OPTIMIZATION OF TREATMENT OF SCARRING NARROWING OF THE ANAL CANAL AFTER HEMORRHOIDECTOMY USING COMBINED LASER TECHNOLOGIES
DOI:
https://doi.org/10.5281/zenodo.18429923Keywords:
hemorrhoid; combined laser technology; hemorrhoidectomy; scarring narrowing of the anal canalAbstract
Hemorrhoids are the most common non-oncological anorectal condition in the world, and their incidence increases with age. The aim of the study is to improve the methods of treating scarred constrictions of the anal canal after radical hemorrhoidectomy by developing an experimental model. The clinical part of the study included 297 patients with stage II-IV chronic combined hemorrhoids who underwent radical hemorrhoidectomy operations from 2010 to 2025 at the Khorezm Regional Multidisciplinary Medical Center, as well as 35 patients with cicatricial narrowing of the anal canal after hemorrhoidectomies performed in other institutions. In the main group, the average intraoperative blood loss was 27.6±17.2 ml, which was significantly lower (t=6.65; P<0.001) than in the comparison group (82.3±15.8 ml and 96.2±15.8 ml). The improved Milligan Morgan hemorrhoidectomy technique with preservation of the mucocutaneous bridge and without suturing wounds in the transition zone helps to reduce pain reception, reduce hospital stay from 7.4±1.2 to 2.3±0.4 (P<0.05), reduce rehabilitation time from 28.4±2.9 to 17.5±2.6 days, and reduce the frequency of scarring anal canal stenosis from 7-12 to 0.9% (P<0.05)..
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