First Results Surgical Treatment of Patients with Chronic anal Fissure Through Electric Welding of Biological Tissue
Abstract
Existing methods of ectomy of chronic anal fissure is
now accompanied by a fairly large number of postoperative complications such as
pain syndrome, breach urine, bleeding, local edema, which leads to
additional suffering patient, increases the cost of treatment. The aim is
to study the results of treatment of chronic anal fissure
through the use of electrocautery generator LigaSure (Covidien) for
fissure and vessels that supply blood to them. After dilatation anal
sphincters spend revision anal canal. Clip tighten chronic anal
fissure from 0,5 to 2,0 cm from anal
verge to 3,0 cm on deep recti on top and put on his stretched base, including
vascular leg, bent electrode apparatus LigaSure. Spend electric welding
grounds unit at intensity 2 or 3 LEDs, after which chronic anal fissure of the
clip is removed without firmware vascular legs. Histological research after
operation. Applying this method
on treatment of 21 patients with a diagnosis of "Chronic anal
fissure”. Performance ectomy of chronic anal fissure
using LigaSure, spread through small areas of damage and no sutures in the
anal region, leads to a reduction of pain, no bleeding and swelling of tissue,
accelerate wound healing, reduction of terms of treatment and temporary
disability. This method is had trauma (zone 300-600 microns of
tissue damage, early wound healing) and easy to use that can significantly
improve the results of surgery and reduce the number of postoperative
complications after ectomy of chronic anal fissure
References
- Feldman M, et al. Diseases of the anorectum. In: Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2016. http://www.clinicalkey.com. Accessed Sept. 17, 2015. Anal fissure. American Society of Colon and Rectal Surgeons. https://www.fascrs.org/patients/disease- condition/anal-fissure-expanded-information. Accessed Sept. 17, 2015. Wald A, et al. ACG Clinical Guideline: Management of benign anorectal disorders. American Journal of Gastroenterology. 2014; 109:1141. Perry WB, et al. Practice parameters for the management of anal fissures (3rd revision). Diseases of the Colon & Rectum. 2010; 53:1110. Nelson RL, et al. Non surgical therapy for anal fissure. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD003431.pub3/abstract. Accessed Sept. 17, 2015. Breen E, et al. Anal fissure: Clinical manifestations, diagnosis, prevention. http://www.uptodate.com/home. Accessed Sept. 17, 2015.
Abstract
References
- Feldman M, et al. Diseases of the anorectum. In: Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2016. http://www.clinicalkey.com. Accessed Sept. 17, 2015. Anal fissure. American Society of Colon and Rectal Surgeons. https://www.fascrs.org/patients/disease- condition/anal-fissure-expanded-information. Accessed Sept. 17, 2015. Wald A, et al. ACG Clinical Guideline: Management of benign anorectal disorders. American Journal of Gastroenterology. 2014; 109:1141. Perry WB, et al. Practice parameters for the management of anal fissures (3rd revision). Diseases of the Colon & Rectum. 2010; 53:1110. Nelson RL, et al. Non surgical therapy for anal fissure. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD003431.pub3/abstract. Accessed Sept. 17, 2015. Breen E, et al. Anal fissure: Clinical manifestations, diagnosis, prevention. http://www.uptodate.com/home. Accessed Sept. 17, 2015.
Details
| Primary Language | English |
|---|---|
| Subjects | Engineering |
| Journal Section | Articles |
| Authors | |
| Publication Date | August 19, 2018 |
| Published in Issue | Year 2018Issue: 2 |
