Application of ultrasound energy in surgical treatment of chronic hemorrhoids Stages III-IV

Abstract

Objective. Improvement of quality of the patients’ treatment, who suffer chronic hemorrhoids Stages III-IV, applying ultrasound energy intraoperatively. Materials and metods. The results of treatment are presented of 129 patients, suffering chronic hemorrhoids Stages III-IV: in 58 of them ultrasound energy was applied (Group I - the main), and in 71 - a standard procedure was performed (Group II - a control one). Results. Average duration of the operation have constituted in patients of Group I - (15.8 ± 1.7) min, and in Group II - (38.6 ± 1.5) min (p < 0.05). Postoperatively the patients of Group I have complained of pain during (3.4 ± 0.2) days, while in the Group II - during (7.5 ± 0.5) days (p < 0.05). In the patients of Group I only nonnarcotic analgetics during (3.4 ± 0.2) days; while in the Group II narcotic preparations were needed (2.1 ± 0.2) days, and nonnarcotic - (5.4 ± 0.3) days. Postoperatively in the Group II patients the pain syndrome level on the first day have constituted (9.1 ± 0.4) points, what is in 2.4 times higher, than in Group I (p < 0.05). Average stationary stay have constituted in the operated patients of Group I (2.8 ± 0.2) days, and in the Group II - (4.3 ± 0.4) days (p < 0.05). Conclusion. Application of the ultrasound energy permits to shorten the operation duration, average duration of stationary stay of the patients, and to reduce the pain syndrome level. Also, while application of ultrasound, the necessity to use narcotic analgetics postoperatively is eliminated. The quality of life indices during 6 mo postoperatively were better in the patients, who were operated, using ultrasound, than in those, to whom classic hemorrhoidectomy was performed.

Keywords

• ultrasonography; operation; chronic hemorroids.