PREVENTION OF COMPLICATIONS OF HEMORRHOID SCLEROTHERAPY WITH ULTRASOUND

Аннотация

Полный текст

Background. We have a lot of miniinvasive technologies for hemorrhoid’s treatment, that’s why an evaluation of their effectiveness is needed, especially when we are choosing the outpatient technology. Because one of the most important aspects of using miniinvasive technologies in outpatient is safety. We have the largest experience of using the method of hemorrhoid’s sclerotherapy with ultrasound influence - the Russian scientist’s invention, used in medical practice since 2005. Aim. To evaluate the effectiveness of hemorrhoid’s sclerotherapy with ultrasound influence and to develop measures to prevent complications. Material and Methods. We evaluated the results of treatment of 4640 patients on the basis of our center - «Clinic» Movement «, Volgograd, between 2005 and 2015. The maximum follow-up period was 8 years. The procedure was carried out by ultrasound device «Prokson», which allows the introduction of a sclerosant solution with simultaneous ultrasound influence. Sclerosing treatment with ultrasound influence was performed in patients with stages I-III, and at stage IV with bleeding and anemia, as preparation for surgical intervention. Results and Discussion. In the long-term period in patients with I-III st. stable remission was observed in 61.5%, the number of complications did not exceed 2.95%. The method is effective for stopping bleeding in anemia and IV st. hemorrhoids, as preparation for the second stage of treatment. Conclusions. Evaluation of many years of experience in the use of hemorrhoid’s sclerotherapy with ultrasound influence has shown high efficiency and safety. However, at III stage of the disease must be repeated after 2-6 months.