SURGICAL TREATMENT OF CHRONIC HEMORRHOIDS IN PATIENTS WITH DRUG HYPOCOAGULATION
Keywords:
Experimental study, morphology,, model of anus wound, drug hypocoagulation, hemostasis, “Heprocel”Abstract
Today, hemorrhoids are characterized by their relevance among coloproctological diseases. There is a lot of data on the pathogenesis and course of hemorrhoidal disease, the clinical picture of hemorrhoids, which is diverse in a wide range and requires careful differential diagnosis. Thus, we set a goal to study the results of surgical treatment of chronic stage III-IV hemorrhoids in patients with drug-induced hypocoagulation.
Material and methods. We studied 230 patients with chronic combined stage III-IV hemorrhoids, concomitant cardiovascular pathology. The groups were matched by sex, age, type and severity of pathology, as well as the type of surgical intervention. In the main group - 112 patients with chronic combined hemorrhoids and drug hypocoagulation for concomitant cardiovascular pathology, Milligan-Morgan hemorrhoidectomy was combined with the proposed method of enhancing the local hemostatic effect by using the domestic hemostatic agent "Heprocel" in the form of a gel.
The results showed that the application of a hemostatic agent in the area of tissues dissected in the anal sphincter region, due to its high adhesiveness and barrier function, made it possible to reduce the intensity of the pain syndrome.
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Copyright (c) 2021 Rashid Ruzibayev , Doniyor Umarov

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