FIELD: medicine.
SUBSTANCE: invention relates to field of medicine, namely to surgery and proctology. In carrying out intronodal laser coagulation of internal hemorrhoids volume of hemorrhoid is preliminarily determined by formula Vhemorrhoid=1/2 V=1/2 (4/3*π*R1*R3), where V is volume of ellipsoid in cm3, R1 is 1/2 of its basis width in cm, R2 is index of hemorrhoid height in cm, R3 is 1/2 of hemorrhoid length in apical-caudal direction in cm, π=3,14. Hemorrhoid, located on 3 o'clock of conditional clock, is measured in position on the right side, hemorrhoid, located on 11 o'clock, is measured in position for lithotomy, hemorrhoid, located on 7 o'clock, is measured in knee-elbow position. Then estimation of necessary energy of laser influence on tissues is calculated by formula W=K*Vhemorrhoid, where K=50 J/cm3 is constant coefficient, Vhemorrhoid is preliminarily estimated volume of hemorrhoid in cm3. Then transmucosal installation of laser light-conductor with the following laser impact with laser with wavelength 980 nm, power 8 Wt and estimated for each specific hemorrhoid energy W, is performed.
EFFECT: method makes it possible to carry out inronodal laser coagulation of internal hemorrhoids in outpatient conditions without suture material, with minimal injuring effect on mucous membrane of internal hemorrhoids and internal sphincter.
4 dwg, 1 ex
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Authors
Dates
2017-05-29—Published
2016-03-29—Filed