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

Area of Science:

• Colorectal Surgery
• Medical Device Technology
• Oncology

Background:

• Combined anal canal and rectal pathology is a growing concern, particularly in industrialized nations.
• Effective treatment strategies are crucial for managing these conditions and improving patient outcomes.

Purpose of the Study:

• To comparatively assess the efficacy of high-frequency electrosurgical devices and radio-frequency devices in treating combined anal and rectal pathology.
• To evaluate the depth of coagulation necrosis and its impact on patient recovery.

Main Methods:

• Analysis of treatment outcomes for 635 patients undergoing procedures with four different devices: ERBE ICC 200, EFA, KLS Martin (high-frequency electrosurgical), and Surgitron (radio-frequency).
• Morphological investigations of tissues to determine the depth of coagulation necrosis post-operation.
• Comparative analysis of coagulation necrosis layer thickness across all device groups.

Main Results:

• Radio-frequency device 'Surgitron' produced the thinnest coagulation necrosis layer (0.037-0.297mm).
• High-frequency electrosurgical devices 'ERBE ICC 200', 'EFA', and 'KLS Martin' resulted in thicker layers (0.113-0.457mm, 0.074-0.434mm, and 0.053-0.333mm, respectively).
• All tested modern technologies demonstrated minimal tissue impact, reducing operation duration and postoperative pain.

Conclusions:

• Modern radio-frequency and high-frequency technologies offer benefits in treating combined anal and rectal pathologies.
• Minimal tissue impact from these devices contributes to shorter operation times, less postoperative pain, and improved patient rehabilitation.
• The 'Surgitron' radio-frequency device showed the least tissue destruction, suggesting potential advantages for patient recovery.