gnckКолопроктологияKoloproktologia2073-75562686-7303Russian Association of Coloproctology10.33878/2073-7556-2019-18-4-151--160gnck-1525Research ArticleОБЗОР ЛИТЕРАТУРЫ, МЕТАНАЛИЗREVIEWЛИГИРОВАНИЕ ГЕМОРРОИДАЛЬНЫХ УЗЛОВ ЛАТЕКСНЫМИ КОЛЬЦАМИ (обзор литературы)RUBBER BAND LIGATION FOR HEMORRHOIDS (review)ЭктовВ. Н.EktovV. N.

Эктов Владимир Николаевич

ул. Историка Веселовского, д. 24, Воронеж, 394068

vladimir@yandex.ruСомовК. А.SomovК. A.КуркинА. В.KurkinA. V.МузальковВ. А.MuzalkovV. A.ФГБОУ ВО «Воронежский государственный медицинский университет им. Н.Н. Бурденко» Министерства здравоохранения Российской ФедерацииРоссияVoronezh State Medical UniversityRussian FederationБУЗ ВО «Воронежская областная клиническая больница №1»Russian FederationVoronezh Regional Clinical HospitalRussian Federation201921122019184151--160Copyright © Эктов В.Н., Сомов К.А., Куркин А.В., Музальков В.А., 20192019Эктов В.Н., Сомов К.А., Куркин А.В., Музальков В.А.Ektov V.N., Somov К.A., Kurkin A.V., Muzalkov V.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.ruproctology.com/jour/article/view/1525

Латексное лигирование геморроидальных узлов является распространенным и эффективным миниивазивным методом лечения хронического геморроя. Анализ накопленного опыта применения латексного лигирования дает возможностьоценить достоинства и недостатки этой методики и предложить новые варианты ее выполнения. Одно из главных преимуществ латексного лигирования заключается в радикальности вмешательства, которое обеспечивает закрытое удаление внутренних геморроидальных узлов, позволяющее стандартизировать широкое применение данной методики в амбулаторной практике. При выполнении процедуры используются наборы инструментов различных конструкций, применяются методики одноэтапного и многоэтапного лигирования, предлагаются различные технические варианты наложения латексных лигатур, влияющие на патогенетические факторы геморроидальной болезни. Оптимизация вариантов применения латексного лигирования позволяет расширить диапазон использования данной методики и обеспечивает рациональный выбор индивидуальной лечебной тактики для каждого конкретного пациента.

Rubber band ligation is one of the most common and effective minimally invasive methods of treatment of chronic hemorrhoids. An analysis of the experience gained in the use of latex ligation makes it possible to evaluate the advantages and disadvantages of this technique and suggest new options for its implementation. One of the main advantages of rubber band ligation is the radicality of the procedure, which provides the closed removal of internal hemorrhoid piles, which makes it possible to standardize the widespread use of this technique in outpatient practice. When performing the procedure, tool kits of various designs are used, methods of one-stage and multi-stage ligation are used, various technical options are available for applying latex ligatures that affect the pathogenetic factors of hemorrhoidal disease. Optimization of options for the use of rubber band ligation allows to expand the range of use of this technique and provides a rational choice of individual approach.

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The authors declare that there are no conflicts of interest present.