RESUMO
The article discusses experience in surgical treatment of 480 patients with the most common diseases of the anorectal region (acute and chronic haemorrhoids, acute and chronic paraproctitis, polyps, chronic fissures of the anal canal) in which special laser tools were used. The carbonic acid laser Skalpel-1 with a wave length of 10.6 microns and power of 30 W was used as the source of laser radiation. Methods of operations with the use of these tools are described in detail. The advantages of laser instruments in the treatment of patients with the above listed diseases are shown on a rich clinical material.
Assuntos
Doenças do Ânus/cirurgia , Terapia a Laser/instrumentação , Doenças Retais/cirurgia , Adolescente , Adulto , Animais , Feminino , Fissura Anal/cirurgia , Hemorroidas/cirurgia , Humanos , Pólipos Intestinais/cirurgia , Masculino , Pessoa de Meia-Idade , Proctite/cirurgia , Neoplasias Retais/cirurgiaRESUMO
Results of the surgical treatment of 556 patients with different diseases of the anorectal area with the help of CO2 laser are presented. Functional results were good, the amount of postoperative complications was 1.5 times less, recurrences were half less, the time of intrahospital treatment was 1.5 day shorter, the period of ambulatory rehabilitation 3.8 days shorter.
Assuntos
Terapia a Laser/métodos , Seio Pilonidal/cirurgia , Doenças Retais/cirurgia , Dióxido de Carbono , Fissura Anal/cirurgia , Hemorroidas/cirurgia , Humanos , Complicações Pós-Operatórias/prevenção & controle , Proctite/cirurgia , RecidivaRESUMO
The properties of laser scalpel (perfect homeostasis, aseptic coagulation surface, formation of dense coagulation crust) make it useful for proctological operations, and for ablation of hemorrhoids in particular. Operations were performed on 11 patients aged 33 to 62. No complications were noted. All the patients were followed in the postoperative period from 8 to 12 months. Recurrences, development of strictures or weakness of the anal constrictor were not noted.