Optimizing surgical treatment of chronic II–III degree hemorrhoids

By the analysis of the literature and their extensive experience in treating hemorrhoids authors have developed an algorithm for selecting the method of surgical treatment of chronic hemorrhoids II–III degree, depending on the stage of the disease process and the patient's anatomy. A comparative analysis of the results of surgical treatment of 154 patients with chronic hemorrhoids II-III degree, using the traditional approach to the choice of surgical treatment (46 patients) and the developed algorithm (108 patients). In the control group, traditional hemorrhoidectomy Milligan - Morgan hemorrhoidectomy has been perfomed on all the patients, in the study group surgical method has benn chosen according to the developed algorithm The developed algorithm for selecting the method of surgical treatment to reduce the risk of postoperative complications from 30,4 to 12,0 % and reduce the time of treatment from 29,1 to 22,3 days.