Mikelangelo: переводы

→After thoroughly lubricating with lignocaine hydrochloride jelly, a half-cut proctoscope is introduced into the anal canal (Fig.
8.
9a).

→The hemorrhoidal tissue is massaged to reduce engorgement.

→The next step is FGHAL (Fig.
8.
9a–h).

→Technique of Hemorrhoidal Artery Ligation

→• Urticaria and angioedema [12, 13]

→• Itching and pain

→• Erythema

→The following are some of the signs:

→Complication of Hylase
Allergic reactions have been reported occurring in 0.
05–0.
69% of cases, according to clinical trials [11].

→Once the edema is reduced, the internal hemorrhoidal tissue can be pushed back into the anal canal.

→It diminishes the edema and swelling of the hemorrhoids.

→Hyaluronidase improves tissue permeability by catalyzing the hydrolysis of hyaluronic acid.

→Learning Point: Role of Hylase

→After the edema has diminished, the hemorrhoidal mass can be pushed back into the anal canal lumen, and further surgical steps can be performed (Fig.
8.
8b).

→Immediately after injection of hylase, regression of the hemorrhoidal tissue can be observed on the operating table.

→About 1–2 mL of hylase can be injected into each hemorrhoidal mass (Fig.
8.
8a).

→Each mL contains 1500 IU of Hyaluronidase.

→One can obtain a solution by dissolving the powder in 1 mL of distilled water or saline.

→Injection Hylase comes in a powder form.

→The syringe piston is pulled before injecting the solution into the hemorrhoid tissue to ensure that Hylase is not injected directly into the blood vessel.