IMPROVING THE PREVENTION AND TREATMENT OF ANAL CANAL CONTRACTION AFTER RADICAL HEMORRHOIDECTOMY

Hemorrhoids are one of the most common diseases of the anal canal and rectum, affecting 10-15% of the adult population, according to epidemiological studies. The aim of the study is to improve the methods of prevention and treatment of cicatricial narrowing of the anal canal after radical hemorrhoidectomy. The clinical part of the study included 297 patients with stage II-IV chronic combined hemorrhoids who underwent radical hemorrhoidectomy operations from 2010 to 2025 at the Khorezm Regional Multidisciplinary Medical Center, as well as 35 patients with cicatricial narrowing of the anal canal after hemorrhoidectomies performed in other institutions. In the main group, the average intraoperative blood loss was 27.6±17.2 ml, which was significantly lower (t=6.65; P<0.001) than in the comparison group (82.3±15.8 ml and 96.2±15.8 ml). The improved Milligan Morgan hemorrhoectomy technique with preservation of the mucocutaneous bridge and without suturing wounds in the transition zone helps to reduce pain reception, reduce hospital stay from 7.4±1.2 to 2.3±0.4 (P<0.05), reduce rehabilitation time from 28.4±2.9 to 17.5±2.6 days, and reduce the frequency of scarring anal canal stenosis from 7-12 to 0.9% (P<0.05).

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