Management and prevention of complications after procedure for prolapse and hemorrhoids for the circularity mixed hemorrhoids

【Objective】To summarize the reason.treatment and prevention of postoperative complications of procedure for prolapse and hemorrhoids(PPH).【Mothods】Form January 2006 to March 2008,60 cases with Ⅲ°～ Ⅳ° circularity mixed hemorrhoids received PPH were analyzed retrospectively.And followed up 6～27 months.【Result】 60 cases were succeed resect mucous membrane of rectum.Mean operation time was 13.5(10～20) minutes.Mean hospitalization time was 1～5 days.Postoperative complications:26 patients had short hypogastric pain during opera-tion.urine retention in 36 cases,anal pain in 28 cases.Among them,mild pain in 18 cases,moderateanal pain in 4 cases,severe pain in 4 cases.3 cases anastomotic bleedings during 1 week postoperation,1 cases need reoperation;2 cases anastomotic bleedings 1 week after operation,1 cases need reoperation.4 cases cutaneous hemorrhoids incompletely drew back into the anus tube.Anal constracture and discomfort in 3 cases.Dysporia in 1 cases.54 patients were followed up for 6 to 27 months.51 cases were fully satisfied,3 cases were relapsed.No complicatins of PPH such as anal stenosis and rectovaginal fistula occurred.【Conclusions】PPH is an effective method for Ⅲ°～Ⅳ° circularity mixed hemorrhoids,but it has some postoperative complications,correctly selecting case and skillful operation is important in prevention and treatment of postoperative complications of procedure for prolapse and hemorrhoids.