RECURRENT HEMORRHOIDS

Abstract

Aim. To study the causes of hemorrhoids recurrence and development ofpathogenically justified methods of treatment. Material and methods. 2500 chronic hemorrhoids surgeries and its complications in the last 5 years were the subjects of the analysis. Long term results of a character and scope of the surgical intervention to 980 patients were studied. Presence of the recurrence presented in 80 (8,2%) of patients. Results and discussion. The frequency of the recurrence after minimally invasive approaches was identified in 60 (75,0%) cases. 28 (35,0%) cases were found after sclerotherapy, 18 (22,5%) cases after hemorrhoidopexy, and 14 (17, 5%) cases after various bandages or stitching of the hemorrhoidal nodes. After various modifications of hemorrhoidectomies according to Milligan-Morgan, recurrence of the disease was noticed in 20 patients. The most often reason for the complications and recurrence of the disease in 35,6% of cases was the conduction of a wides hemorrhoidectomy in an ambulatory condition by general surgery specialists with a little experience and no special skills in examination and treatment of proctology patients. In 18,6% of cases, the recurrence of the hemorrhoids was caused by an incomplete or “careful” hemorrhoidectomy Conclusion. Chronic hemorrhoids is a widespread proctology disease that requires treatment in a specialized proctology center.