[Optimization of modern tactics of operative treatment for hemorrhoids of stages III-IV].
The literature review and results of observations of their own, concerning treatment of patients with hemorrhoids, are adduced. Separation of circular and segmental forms of coexistent prolapsus recti permits to choose pathogenetically substantiated method of operative intervention for the hemorrhoidal nodes enlargement. Performance of the sun-like circular anorectal vasomucosectomy in the treatment of circular prolapsus recti, coexistent with enlargement of hemorrhoidal nodes, secures the pathological blood flow disconnection, the pain intensity and sphincteric spasm reduction, permits to escape postoperative inflammation, which is characteristic for procedure of the apparatus circular anorectal vasomucosectomy.
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