Conservative Treatment of Hemorrhoids. An Alternative to Surgical Methods or Components? Chorus Program Results

Zagryadskiy, E. A.; Богомазов, Ац. М.; Головко, Е. Б.

doi:10.33878/2073-7556-2018-0-1-27-35

Cited by 5 publications

(2 citation statements)

References 25 publications

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“…Геморрой одно из часто встречаемых заболеваний перианальной области [2,3,6,[10][11][12]. Данная патология наблюдается у 36% населения экономически развитых и экономически развивающихся странах, в Российской Федерации на 1000 человек взрослого населения приходится 140-160 больных геморроем.…”

Section: Introductionunclassified

“…В структуре заболеваемости превалируют активное и трудоспособное население. Геморрой ведет к снижению работоспособности и качества жизни, что является важной социальноэкономической проблемой современности [4,5,11,14]. В остром геморрое выделяют 3 степени: 1. тромбоз геморроидальных узлов без воспалительной реакции 2. тромбоз с воспаленным геморроидальным узлом 3. переход воспаления на окружающую узел клетчатку [6,10,18] В практике используются консервативное и оперативное лечения.…”

Section: Introductionunclassified

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The importance of hemorrhoidal disease in the modern world

Styazhkina

Mullakhmetov

Khuzina

et al. 2023

jour

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Aim. To study the incidence of hemorrhoidal disease in the Udmurt Republic on the basis of statistical data of the coloproctology department at the Budgetary Healthcare Institution “The First Republican Clinical Hospital of the Ministry of Health of the Udmurt Republic”, Izhevsk, for 2018-2020 and a clinical case of a patient with acute hemorrhoids. Materials and methods. The data of 6506 medical records of outpatients and inpatients with diagnoses K64.0-K64.5 were analyzed. The evaluation of the results was carried out according to the following criteria: gender, age composition, region, diagnosis of patients, progression of the disease, type of surgery. A clinical case of a patient with acute hemorrhoids is presented. Results. Among the hospitalized patients, the male population prevailed (57.1%); among the outpatient patients, the female population prevailed (57.5%). Most of the patients were young and middle-aged patients (77% of hospitalized patients, 70.6% of outpatient patients). The urban population comprised 65.1% of hospitalized patients and 59.1% of outpatient patients. A chronic form of the disease was registered in 94.6% of the hospitalized patients and in 92.3% of the outpatient patients. Among all surgical interventions hemorrhoidectomy was conducted in 73.0% of cases. The analysis of the diagnosis and treatment of hemorrhoidal disease on the basis of a clinical case with positive results was carried out. Conclusions. According to the data obtained by the department, it can be said that among all patients diagnosed with hemorrhoids, the able-bodied and young, mainly urban population prevails, which indicates the influence of urabanization on the development of hemorrhoidal disease. The disease is equally prevalent in men and women. The chronic form prevails in the structure of the incidence of hemorrhoidal disease. The most commonly used surgical treatment of hemorrhoidal disease is hemorrhoidectomy.

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Section: Introductionunclassified

The importance of hemorrhoidal disease in the modern world

Styazhkina

Mullakhmetov

Khuzina

et al. 2023

jour

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Influence of treatment methods on quality of life of patients with hemorrhoidal disease

Загрядский¹,

Богомазов²,

Головко

et al. 2022

Ambulatornaya khirurgiya

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Introduction. The effectiveness of the treatment of hemorrhoidal disease is based on the frequency of recurrence of hemorrhoid symptoms, the development of early and late postoperative complications, as well as the degree of patient satisfaction with the results of treatment. However, such an indicator as quality of life, which reflects the health of the patient, is not taken into account.Aim. Obtaining data on the influence of the method and type of treatment on the quality of life of patients suffering from acute or chronic hemorrhoids.Materials and methods. The analysis of the influence of the treatment method on the quality of life of patients suffering from acute or chronic hemorrhoids was carried out. The analysis included 1032 patients with stage I–IV hemorrhoids. The age of the patients was 44.8 ± 13.0 (18–94) years. The study included 509 (49.3%) men and 523 (50.7%) women.Results. Quality of life indicators before treatment in all groups are within the reference values, which is associated with adaptation of patients to the disease. After treatment, quality of life indicators naturally increase. However, in patients after hemorrhoidectomy, regardless of the nature of the technique, quality of life indicators are significantly lower than in patients of groups 1 and 2.Conclusions. Quality of life indicators in all groups before treatment are within the reference values and do not have statistically significant differences in the considered indicators. After the treatment, there is a statistically significant increase in the quality of life indicators in all scales. After hemorrhoidectomy, regardless of the nature of the technique, quality of life indicators are significantly lower than in patients of groups 1 and 2, which is associated with surgical trauma. Since the groups of patients are heterogeneous in terms of the stages of the disease, it can be assumed that for each stage of hemorrhoids, there is a subjective perception of the disease, which can be reflected in the quality of life indicators, which requires additional analysis of the results obtained.

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Phlebotonics for conservative treatment of haemorrhoids: when, to whom, how?

Shlyk

Tulina

Tsarkov

2023

Ambulatornaya khirurgiya

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Hemorrhoidal disease (HD) is a pathological enlargement of the external and/or internal hemorrhoidal piles, which may be accompanied by the bleeding and prolapse of haemorrhoids outside the anal canal. The incidence of HD among the population of the Russian Federation is 130–145 patients per 1000 people, occurring mainly in patients 45–65 years old. Among all coloproctological diseases in Russia, haemorrhoids became the reason for visiting a coloproctologist in 35–41.9% of cases. In outpatient department, the disease occurs with a frequency of 694 per 100,000 population. The treatment of hemorrhoids often begins at the coloproctologist’s office during outpatient visits. Typical clinical presentations of hemorrhoids include a complex of symptoms: periodic rectal bleeding during defecation, prolapsed hemorrhoids requiring manual reduction. Pain and itching are much less common symptoms. The treatment of hemorrhoidal disease consists of a complex of conservative measures, minimally invasive and surgical treatments, or a combination of above methods. Systemic phlebotropic drugs that affect various pathogenesis links of hemorrhoidal disease hold one of the first rightful places at the very core of modern conservative therapy regimens. Phlebotropic drugs are a large group of biologically active substances that are products of chemical synthesis or plant processing. The venotonic drugs containing flavonoids diosmin and hesperidin are the most studied ones. Various effects of diosmin and hesperidin from anti-ulcerogenic and antitumor to antioxidant and anti-inflammatory ones have been studied in clinical and experimental studies. Its venotonic and angioprotective effects are the most important actions for the treatment of hemorrhoidal disease. This review of literature is aimed determining the place of phlebotonics in outpatient practice for the treatment of haemorrhoidal disease.

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Conservative Treatment of Hemorrhoids. An Alternative to Surgical Methods or Components? Chorus Program Results

Cited by 5 publications

References 25 publications

The importance of hemorrhoidal disease in the modern world

The importance of hemorrhoidal disease in the modern world

Influence of treatment methods on quality of life of patients with hemorrhoidal disease

Phlebotonics for conservative treatment of haemorrhoids: when, to whom, how?

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