Перший досвід хірургічного лікування геморою із застосуванням бездротового доплеро-оперативного комплексу Trilogy HAL-RAR Unit

Abstract

SummaryObjective. To improve the results of treatment of patients with stage II–III hemorrhoids using the wireless Doppler surgical complex Trilogy HAL-RAR Unit.Materials and methods. Results of new technique of disarterization ofhemorrhoidal arteries and recto-anal recovery using wireless Doppler surgical complexWi-3 Trilogy HAL-RAR performed in 19 patients from the Сlinic of Coloproctology ofthe Military Medical Clinical Center of the Southern Region of Odessa for the periodfrom January 2019 to June 2020 was analysed.Results and discussion. In the postoperative period, moderate pain was observedfor three days in 13 patients (68.4%), only one of them had pain for the first 6 days aftersurgery. In 6 (31.6%) patientswe found any complaints of pain in the postoperativeperiod. In all patients, the pain was acquired by taking nonspecific anti-inflammatorydrugs without the use of narcotic analgesics. In the postoperative period, patients wereexamined on 2, 7 and 90 days after surgery. No complications were noted in thepostoperative period. In 4 (20%) patients, due to the presence of enlarged hemorrhoids,the operation was extended by removing the external hemorrhoids and suturing themucosal defect. All patients noted no reduction in quality of life in the postoperativeperiod.Conclusions. Surgical treatment of hemorrhoids using Trilogy HAL-RAR technology is a minimally invasive method that reduces the patient’s stay in the hospital in thepostoperative period, does not require the use of narcotic analgesics, promotes rapidrecovery and may be the approach of choice for surgical treatment of hemorrhoids stageII–III.