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Vojnosanitetski pregled
2019, vol. 76, br. 1, str. 8-12
jezik rada: engleski
vrsta rada: izvorni naučni članak
objavljeno: 25/04/2019
doi: 10.2298/VSP170125070M
Creative Commons License 4.0
Poređenje hemoroidektomije laserom i hemoroidektomije metodom Milligan-Morgan - kratkoročni rezultati
aUniversity of Montenegro, Faculty of Medicine, Podgorica, Montenegro
bUniversity of Montenegro, Faculty of Medicine, Department of Surgery, Podgorica, Montenegro
cMulti-Profile University Hospital for Active Medical Treatment and Emergency Medicine (UMHATEM), 'N. I. PIROGOV', Sofia, Bulgaria

e-adresa: dr_hmaloku@hotmail.com

Sažetak

Uvod/Cilj. Prema 'vaskularnoj' teoriji arterijski priliv u gornjoj hemoroidalnoj arteriji dovodi do dilatacije hemoroidalnog venskog pleksusa. Laser hemoroidoplastika (LHP) je novi postupak primenjen u ambulantnom lečenju hemoroida u kojem se hemoroidalni arterijski protok krvi koji ishranjuje hemoroidalni pleksus zaustavlja laserskom koagulacijom. Cilj ove studije bio je poređenje između grupa bolesnika lečenih sa dve različite metode, laserom (LHP) i sa otvorenom hirurškom metodom - Milligan Morgan (MM). Metode. U ovu studiju bilo je uključeno 200 bolesnika sa hemoroidima trećeg stepena, starijih od 18 godina, od kojih je 100 bilo tretirano LHP metodom, dok je ostalih 100 bolesnika tretirano Milligan-Morgan hemoroidiektomijom. Parametri koji su se koristili za poređenje dve hirurške metode bili su: dužina hospitalizacije, postoperativni bol, prisustvo krvarenja i vreme potrebno da se bolesnici vrate normalnom životu. Rezultati. Rezutati su pokazali statistički značajnu razliku među metodama. Nivo postoperativnog bola bio je niži kod bolesnika u grupi lečenih LHP u odnosu na grupu bolesnika lečenih MM metodom (p < 0,0001). U grupi tretiranoj metodom LHP, krvarenje je bilo manje u odnosu na grupu koja je tretirana otvorenom hirurškom metodom (MM). Trajanje operacije, kao i dužina hospitalizacije bili su znatno kraći u grupi sa hemoroidoplastikom (LHP) u odnosu na grupu sa hemoroidektomijom (MM metoda). Zaključak. Dobijeni rezultati upućuju na značajne prednosti LHP metode u odnosu na metodu Milligan Morgan kod bolesnika sa hemoroidima trećeg stepena.

Ključne reči

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