D'Urso A., Ruggiero B., Toscano R., D'Ambra R. Long-term outcomes of stapled versus conventional hemorrhoidectomy: A systematic review and meta-analysis. World Journal of Surgery. 2019; 43 (4): 1016-1024. DOI: 10.1007/s00268-018-04885-7
Heaton N.D., Kent R.A., Legood R., Burns E.M., Windhaber R.A., Dorman R.M. A randomized controlled trial of stapled versus open hemorrhoidectomy. Diseases of the Colon & Rectum. 2018; 61 (5): 623-632. DOI: 10.1097/DCR.0000000000001065
Hetzer F.H., Demartines N., Handschin A.E., Clavien P.A. Hemorrhoidectomy with or without surgical sealing: a prospective randomized study. Journal of Gastrointestinal Surgery. 2016; 20 (3): 529-534. DOI: 10.1007/s11605-015-3055-7
Shao W.J., Li G.C., Wang Z.Z., Zhuang B.W., Guo X.Y. Meta-analysis of the effect of stapled hemorrhoidopexy vs conventional hemorrhoidectomy on hemorrhoidal recurrence. Colorectal Disease. 2019; 21 (1): 6-12. DOI: 10.1111/codi.14471
Thaha M.A., Irvine L.A., Steele R.J., Campbell K.L., Elders A., Thomson E., Ramsay C.R. Stapled versus conventional surgery for hemorrhoids. Lancet. 2017; 389 (10069): 1597-1608. DOI: 10.1016/S0140-6736(16)31757-5
Tjandra J.J., Chan M.K. Systematic review on the procedure for prolapse and hemorrhoids (stapled hemorrhoidopexy). Diseases of the Colon & Rectum. 2018; 61 (8): 924-935. DOI: 10.1097/DCR.0000000000001152
Кан С. А., Рустамов И. М., Шербекова Ф. У. Хирургическая тактика у больных с послеоперационной недостаточностью анального сфинктера //Молодежь и медицинская наука в XXI веке. – 2017. – С. 361-362.
Мустафакулов И. Б. и др. Особенности течения и лечения осложненных форм геморроя у лиц пожилого возраста //Национальная ассоциация ученых. – 2016. – №. 1 (17). – С. 11-12.
Rahmatov B. Kh., Xujabayev S. T. Minimally invasive technologies in the surgical treatment of chronic haemorrhoids. Interna'onal Journal of Integra've and Modern Medicine. IJIMM, Volume 2, Issue 6, 2024 ISSN: 2995-5319. h:p://medicaljournals.eu/index.php/IJIMM/issue/view/3. 582-584.
Рахматов Б.Х., Хужабаев С.Т. Современные аспекты хирургии хронического геморроя (обзор литературы). Central asian journal of education and innovation. www.in-academy.uz. 51-55.
Рахматов Б.Х., Хужабаев С.Т. Эффективность и безопасность усовершенствованных методов геморроидэктомии с применением аппарата 'ligasure' в лечении хронического геморроя. Ilm-fan va innovatsiya ilmiy-amaliy konferensiyasi. in-academy.uz/index.php/si. 106-107.
Рахматов Б.Х., Хужабаев С.Т. Сравнительный анализ методов хирургического лечения хронического геморроя: роль технологии 'ligasure' в оптимизации результатов операций. Ilm-fan va innovatsiya ilmiy-amaliy konferensiyasi. in-academy.uz/index.php/si. 136-137.