Rational pharmacotherapy - factor in the successful treatment of hemorrhoids

Hemorrhoids for more than four thousand years is one of the most common human diseases. Suffice it to say that hemorrhoids and its complications cause more than 40% of visits to the surgeon or the proctologist. Appearing once hemorrhoids accompanies all human life, invariably recurs and brings a lot of physical and mental suffering, deprived of work capacity, reduces the quality of life. The etiology and pathophysiology of hemorrhoids 

Acute thrombosis of hemorrhoids: some reflections on terminology. The choice of method of surgical tactics

The complexity of the pathogenesis of hemorrhoids, a large number of serious complications, palliative effect of conservative therapy, poor long-term outcomes of treatment and frequent recurrences after surgery confirmed the relevance of the problem and demonstrate the importance of further search for ways to improve the results of treatment of this rather widespread disease [13, 14]. Despite the huge number of special publications, many of the questions the treatment of hemorrhoids and its complications continue to be controversial.

Pharmacotherapy of hemorrhoids: drug selection algorithm

To date, pharmacotherapy hemorrhoids neglected. In recent years, the pharmacological market a large number of drugs for the treatment of hemorrhoids. On the one hand, it facilitates the choice of treatment in each case, on the other - a large number of drugs with similar effects complicates the choice of treatment. Therefore, we will try to identify the main goals and objectives of the treatment of hemorrhoids and ways to solve them.Pharmacotherapy of acute and chronic hemorrhoids has several specific goals:1) relief of symptoms of acute hemorrhoids;

Rehabilitation of patients with postoperative healing of intestinal stomas

Department of Abdominal Surgery Monica for 20 years, deals with the problems of complex treatment of patients with purulent-septic diseases of the abdominal cavity. During the surgical treatment of severe diseases such as widespread purulent peritonitis, pancreatic necrosis in the phase of purulent complications, about 30% of cases have to form different kinds of treatment of intestinal DENTAL (E.N.Vantsyan et al., 1982; TP Makarenko, etc. ., 1986).

Rare-specific inflammatory diseases of the perianal skin and tissue adrectal

In recent years, the difficulties associated with inadequate funding of medical and social programs, health care financing as a residual led to the deterioration of sanitary-epidemiological situation in the country and to increase the number of diseases associated with specific infections (tuberculosis, syphilis). The growing number of these diseases is celebrated everywhere.

Drug treatment of hemorrhoids and anal fissure

Drug treatment of acute and chronic hemorrhoids and anal fissure is becoming increasingly important. This fact is associated with the highest incidence of these diseases in the practice of a surgeon and Coloproctology and with the advent of the pharmaceutical market sufficiently effective painkillers, thrombolytic, and flebotonicheskih hemostatic agents. Works of Russian and foreign scientists found that the basis of hemorrhoids is a pathology of the cavernous vascular formations laid down in the course of normal embryogenesis in the submucosal layer of the distal part of the colon.

Deaf suture in the surgical treatment of acute inflammation of epithelial coccygeal

Epithelial coccygeal course - one of the most common diseases proctologic. When targeted medical examination he detected in 2-5% of healthy individuals. Its frequency of diseases of the rectum leaves 14-20%. The first clinical manifestation of epithelial coccygeal is usually acute inflammation. Most surgeons take an active tactics in the treatment of patients with acute inflammation of epithelial coccygeal. The volume of surgery is reduced: the autopsy purulent focus, or to wide excision of pilonidal cyst with purulent cavities and streaks.

Gistobacteriogical and bacteriological methods of investigation and characterization kolonobioptatov parietal microflora, as an indicator of the biocenosis of the colon

A variety of non-infectious inflammatory bowel disease and "functional" disorders (irritable bowel syndrome), often accompanied by changes microecological homeostasis. At the present stage of development of the domestic issue of Gastroenterology disbiotsenoza bowel estimated new position (Sheptulin AA, 1999).

Comparative evaluation of ligature and compression anastomosis of the colon

With modern techniques of forming a manual anastomosis of the colon remains high percentage of immediate complications (10-15%) when it is applied, and in the long-term period is often marked by fibrous transformation of anastomosis, leading to its functional disability. The long duration of the operations, the inability to accurately compare the connective tissue, to calculate the distance between the seams, and poke a needle puncture, etc., are also not in favor of this method.

Restoration of intestinal permeability in patients with different types of colostomy

Rehabilitation treatment in patients with different types of colostomy is an urgent problem proctology. Relevance is determined by its number of social problems for patients. But along with this, the elimination of colostomy is accompanied by a large number of complications. This festering wounds / 30-60% /, insolvency anastomotic sutures / 3-23% /, in some cases, these operations leads to death / 0,4-2,8% /.

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