THE RESULTS OF SURGICAL TRATMENT OF COMBINED ANORECTAL DISEASES USING RADIO-FREQUENCY AND HIGH-FREQUENCY...

The combined pathology of the anal canal and rectum is a very important problem today, due to its progressive growth, especially in industrialized countries over the past two or three decades. The aim of the study was to conduct a comparative assessment of using high-frequency electrosurgical devices and also radio-frequency device for treatment of combined anal саnal and rectal pathology. The results of treatment of 635 patients with combined anal canal and rectal diseases have been analyzed. Using high-frequency electrosurgical device "ERBE ICC 200" (ERBE Elektromedizin GmbH, Germany) have been operated on 169 (26,6%) patients, high-frequency electrosurgical device "EFA" (Russia) - 114 (17,9%) patients, high-frequency electrosurgical device "KLS Martin" (KLS Martin Group, Germany)- 107 (16,9%) patients and radio-frequency device "Surgitron" (Ellman International, USA) - 245 (38,6%) patients. After operations for assessment the effectiveness of using the above technologies all patients in each group were underwent to morphological investigations of anal canal and rectal tissues to study the depth of coagulation necrosis. In case of using of the high-frequency electrosurgical device "ERBE ICC 200" the incision of tissues occurred with formation of coagulation necrosis layer, which thickness was 0,113-0,457mm, in case of using high-frequency electrosurgical device "EFA" a layer of coagulation necrosis formed with thickness 0,074-0,434mm, in case of using high-frequency electrosurgical device"KLS Martin" forms a thin layer of coagulation necrosis in the thickness along the edge of the cut 0,053-0,333 mm and using of radio-frequency device "Surgitron" was accompanied with the formation on the cut edge of a thin coagulation necrosis layer with depth 0,037-0,297mm. Application of these modern radio-frequency and high-frequency technologies, due to the minimal and slight influence on tissues, contributes to reducing the operations duration, intensity of the postoperative pain, improving the terms of patients rehabilitation.