Abstract:
The urgency of the problem of combined pathology of the anal canal and rectum is quite high due to the lack of a unified approach to surgical treatment of this category of patients. The aim of the study was to conduct a comparative morphological assessment of postoperative wound healing in patients with combined anorectal pathology after combined operations using different types of suture material, as well as modern high-frequency electrosurgery and radio-wave surgery devices. The dynamics of the wound process under the influence of Caprosyn (3/0) and Polysorb (3/0) was performed on 60 patients from the first and second study groups, where radio-frequency device “Surgitron” and high-frequency electrosurgery device “KLS Martin” were used for surgical treatment, as they had approximately the same depth of coagulation tissue necrosis, by cytological examination of smears-imprints from the surface of postoperative wounds on 3, 5, 7, 14 and 21 days. Despite all differences in the early stages of wound healing between groups of patients using two different types of suture material, the formation of scar connective tissue occurred almost equally on 14-17 days with the formation of bundles of collagen fibers with cellular elements between them. Epithelialization processes, which were characterized by the appearance of cells of mature multilayered squamous epithelium, in two groups of patients using suture material Caprosyn (3/0) and Polysorb (3/0) also occurred simultaneously on 19-22 days. Using of radio-wave surgery device "Surgitron" and high frequency electrosurgery device "KLS Martin" and suture material Caprosyn (3/0) and Polysorb (3/0) was not accompanied by complications such as bleeding, suppuration of postoperative wounds, anal strictures, and recurrence of diseases.
