Whether results of treatment of hemorrhoids depend on the anatomy of the anal sinus

In the period 2015 to 2016, 240 patients with chronic hemorrhoids stage I-III were routinely performed a study of the anal sinuses using an original technique. At the level of implementation, surgical treatment was performed in the form of anal sinus excision with a single block with an ultrasonic scalpel followed by a histological examination for 34 patients from the experimental group with an unsatisfactory result of primary treatment. Histological examination of the pathologically changed anal sinus revealed morphological features characteristic of the chronic inflammatory process and leading to epithelial metaplasia and dysplasia.