METHOD FOR LASER SUBMUCOSAL DESTRUCTION OF HEMORRHOIDS (OPTIONS) Russian patent published in 2023 - IPC A61B18/20 A61B17/00 

FIELD: medicine.

SUBSTANCE: inventions group relates to the field of medicine, namely, coloproctology. In the anoderm in the projection of enlarged hemorrhoids, a monopolar coagulator is used to make V-shaped draining incisions with a length of each incision of 4-5 mm. Tumescent anesthesia is performed in the submucosal layer with sol Ultracaini 1:100000 - 0.4 ml per node. Then, through the draining incisions, submucosal vaporization of the internal hemorrhoids is performed at 3, 5, 7 and 11 o'clock with an end light guide with a radiation of 1.56 mcm, a power of 10 W, in a pulsed mode of 0.5 s/0.5 s. Next, the vascular pedicle is sutured with an anchor suture Vicryl 2/0, after which mucopexy with lifting is performed and hemostasis is performed. According to the second embodiment, at the first stage, in the anoderm in the projection of enlarged hemorrhoids, a monopolar coagulator is used to make V-shaped draining incisions with a length of each incision of 4-5 mm. Tumescent anesthesia is performed in the submucosal layer with sol Ultracaini 1:100000 - 0.4 ml per node. Further, through the draining incisions, submucosal vaporization of the internal hemorrhoids is performed at 3, 5, 7 and 11 o'clock with an end light guide with a radiation of 1.56 mcm, a power of 10 W, in a pulsed mode of 0.5 s/0.5 s. Then the vascular pedicle is sutured with an anchor suture Vicryl 2/0. At the second stage, enlarged external hemorrhoids are excised at 3, 11, 7 and 5 hours with a monopolar coagulator, followed by suturing of the Vicryl 2/0 mucosa and hemostasis is performed.

EFFECT: method allows minimizing tissue damage, preventing recurrence of the disease and the appearance of hypertrophied anal fimbriae, as well as enhancing the process of fibrogenesis, reducing the healing time of postoperative wounds.

2 cl, 3 ex