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 isnow accompanied by a fairly large number of postoperative complications such aspain syndrome, breach urine, bleeding, local edema, which leads toadditional suffering patient, increases the cost of treatment. The aim isto study the results of treatment of chronic anal fissurethrough the use of electrocautery generator LigaSure (Covidien) forfissure and vessels that supply blood to them. After dilatation analsphincters spend revision anal canal. Clip tighten chronic analfissure  from 0,5 to 2,0 cm from analverge to 3,0 cm on deep recti on top and put on his stretched base, includingvascular leg, bent electrode apparatus LigaSure. Spend electric weldinggrounds unit at intensity 2 or 3 LEDs, after which chronic anal fissure of theclip is removed without firmware vascular legs. Histological research afteroperation.  Applying this methodon treatment of 21 patients with a diagnosis of "Chronic analfissure”. Performance ectomy of chronic anal fissureusing LigaSure, spread through small areas of damage and no sutures in theanal region, leads to a reduction of pain, no bleeding and swelling of tissue,accelerate wound healing, reduction of terms of treatment and temporarydisability. This method is had trauma (zone 300-600 microns oftissue damage, early wound healing) and easy to use that can significantlyimprove the results of surgery and reduce the number of postoperativecomplications after ectomy of chronic anal fissure