FIELD: medicine.
SUBSTANCE: method involves a transanal Doppler controlled dearterialisation of internal haemorrhoids. Haemorrhoid vessel branches are underrun through an anoscope at the haemorrhoid base. A figure-of-eight non-traumatic absorbable suture is applied. The rectal mucosa and haemorrhoid are anchored with the same suture. A submucosal suture is applied in the distal direction towards an apex of the haemorrhoid. Then it is turned perpendicularly and encloses the submucosal layer. The suture is placed back towards the ligatured haemorrhoid and the second free end of the suture. After the needle pricks out, the suture ends are tied together. The haemorrhoid is ligatured to pull up and fixed to the point of vascular underrunning above the anorectal line.
EFFECT: method provides the minimally invasive treatment of the patients suffering from stages 3-4 chronic haemorrhoid by limiting the blood flow along the haemorrhoid arteries, fixing and preventing haemorrhoid prolapsed with the minimum deformity of the anal canal, preserving its function and observing the good functional and aesthetic effect.
3 ex, 1 dwg
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Authors
Dates
2015-06-20—Published
2014-06-10—Filed