Preparation registered in Ukraine

COMPLEX TREATMENT OF PATIENTS WITH CHRONIC HEMORRHOIDS AND ACUTE ANORECTAL INFLAMMATORY PROCESSES
P. Solomchak¹, V. Skrypko¹, B. Gorbal² 
Ivano-Frankivsk National Medical University, 1Department of Surgery of Educational-Scientific Institute of Postgraduate Education, 2 Central Clinical City Hospital, Ivano-Frankivsk, Ukraine
ORCID ID: 0000-0003-0670-8600, ORCID ID: 0000-0002-1555-2030, ORCID ID: 0000-0002-8633-5324
e-mail: [email protected]

Abstract. Hemorrhoids, acute paraproctitis, anal fissure are one of the most common diseases affecting persons of working age. The combination of such diseases occurs in 20-25% of patients. In the case of combined pathology of the anal canal and rectum, the following diseases combination is most often diagnosed: hemorrhoids and anal fissures (51.8 - 58.4% of observations), hemorrhoids and acute paraproctitis (19 - 81%), hemorrhoids and chronic paraproctitis (20 - 23 %), hemorrhoids and rectal polyp (1,2,4).
On the clinical material - 64 patients, who were hospitalised in the surgical department of Ivano-Frankivsk CCCH from February to December 2019 with proctologic pathology, the peculiarities of venoprotectors taking in the postoperative period for the acute and chronic anorectal diseases treatment were studied to improve the results of surgical treatment of patients with combined pathology. Study group: patients with combined pathology, who received flavonoids in the early postoperative period. Control group: patients with combined pathology who did not receive flavonoids.
The effect of venoprotectors (Normoven) consists in venotonic and angioprotective action, improving microcirculation in the cavernous tissue of the anal canal, reducing capillary permeability and decreasing the injuring effect of inflammatory mediators on hemorrhoidal plexuses.
The obtained data indicate that prescribing of venoprotective agents to the patients with combined pathology - chronic hemorrhoids and inflammatory diseases of anorectal area, is effective and reasonable, which leads to shortening the length of stay in the hospital, reducing pain and improving the psychological and physical comfort of patients in the postoperative period.
Keywords: hemorrhoids, venoprotectors.