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https://doi.org/10.14300/mnnc.2017.12111

Method of hemorroidectomy as prophylaxis of anal stenosis in patients with predisposition to rough cicatrization

[Surgery]
Alexandr Muravyev; Oleg Lysenko; Peter Lavreshin; Konstantin Muravyov; Vladimir Gobejishvili; Vakhtang Gobejishvili; Vladimir Linchenko; Alexandr Efimov;

The study included 316 patients with chronic hemorrhoids and a tendency of excessive scar formation. To identify the tendency to excess scar formation, a diagnostic algorithm was used including the following risk factors: gastrointestinal diseases, allergic reactions, autoimmune diseases, intra-abdominal fusions, and the results of immunoassay analysis of patient’s blood serum using a magnesium immunosorbent test system. The comparison group consisted of 168 (53.2 %) patients who had undergone classic hemorrhoidectomy in I and II modifications of the Proctology Research Institute. The main group included 148 (46.8 %) patients who had undergone hemorrhoidectomy in author’s modification.

Proposed treatment, prophylactic tactics and modification of emorrhoidectomy in patients with chronic hemorrhoids and a tendency to excessive scar formation made it possible to significantly reduce the number of postoperative complications and improve the functional results of treatment.

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Keywords: hemorrhoids, stricture, pathological scars, anal sphincter deficiency