Modern methods of surgical treatment of anal canal and rectum combined pathology

Abstract

Objective. Toevaluate the effectiveness of surgical treatment of anal canal and rectum combined pathology, through combined surgical interventions using modern electro – and radiosurgical technologies. A comparative evaluation of the results of surgical treatment of 681 patients with combined pathol-ogy of the anal canal and rectum, who underwent combined single-stage operations using high–frequency electrosurgery and radio-wave surgery. In case of application the device for radio-wave surgery "Surgitron", and also devices of high-frequency electrosur-gery "ERBE ICC 200", "EFA", "KLS Martin" duration of operation is reduced to (15 – 25 ± 3) minutes, volume of blood loss de-creases to (15 ± 6) ml, the need for narcotic analgesics decreases up to (2 ± 1) ml, the duration of inpatient treatment was re-duced up to (4 ± 1) days.Conclusions. The use of modern radio – and electrosurgical technologies for the treatment of combined anorectal pathology prevents the occurrence of anal canal strictures and scarring of the perianal areas, causing the cosmeticity of combined operations.