METHOD FOR ANAL CANAL WOUND CLOSURE FOLLOWING HAEMORRHOIDECTOMY

摘要

FIELD: medicine.;SUBSTANCE: vascular pedicle of an internal haemorrhoid is ligatured; edges of the perianal skin wound and rectal mucosa wound are closed with a continuous blanket suture up to the base of the vascular pedicle, which is immersed under the mucosal layer by means of the above suture. The haemorrhoidectomy is followed by underrunning and ligaturing the vascular pedicle of the internal haemorrhoid with the use of one poly-filament biodegradable non-traumatic suture of 4/0 in relative size. Suture ends must not be cut off. A vascular pedicle stump is pulled up by a needle-free suture in the distal direction laid in the wound bottom and held therein. The wound starts to be closed precisely above the vascular pedicle stump with the use of a needle suture inside out on the rectal mucosa by means of a continuous blanket suture. Two stitches are made to immerse the vascular pedicle stump completely under the rectal mucosa, and the ends of the needle-free suture are cut off at the level of the ligature. The wound edges are kept on to be closed up to the distal edge on the perianal skin, wherein the suture is tied up.;EFFECT: invention enables reducing a risk of the wound infection, reducing pain syndrome accompanying clysterising and faecal matter passage, also reducing dressing injuries, prevents the anal canal strictures and the anal sphincter failure, and does not prolong the length of the surgical intervention.;4 dwg, 1 ex