Clinical study on combination of procedure for prolapse and hemorrhoids and excision-closed hemorrhoidectomy for severe hemorrhoids
10.3760/cma.j.issn.1673-4904.2010.14.008
- VernacularTitle:联合应用吻合器痔上黏膜环切术和痔切闭术治疗重度痔的临床研究
- Author:
Song XIE
- Publication Type:Journal Article
- Keywords:
Hemorrhoids;
Procedure for prolapse and hemorrhoids;
Excision-closed hemorrhoidectomy;
Milligan-Morgan hemorrhoidectomy
- From:
Chinese Journal of Postgraduates of Medicine
2010;33(14):18-20
- CountryChina
- Language:Chinese
-
Abstract:
Objective To demonstrate the feasibility, effectiveness and reliability of combination of procedure for prolapse and hemorrhoids (PPH) and excision-closed hemorrhoidectomy (ECH) for severe hemorrhoids. Methods Sixty patients with Ⅲ- Ⅳ degree hemorrhoids which left remnant prolapsed hemorrhoids after stapled hemorrhoidopexy, were randomly divided into group A (PPH with additional ECH group,30 cases.) and group B [PPH with additional Milligan-Morgan hemorrhoidectomy (MMH) group, 30 cases]. Ten indexes of the results in two groups were compared. ResultsThe hemorrhoidectomy lasted (35.6 ± 5.3) min in group A and (47.3 ± 10.2) min in group B. The indexes related to 24 h visual analogue scale (VAS) after operation were (2.9 ± 1.2) scores in group A and (5.7 ± 1.9) scores in group B. Wound healing time were (6.3 ± 1.4) d in group A and (28.5 ± 4.8) d in group B. Many indexes showed the results in group A was better than those in group B ( P ＜ 0.05 ). The six-month follow-up visits after operation showed no complications, such as recurrence in either group. ConclusionsCombination treatment for Ⅲ -Ⅳ degree hemorrhoids with PPH with additional ECH is a easy,safe,reliable,minimal-aching and quick-recovering method of hemorrhoidectomy with favorable results than PPH with additional MMH.
