Tsema E. Motivation and estimation to efficiency miniinvasive methods of treatment internal hemorrhoids

The author has analyzed the results of diagnostics and treatment of 316 patients with internal hemorrhoids. The patients were divided in three groups. 141 (44,6 %) patients treated with traditional method of infrared photocoagulation were included in the first control group. 73 (23,1 %) patients treated with traditional method of ligature desarterisation of the superior rectal artery were included in the second control group. 102 (32,3 %) patients treated with the worked-out method of the selective infrared photocoagulation of the superior rectal artery's distal branches with Doppler-control were included in the group of research. It is determined that ignoring not typical vessel's anatomy of the superior rectal artery is one of the main causes of long-term unsatisfactory results of treatment with traditional method of infrared photocoagulation. On the grounds of analysis of diagnostic value of the methods of visualization of the superior rectal artery's distal branches it is determined that optimal method of intraoperative diagnostic for patients with internal hemorrhoids is transrectal dopplerometry. This method is assumed as a basis of the worked-out method of treatment. The worked-out method of treatment of internal hemorrhoids allows to reduce the duration of treatment from 4,36 to 2,3 berth-days, to reduce the percentage of postoperative complications and frequency of satisfactory and unsatisfactory results from 16,3 % to 6,9 % and from 11,4 % to 0,98 %, accordingly (р<0,001), comparatively to traditional method of infrared photocoagulation. The worked-out method of treatment allows to reduce the quantity of intra- and postoperative complications (p<0,05), comparatively to the traditional method of ligature desarterisation of the superior rectal artery.