First Results Surgical Treatment of Patients with Chronic anal Fissure Through Electric Welding of Biological Tissue

Abstract

Existing methods of ectomy of chronic anal fissure is now accompanied by a fairly large number of postoperative complications such as pain syndrome, breach urine, bleeding, local edema, which leads to additional suffering patient, increases the cost of treatment. The aim is to study the results of treatment of chronic anal fissure through the use of electrocautery generator LigaSure (Covidien) for fissure and vessels that supply blood to them. After dilatation anal sphincters spend revision anal canal. Clip tighten chronic anal fissure  from 0,5 to 2,0 cm from anal verge to 3,0 cm on deep recti on top and put on his stretched base, including vascular leg, bent electrode apparatus LigaSure. Spend electric welding grounds unit at intensity 2 or 3 LEDs, after which chronic anal fissure of the clip is removed without firmware vascular legs. Histological research after operation.  Applying this method on treatment of 21 patients with a diagnosis of "Chronic anal fissure”. Performance ectomy of chronic anal fissure using LigaSure, spread through small areas of damage and no sutures in the anal region, leads to a reduction of pain, no bleeding and swelling of tissue, accelerate wound healing, reduction of terms of treatment and temporary disability. This method is had trauma (zone 300-600 microns of tissue damage, early wound healing) and easy to use that can significantly improve the results of surgery and reduce the number of postoperative complications after ectomy of chronic anal fissure

Keywords

• Surgical treatment,Anal fissure,Electric welding

References

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