ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ TRĨ HỖN HỢP TẮC MẠCH BẰNG PHẪU THUẬT MILLIGAN-MORGAN CÓ SỬ DỤNG DAO LIGASURETM TẠI BỆNH VIỆN TRƯỜNG ĐẠI HỌC Y DƯỢC CẦN THƠ NĂM 2018-2019

Abstract

Background: Treatments mixed hemorrhoids embolism by Milligan-Morganma surgery, especially using much less knife LigaSure™. Objectives: Assessment of treatment results mixed hemorrhoids embolism by Milligan-Morgan surgery has using knife LigaSure^TM at the Hospital of Can Tho University of Medicine and Pharmacy in 2018 – 2019. Materials and Methods: Prospective study, non-randomized controlled study was done on 101 patients who were hemorrhoid surgery with Milligan-Morgan method using knife LigaSure^TM in the General surgery department at the Hospital of Can Tho University of Medicine and Pharmacy from 4/2018 to 3/2019. Results: There are 92.1% of emergency surgery, time of surgery is 20.88 ± 5.85 minutes. Time in hospital 2.33 ± 1.18 days. Pain level after 24 hours surgery: 72.3% minor pain. Average VAS: 2.79 ± 1.58 points. After 4 weeks of surgery: 93.1% painless. After 3 months 100% painless. Urinary retention after surgery 9.9%. Acute bleeding after surgery: 0%, after 1 week of bleeding after a bowel movement 45.5%. Anal fluid leak 46.5% after 24 hours, 20.8% after 1 month. Time to return to normal activities 9.63 ± 3.07 days. The time for wound healing averaged 27.18 ± 5.23 days, the incision healing within 30 days 89.1%. After 06 months: excess skin anal 6.9%, relapse 3%, anal stenosis 3%. Satisfaction level of the patient: 85.1% was very satisfied. Evaluation of the overall treatment result: good 81.2%. Conclusion: Treatment of mixed hemorrhoids embolism by MilliganMorgan surgery using knife LigaSure^TM gives good results, few complications, high patient satisfaction levels.