2013Journal of Qiqihar University of MedicineRequires access

Clinical outcomes after procedure for prolapse and haemorrhoids for treatment of heamorrhoids

Shang Yun-l

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Abstract

Objective To assess the results of PPH in the treatment of heamorroidpexy.Methods We retrospectively reviewed clinical data for 216 patients(male 92 and female 68) who had undergone PPH.Average age was 41.0±24.8 years.Of 216 patients,grade Ⅱ in 26 patients,grade Ⅲand Ⅳ in 68,mixed hemorrhoids in 122.Results Average duration of surgery was 30 minutes.The width of the excised tissue was 2.5cm.Postoperative bleeding occurred in 4 patients,anal pain in 34 patients and urinary retention in 123 patients.There were no patients with fecal incontinence and anastomotic stricture.The mean follow-up was 6 months.There were 13 patients missed follow-up,203 patients remained follow-up,including 196 patients with hemorrhoids block were fully retracted,7 patients were incompletely retraction.Conclusions PPH is a safe,short and effective procedure in the management of hemorrhoids,and patients have few postoperative complications.Anastomotic height and depth of the purse-string suture is an important factor affecting the outcomes.

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Objective To assess the results of PPH in the treatment of heamorroidpexy.Methods We retrospectively reviewed clinical data for 216 patients(male 92 and female 68) who had undergone PPH.Average age was 41.0±24.8 years.Of 216 patients,grade Ⅱ in 26 patients,grade Ⅲand Ⅳ in 68,mixed hemorrhoids in 122.Results Average duration of surgery was 30 minutes.The width of the excised tissue was 2.5cm.Postoperative bleeding occurred in 4 patients,anal pain in 34 patients and urinary retention in 123 patients.There were no patients with fecal incontinence and anastomotic stricture.The mean follow-up was 6 months.There were 13 patients missed follow-up,203 patients remained follow-up,including 196 patients with hemorrhoids block were fully retracted,7 patients were incompletely retraction.Conclusions PPH is a safe,short and effective procedure in the management of hemorrhoids,and patients have few postoperative complications.Anastomotic height and depth of the purse-string suture is an important factor affecting the outcomes.

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Available abstract

Objective To assess the results of PPH in the treatment of heamorroidpexy.Methods We retrospectively reviewed clinical data for 216 patients(male 92 and female 68) who had undergone PPH.Average age was 41.0±24.8 years.Of 216 patients,grade Ⅱ in 26 patients,grade Ⅲand Ⅳ in 68,mixed hemorrhoids in 122.Results Average duration of surgery was 30 minutes.The width of the excised tissue was 2.5cm.Postoperative bleeding occurred in 4 patients,anal pain in 34 patients and urinary retention in 123 patients.There were no patients with fecal incontinence and anastomotic stricture.The mean follow-up was 6 months.There were 13 patients missed follow-up,203 patients remained follow-up,including 196 patients with hemorrhoids block were fully retracted,7 patients were incompletely retraction.Conclusions PPH is a safe,short and effective procedure in the management of hemorrhoids,and patients have few postoperative complications.Anastomotic height and depth of the purse-string suture is an important factor affecting the outcomes.

Key concepts: Medicine, Hemorrhoids, Surgery, Anastomosis, Fibrous joint, Urinary retention, Fecal incontinence

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