Perioperative management of procedure for prolapse and hemorrhoids in elderly patients with serious hemorrhoids
10.3760/cma.j.issn.0254-9026.2009.01.012
- VernacularTitle:老年患者吻合器痔上黏膜环切术围手术期处理
- Author:
Mofei WANG
;
Dongmei SHAN
;
Lingjie XU
;
Chunyu LI
;
Jian LIANG
- Publication Type:Journal Article
- Keywords:
Hemorrhoids;
Anastomosis,surgical;
Intraoperative period
- From:
Chinese Journal of Geriatrics
2009;28(1):45-47
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the perioperative management and therapeutic efficacy of procedure for prolapse and hemorrhoids (PPH) in elderly patients with serious hemorrhoids. Methods The clinical data of 52 elderly patients (aged 60 years or over) with serious hemorrhoids treated by PPH from March 2005 to November 2007 were analyzed restrospectively. Results All the operations were successfully completed. The average operation time was (15.3±3.2) min, the average blood loss was (15±1.7) ml and the average hospitalization time was (4.5±2.6) days.Patients were followed for 1-20 months with (14.2±2.4) months for average. The follow-up rate was 92.3%(48/52). Complications included urinary retention in 18 cases(37.5%), anastomotic bleedings in 2 cases (4.2%), postoperative pain of anus in 4 cases (8.4%), recurrence in 1 case (2.1%),hypoglycemia in 1 case(2.1%), and 1 case (2.1%)was found stricture in rectum at 2 months after the procedure and no case developed rectovaginal fistula. Conclusions Old age is not the contraindication for PPH treatment of the serious hemorrhoids. Proper perioperative management may decrease the postoperative complications and improve the life quality of the patients.
