1. [Treatment tactics of hemorroidal disease stage III-IV].
- Author
-
Goncharuk RA, Stegniĭ KV, Krekoten' AA, Grossman SS, and Sarychev VA
- Subjects
- Adult, Aged, Aged, 80 and over, Angiography methods, Arteries pathology, Comparative Effectiveness Research, Female, Humans, Male, Middle Aged, Preoperative Care methods, Rectum blood supply, Rectum diagnostic imaging, Recurrence, Retrospective Studies, Severity of Illness Index, Tomography, X-Ray Computed methods, Treatment Outcome, Ultrasonography, Doppler instrumentation, Ultrasonography, Doppler methods, Arteries surgery, Hemorrhoidectomy methods, Hemorrhoids diagnosis, Hemorrhoids physiopathology, Hemorrhoids surgery, Ligation methods, Rectum surgery
- Abstract
The Miligan-Morgan's operation has long been considered to be the "golden standard" of hemorrhoids' stage I-III treatment. The invention of distal branches of the upper rectal artery' suture ligation with mucopexia and lifting of the anal canal mucosa discovered new possibilities for hemorrhoids surgery, though there are still some questions considering long-term results. 151 cases of recurrence within 1-6 months were analyzed. The use of CT-angiography with 3D reconstruction of the upper rectal artery allowed to chose the operative technique more relevant and thus improve the treatment results.
- Published
- 2013