INFLUENCE OF A VARIETY OF SUTURE MATERIAL ON THE ANAL CANAL WOUNDS HEALING AFTER COMBINED OPERATIONS CONCERNING THE COMBINED ANORECTAL PATHOLOGY WITH USING OF MODERN TECHNOLOGIES.

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 caprosin (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.

PAIN SYNDROME IN PATIENTS AFTER COMBINED OPERATIONS FOR COMBINED ANORECTAL DISEASES USING MODERN SURGICAL TECHNOLOGIES.

Objective: The aim: To compare the pain in patients with combined pathology of the anal canal and rectum after combined operations using modern high-frequency electrosurgical and radio-surgical devices and a conventional metal scalpel.

Patients And Methods: Materials and methods: The results of treatment of 635 patients with combined pathology of the anal canal and rectum using high-frequency electrosurgery and radio-wave surgery, which were divided into 4 study groups, as well as 112 patients using a metal surgical scalpel were analyzed.

Results: Results: Assessing the pain syndrome on the first day of the postoperative period, it was found that it was most pronounced in control group patients, where the need for anal¬gesia 2 % promedol solution was 4±1 ml and in the first, third and fourth study groups patients needed for analgesia 2±1 ml of 2 % promedol solution when using "Surgitron" radio-wave surgery device, "EFA" and "KLS Martin" high-frequency electrosurgical devices respectively.

THE RESULTS OF SURGICAL TRATMENT OF COMBINED ANORECTAL DISEASES USING RADIO-FREQUENCY AND HIGH-FREQUENCY ELECTROSURGICAL DEVICES.

The combined pathology of the anal canal and rectum is a very important problem today, due to its progressive growth, especially in industrialized countries over the past two or three decades. The aim of the study was to conduct a comparative assessment of using high-frequency electrosurgical devices and also radio-frequency device for treatment of combined anal саnal and rectal pathology. The results of treatment of 635 patients with combined anal canal and rectal diseases have been analyzed.