METHOD OF PROCESSING THE BLOCK OF THE HEMORRHOID DURING HEMORRHOIDECTOMY Russian patent published in 2023 - IPC A61B17/04 

FIELD: surgery; coloproctology.

SUBSTANCE: after separation of the hemorrhoidal node in the submucosal layer of the rectum, its block is stitched with a thread of long-term resorption suture material. Next, the block is tied with this thread and the haemorrhoid is cut off. One free end of the thread is passed from outside to inside through the muco-submucosal layer of the rectum with muscle capture. Then they are brought to the opposite side through the muco-submucosal layer from the inside to the outside. Next, the second free end of the thread, retreating inwards 5 mm from the first thread, is carried out from the outside to the inside through the muco-submucosal layer of the rectum with muscle capture. Then, stepping back 5 mm from the first thread, they are brought to the opposite side through the muco-submucosal layer from the inside out, then the free ends of the threads are tied together over the stump of the haemorrhoid and the threads are cut off.

EFFECT: reduction of the frequency of postoperative complications, such as bleeding, purulent complications, hematomas and strictures of the anal canal, in addition, the fixation of the mucous membrane to the muscle layer leads to a decrease in the mobility of the mucous membrane, which later, after the formation of the scar, partially restores the normal anatomical ratios of the layers anal canal at the site of the destroyed Parkes ligament and further prevents the descent of the mucous membrane and reduces the risk of recurrence of the disease.

1 cl, 1 ex, 3 dwg