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Surgical treatment of patients with hemorrhoids by using traditional and minimally invasive methods

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dc.contributor.author Bour, Alin
dc.contributor.author Gugava, Vahtang
dc.date.accessioned 2019-06-24T21:32:53Z
dc.date.available 2019-06-24T21:32:53Z
dc.date.issued 2017
dc.identifier.citation BOUR, Alin, GUGAVA, Vahtang. Surgical treatment of patients with hemorrhoids by using traditional and minimally invasive methods. In: The Moldovan Medical Journal. 2017, vol. 60, no 3, pp. 34-36. ISSN 2537-6373.DOI: 10.5281/zenodo.1051138 en_US
dc.identifier.issn 2537-6373
dc.identifier.issn 2537-6381
dc.identifier.uri http://moldmedjournal.md/wp-content/uploads/2019/01/moldmedjournal-2017-60-3-Full-Issue.pdf
dc.identifier.uri http://repository.usmf.md/handle/20.500.12710/2701
dc.identifier.uri https://doi.org/10.5281/zenodo.1051138
dc.description Department of Surgery No 5, Nicolae Testemitsanu State University of Medicine and Pharmacy, Chisinau, the Republic of Moldova en_US
dc.description.abstract Background: Hemorrhoids are a common pathology of the ano-rectal region and their treatment remains relevant. New minimally invasive methods of surgical treatment of hemorrhoids have been developed recently. Transanal Doppler-Guided Hemorrhoidal Artery Ligation (DG-HAL) of internal hemorrhoids is an up-to-date minimally invasive surgical method of hemorrhoid treatment. In the Republic of Moldova, many patients seek medical help only in advanced stages with large prolapse. It is not always possible to resolve the problem with minimally invasive methods. In medical literature there is little elucidation of the simultaneous combination of the DG-HAL method with the excision of external hemorrhoidal nodes. In the Republic of Moldova this study is being carried out for the first time. The authors present the results of combined surgical treatment of patients with hemorrhoids. The combined method of surgical treatment of hemorrhoidal disease has been implemented in our country and the efficacy of the method for individual approach has been demonstrated. Material and methods: The results of the surgical treatment of 15 patients with the diagnosis of chronic hemorrhoids III-IV grade were evaluated. Patients were treated with the combined surgical method (DG-HAL with excision of hypertrophied external hemorrhoids and / or skin tags). Results: Postoperative pain after “visual analogue scale” ranged from 3 to 6. Postoperative hospitalization constituted from 1 to 6 days. The duration of the surgery during adoption of approach was 30-60 minutes, but in the years 2016-2017 it constitutes 25-40 minutes. Severe complications have not been detected. Conclusions: The individual approach by combined surgical treatment of patients with hemorrhoidal disease improves treatment outcomes. en_US
dc.language.iso en en_US
dc.publisher The Scientific Medical Association of the Republic of Moldova en_US
dc.relation.ispartof The Moldovan Medical Journal
dc.subject Proctology en_US
dc.subject Surgical Treatment en_US
dc.subject Artery Ligation en_US
dc.subject Desarterization en_US
dc.subject.ddc UDC: 616.147.17-007.64-089.819
dc.subject.mesh Colorectal Surgery en_US
dc.subject.mesh Hemorrhoids en_US
dc.subject.mesh Surgical Procedures, Operative en_US
dc.subject.mesh Hemorrhoids--surgery en_US
dc.subject.mesh Ligation en_US
dc.subject.mesh Minimally Invasive Surgical Procedures--methods en_US
dc.title Surgical treatment of patients with hemorrhoids by using traditional and minimally invasive methods en_US
dc.type Article en_US


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