COMPARACIÓN DEL USO DE DISPOSITIVO MONOPOLAR FRENTE AL USO DEL DISPOSITIVO ULTRASÓNICO EN HEMORROIDECTOMÍA PARA DETERMINAR LA EVOLUCIÓN TRANS Y POSTQUIRURGICA EN EL HOSPITAL TEODORO MALDONADO CARBO EN LA UNIDAD DE COLOPROCTOLOGÍA PERIODO 2014 AL 2015

Abstract

Background. -Hemorrhoid disease represents one of the most common of the anal canal pathologies and their treatment generates much interest, different techniques to treat hemorrhoids there are grade III-IV, such as hemorrhoid ligation, sclerotherapy and cryotherapy which present lower on the surgical treatment results which makes it necessary to consider different technical surgical and instruments for its implementation. Objectives. -This study was general objective to compare the use of monopolar device against the use of the ultrasonic device in hemorrhoidectomy in Trans and postoperative evolution "Teodoro Maldonado Carbo" hospital in the unit of Coloproctology period 2014 to 2015, which was considered the time transquirurgico, postsurgical bleeding, pain score and wound healing time. Methodology. -Is a study with a design descriptive, retrospective case-control, with sampling non-probability, for convenience in a population of patients who presented haemorrhoids grade III and grade IV and which were intervened surgically with technical Parks, modified submucosa. They were made of two groups, the control group with 134 patients (monopolar device) and 50 patients in the case (ultrasonic device). Results. -Among the most important results are observed a time surgical less in them patients operated with scalpel harmonic (31, 2±3 minutes) facing Electrosurgical unit (43, 2±2, 3 minutes), is noted also a difference between the scale of the pain between both surgeries, presenting best results in the Group case. Is appreciated a rate of bleeding and a time of healing xii minor, which was documented by other authors in the field international. The patients of both groups presented a high degree of satisfaction with the surgery. Conclusion. -The use of the ultrasonic Hemostatic device, is constituted as an effective instrument with lower hospital costs, due to surgical time decreases better healing, so it decreases the incapacity for work and should be considered as "standard" use in the hospital