Abstract
To evaluate the results of hemorrhoidectomy using thermal suturing technology. We used an electrosurgical device made by «FOTEK». The unit has a “THERMAL SUTURING” mode. In contrast to traditional bipolar coagulation in the “THERMAL SUTURING” when the power supply to tissue under automatic control while compression the vascular wall proteins formed a solid homogeneous absorbable seals (collagenate). We analyzed the results of the 100 cases of the hemorrhoidectomy. In 70 cases, was used thermal suturing (group 1), and in 30 cases – the traditional Milligan‐Morgan's method (group 2). The mean operative time in the first group was 19,7 ± 3,7 minutes, in the second group ‐ 32,9 ± 5,4 minutes. The level of postoperative pain (at 3, 6, 12, 24 and 72 hours after the operation) was significantly lower in the first group. No one case of urinary retention and the problems with the first defecation of patients of the first group. Average duration of hospitalization in the first group was 5,7 ± 0,7 days, in the second group ‐ 5,7 ± 0,7 days. 1. Features of the thermal suturing provide quality hemostasis, absence of suture material in the wound, minimal pain and faster healing. 2. The cases of using thermal suturing marked decrease in the average duration of the operation (by 1.6 times), and reduce the length of hospital stay.