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Исследование толского кишечника
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Обратная связь
Hemorrhoids are one of the most
common diseases. Word «hemorrhoid»
translated from Greek language means
«bleeding», which directly connected
with the most prevalent symptom of this
disease – there is blood outflow from
anus. Hemorrhoids are equally common
among male and female. Frequently
females mark acute haemorrhoidal
thrombosis; usually it happens during
third trimester of pregnancy    

Anorectal abscess signifies
inflammation of the fat in one of the
spaces surrounding the anorectum.
Infection from rectum by anal glands,
which are situated in anal crypts of the
anal canal penetrate perianal tissue.
Crypt abscess always is at the level of
the dentate line. The reasons of crypt
abscess are different: constipation,
hemorrhoids, anal fissure ecc. Anal
gland infection is also the principal
cause of anal fistulas.  

Anal fissure is a spontaneously
appeared linear tear (ulcer) in the anal
mucosa. Anal fissure is quite common.
Among proctology disease this is one
of three the most frequent (11%-15%
or 20-23 cases amongst 1000 people).
Anal fissures are more prevalent
among young and middle- age females.    

 Constipation.   Now constipation is
one of the most common conditions that
bring a patient to see a physician in al
the world.  For example, 2.5 million
people with constipation (1.2% in the
general population) visit each year
doctors and even more numbers try
to solve this problem by themselves
using laxatives. What is constipation?
Constipation is not separate disease.
There is symptom of many illness.  
Ulcerative colitis is chronic recurrent
bowel disease, which is based on
manifest diffuse non-specific
inflammation of the mucosa of the
rectum and colon.

Cron`s colitis is chronic, recurrent,
inflammatory disease of unknown
etiology that affects the gastrointestinal
tract This disease is characterized by
skip lesion and transmural inflammation,
and it can be affect any segment of the
gastrointestinal tract. This illness also
has tendency to early, local and system

Polyps and polyposis syndromes.
The definition of polyp is not clear at all.
Presently, only epithelial glands
excrescence, which rises above mucosa,
is called true polyp.   

Rectal cancer. These days rectal
cancer without exaggeration is the
problem of global degree.   

Colon cancer.  Measurement of (CEA)
carcinoembryonic antigen, which was
found in embryonic cellules of
gastrointestinal tract, is another
direction in the early detection of colon
and rectal cancer.
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Home>> Treatment >> Treatment of hemorrhoids

The treatment of hemorrhoids.

The treatment of acute hemorrhoids depends on stage of disease. Only patients with third degree of acute hemorrhoid should
be operated (we perform hemorrhoidectomy).       
For first and second degrees of acute hemorrhoids, we indicate medical treatment.  
1. To eliminate pain conditional by thrombosis and acute anal fissure we use analgesics by systemic route and local medications,
which consist a combination of anti-inflammatories and analgesics (Posterisan, Posterisan forte).
2. There is necessary to prescribe phlebotonic drugs.
3.  In case of bleeding, we use suppositories with adrenalin and local haemostatic treatment.    
Conservative treatment of hemorrhoids supplies temporal effect, and risk of recurrence is quite high. That is why when
escalation is healed we recommend one of microinvasive techniques or operation that depends on the stage of hemorrhoid.       

For chronic hemorrhoids (first and second stages), conservative treatment mostly is effective, but often this treatment is
required for them during all there life. High-fiber diet, refusal of alcohol and spicy food, regulation of bowel movement,
prophylaxis of trauma of this area, washing after defecation, suppositories and ointments help patients with hemorrhoid
practically avoid discomfort. Conservative treatment of chronic hemorrhoids includes phlebotonic drugs, suppositories with
anti-inflammatory and analgesic, microenema with medications.  There is necessary to admit that any treatment of hemorrhoid
can be not high effective if other gastrointestinal diseases, first of all, of large bowel, that patient have, are not treated. There
is important to treat concomitant colitis and eliminate constipation (Forlax).

If patient has first- or second- degree- hemorrhoids, but escalation and bleeding occurs often there is possible to perform
microinvasive techniques.

For treatment of first-degree- hemorrhoids in our department we use infrared coagulation.   

For treatment of second-degree- hemorrhoids, we apply infrared coagulation, Rubber band ligation of hemorrhoidal piles,
Transanal hemorrhoidal dearterialisation (THD).

For treatment of third-degree- hemorrhoids, we apply rubber bang ligation, Transanal hemorrhoidal dearterialisation (THD).

For treatment of fourth -degree- hemorrhoids, we apply Transanal hemorrhoidal dearterialisation (THD), Longo operation
and operations (Milligan-Morgan, Parks, Waithead methods).      
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