Sonographic monitoring in patients with chronic hemorrhoids fefore and after different methods of surgical treatment

Abstract

The aim - the evaluation of Selivanov surgery efficacy by the analysis of circulatory shifts in the terminal part of rectum by sonographic data after different interventions for chronic hemorrhoids. The study includes 86 patients who were divided into 3 groups: I - after operation by Milligan-Morgan (30), II - after operation by Ferguson (30), III - after operation by Selivanov (26). Group IV - control (10) - healthy people. All the patients underwent endorectal ultrasonic examination. One demonstrated that in 14 days in the group III the velocity of arterial blood flow and diameter of hemorrhoid arteries was evidently less than before surgery, and approach to paramenters of group IV (respectively 13,2±0,5 vs 11,9±0,8 cm/ sec and 1,18±0,3 vs 0,92±0,08 mm). At the same time in group III one notified evident decrease of thickness of epithelialsubepithelial layer thickness in the left and back-right segment (respectively down to 2,1±0,9 and 2,8±0,4 mm). It testifies to high radicalism of Selivanov surgery and simultaneously to high potency of vascular relationship restoration.

Keywords

• хронический геморрой
• хирургическое лечение
• ультразвуковое исследование
• chronic hemorroids
• surgical treatment
• ultrasonic examination