[Results of treatment of anorectal diseases over a 2-year period].

For the success of surgical treatment of anorectal diseases it is necessary to be familiar with different surgical methods for solving the problem. After examination, a surgeon needs to choose optimal method or a combination of two, in order to achieve the best effect. A correct choice of patients suitable for outpatient treatment is of extreme importance because enforcement of such treatment in patients who are suitable for stationary treatment would compromise the method. In this study we have presented the results of outpatient treatment of anorectal diseases during a two-year period (2000-2001). During this period we have studied 597 cases, out of which 524 patients were successfully treated in an outpatient clinic while for 31 patient (5%) we have concluded that they need a stationary treatment to which they were sent and in whom malignant tumors were found. Methods used in the treatment of different stages of hemorrhoides as being the most frequent disease were Barron's elastic ligature, infrared coagulation, sclerotherapy, HAL (Hemorrhoidal Artery Ligation), with two methods combined most commonly. We achieved excellent or very good results of the treatment in 87% of the patients, and only 2 patients had to be sent for surgical treatment. Beside hemoorhoides, methods that can be performed in local anesthesia in an outpatient institutions can be performed as well in cases of other benign conditions (such as lateral sphincterotomy in cases of anal fissure, fistulotomy and similar). Therefore, we have successfully solved 88% of the cases in out-patient clinic. An increased flow of proetologic lesions that were discovered. During 2-year period, we have solved 90% of anorectal diseases by using minimally invasive surgical methods. Successful and simple treatment of benign anorectal diseases increases the flow of patients having such symptoms, which increases the number of discovered malignant tumors.