Clinical application of the reformed purse-string suturing and stitching technique in procedures for prolapses and hemorrhoids(PPH)

VernacularTitle:改良荷包缝合在痔上黏膜环切术中的应用
Author: Xiaohua WANG ; Jianan CHEN ; Wei HUA
Publication Type:Journal Article
Keywords: Hemorrhoids; Surgical procedures,operative; Procedures for prolapses and hemorrhoids
From: Chinese Journal of Primary Medicine and Pharmacy 2009;16(2):246-247
CountryChina
Language:Chinese
Abstract: Objective To discuss advantages of the reformed technique of purse-string sutures in PPH for the treatment of severe hemorrhoids.Methods 172 cases with severe hemorrhoids received PPH with the reformed purse-string sutures.The reformed purse-string sutures were positioned right above the anocutaneous line by 2～3cm.The chorda chirurgicalis moved from upward to downward at a tilt in the submucosal layer,and the reformed pursestring stitches were made.Results The average operation time was 17minutes,the average width of the excised mucosal ring was 3.lcm,and the average hospitalization time was 2.6 days.The prolapsed hemorrhoids went back after surgery.No fecal incontinence,recurrence of prolapsed hemorrhoids or anastomotic stenosis occurred within 1～24 weeks fonow-up.Conclusion The reformed suturing technique of purse-string stitches is safe,effective and recommendable.