Long-term results of combined surgical treatment of hemorrhoids

Introduction. For over 12 years, we have been using combined methods of surgical treatment of hemorrhoids based on laser exposure. In 2017, we proposed a method of laser destruction of hemorrhoids in combination with Doppler uncontrolled dearterialization, mucopexy and excision of the external component. Positive treatment results were obtained during the observation period of patients up to 12 months. In this work, we analyzed the results of observation of a group of patients 5 years after surgical treatment.Purpose of the study. To evaluate the long-term results of a combined method of surgical treatment of hemorrhoids using the method of submucosal laser destruction in combination with Doppler uncontrolled dearterialization, mucopexy and electroexcision of the external component according to indications.Materials and methods. The study included 188 patients with hemorrhoids of stages 2, 3 and 4. All patients underwent submucous laser destruction of internal hemorrhoids with Doppler uncontrolled dearterialization, supplemented by mucopexy and electroexcision of the external hemorrhoidal component, if indicated, 5-7 years ago. Surgical treatment was performed under intravenous anesthesia with the addition of tumescent anesthesia. Laser radiation of a diode device with a wavelength of 1,56 μm and a power of 10 W was used.Results. The combined technique provides long-term guarantees against the occurrence of the main symptoms of hemorrhoidal disease - bleeding, the presence of hemorrhoids. It allows eliminating the risk of major postoperative complications - stricture, anal insufficiency, suppuration.Conclusion. The technique, regardless of the stage and complexity of the disease, helps prevent the development of relapses and postoperative complications.