Methods of Preventing Complications of Hemorrhoidectomy

Sulyma, Volodymyr and Malinovsky, Sergij and Bashmakov, Ivan (2024) Methods of Preventing Complications of Hemorrhoidectomy. In: Proceedings of ICRES 2024-- International Conference on Research in Education and Science. ISTES, Antalya, Turkiye, pp. 24-33. ISBN 978-1-952092-63-3

Text ICRES_2024_Sulyma, V., Malinovsky, S., & Bashmakov, I. (2024). (P. 24-33).pdf Download (1MB)

Abstract

Hemorrhoids is one of the most common pathologies of anorectal region. At least 4.4% of the population suffer from this disease. According to statistics, every tenth patient with hemorrhoids needs surgical treatment. Therefore a great number of patients undergo hemorrhoidectomy every year. That is why, there is a need to have methods for preventing complications of this surgical intervention. Identify and apply methods of prevention from the most significant complications of hemorrhoidectomy.We performed analysis of scientific articles. There were investigated management of complications after a hemorrhoidectomy and prevention of such complications. Based on the literature, we improved treatment strategy and implemented it.Nowadays, there are a number of clinical studies that have shown the effectiveness of venotonics in the non-surgical treatment of mild hemorrhoids. Moreover, these drugs are prescribed to patients who have undergone hemorrhoidectomy. Venotonics reduce intensity of exudation in the area of inflammation by means of increasing venous tone. As a result, patient`s pain is relieved in the postoperative period. In addition, venotonics can be used to prevent other postoperative complications, including bleeding. For instance, some clinical studies showed a reduction in the risk of bleeding in patients after surgery in comparison with the control group.According to the performed meta-analysis, topical application of glycerin trinitrate showed effectiveness in reducing post-operative pain. Application of glycerin to the mucous of the anal canal was associated with less intensity of pain for 2 weeks after hemorrhoidectomy. The effectiveness of ointments with local anesthetics has been studied for a long time. This drugs demonstrated significant analgesic effect in the postoperative period. Patients who were applied a combined ointment with lidocaine and prilocaine after hemorrhoidectomy noted significant reduction in pain.Improved treatment strategy showed significant efficiency. In particular, we managed to relief postoperative pain without using narcotics, to prevent occurrence of bleeding in postoperative period and to avoid appearance of anal stenosis.

Item Type:	Book Section
Additional Information:	Citation: Sulyma, V., Malinovsky, S., & Bashmakov, I. (2024). Methods of preventing complications of hemorrhoidectomy. In M. Shelley & O. T. Ozturk (Eds.), Proceedings of ICRES 2024-- International Conference on Research in Education and Science (pp. 24-33), Antalya, Turkiye. ISTES.
Uncontrolled Keywords:	Hemorrhoids, Treatment, Hemorrhoidectomy, Complications, Prevention.
Subjects:	Proctology
Divisions:	Departments > Department of Urology
Depositing User:	Анастасия Жигар
Date Deposited:	11 Apr 2026 19:36
Last Modified:	12 Apr 2026 02:42
URI:	http://repo.dma.dp.ua/id/eprint/9805

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