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[Efficiency of combined methods of hemorroid treatment using hal-rar and laser destruction]
G V Rodoman1, L V Kornev1, T I Shalaeva1
1Pirogov Russian National Research Medical University, Ministry of Health of the Russian Federation, Department of general surgery and x-ray diagnostics, medical faculty, Moscow.
Aim:
To develop the combined method of treatment of hemorrhoids with arterial ligation under Doppler control and laser destruction of internal and external hemorrhoids.
Material And Methods:
The study included 100 patients with chronic hemorrhoids stage II and III. Combined method of HAL-laser was used in study group, HAL RAR-technique in control group 1 and closed hemorrhoidectomy with linear stapler in control group 2. Сomparative evaluation of results in both groups was performed.
Results:
Combined method overcomes the drawbacks of traditional surgical treatment and limitations in external components elimination which are inherent for HAL-RAR. Moreover, it has a higher efficiency in treating of hemorrhoids stage II-III compared with HAL-RAR and is equally safe and well tolerable for patients. This method does not increase the risk of recurrence, reduces incidence of complications and time of disability.
