eISSN: 1897-4317
ISSN: 1895-5770
Gastroenterology Review/Przegląd Gastroenterologiczny
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SCImago Journal & Country Rank
2/2024
vol. 19
 
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Artykuł oryginalny

Application of biotechnologies in the treatment of haemorrhoidal disease and optimisation of patient management

Dinara Nuspekova
1
,
Aidos Doskaliyev
2
,
Auyeskhan Dzhumabekov
1
,
Khabibulla Akilov
3
,
Aina Dossan
1

  1. Department of Epidemiology, Evidence-Based Medicine and Biostatistics, Kazakhstan Medical University “Kazakhstan School of Public Health”, Almaty, Republic of Kazakhstan
  2. Research Management Department, National Centre for Neurosurgery, Astana, Republic of Kazakhstan
  3. Centre for the Development of Professional Qualifications of Medical Workers, Toshkent, Republic of Uzbekistan
Gastroenterology Rev 2024; 19 (2): 127–134
Data publikacji online: 2024/05/13
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Introduction
Haemorrhoidal disease is one of the most common nowadays. It is often associated with a sedentary lifestyle. The leading cause of its development is also a functional disorder of the intestine and chronic constipation. To date, there is a steady growth rate of this disease, leading to its “rejuvenation”. The current stage of development indicates the need for further improvement of surgical treatment and optimisation of patient management methods and the creation of uniform standards of care for this contingent of patients.

Aim
To evaluate the clinical effectiveness of the use of platelet-rich plasma therapy and the biologically active substance “ozoyl” in the treatment of haemorrhoidal disease.

Material and methods
The main group included 100 patients with chronic haemorrhoids who were operated on in the period from March 2021 to March 2022. For this group, autoplasma was used during surgery, and an ozoyl-based drug in the postoperative period. The remaining 100 participants of this study, assigned to the control group, underwent a conventional haemorrhoidectomy operation and standard patient management using a hydrophilic ointment based on chloramphenicol.

Results
After the conducted clinical studies, it was established that in the main group, the pain syndrome decreased by about 30%, considering the period from the first day of the postoperative period compared to the control group. The postoperative wound healed in the main group in the third week after the operation, unlike the control group, in which this event was noted in the fourth week. The patients did not complain during the examination 3 months later.

Conclusions
This study is of practical significance because haemorrhoidal disease today has a high prevalence, and an integrated approach is required for the treatment of such patients. Ozoyl is a powerful cell and tissue repairer.

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