Andriyets V. Comparativ appraisal methods of surgical treatment of a hemorrhoids and indication to them

Object - patients with a chronic hemorrhoids; the purpose - to improve results of surgical treatment of patients with a chronic hemorrhoids by development and introductions of the improved techniques of surgical intervention depending on morphological changes in hemorrhoidal complexes; methods - clinical and instrumental inspections what included survey of the proctologist (survey perineum and the anal channel, manual research of a rectum, anoscopy, rectoromanoscopy), research a anal reflex, fibrocolonoscopy, irigoscopy, carried out morphological research of sites of the anal channel; novelty - for the first time is investigated chronology of change of structural elements of the anal channel at development of a hemorrhoids, for the first time is worked up a minitraumatic method of treatment of the combined chronic hemorrhoids, is offered original hemorrhoidectomy with skin anoplastic, is offered the morphological proved algorithm of surgical treatment of a chronic hemorrhoids; results - owing to the developed methods of treatment of a chronic hemorrhoids high quality of a life of patients was possible to keep results, to reduce quantity of early and late complications; branch - proctology