Stapled haemorrhoidopexy for haemorrhoids in combination with lateral internal sphincterotomy for fissure-in-ano

被引:6
作者
Kanellos, I [1 ]
Angelopoulos, S [1 ]
Zacharakis, E [1 ]
Kanellos, D [1 ]
Pramateftakis, MG [1 ]
Blouhos, K [1 ]
Betsis, D [1 ]
机构
[1] Aristotle Univ Thessaloniki, Dept Surg 4, GR-55236 Thessaloniki, Greece
关键词
haemorrhoids; stapled haemorrhoidopexy; anal fissure; lateral internal sphincterotomy;
D O I
10.1159/000089244
中图分类号
R61 [外科手术学];
学科分类号
摘要
The aim of this prospective study is to describe the combined technique and results of stapled haemorrhoidopexy and lateral internal sphincterotomy for patients suffering from prolapsing 3rd-degree haemorrhoids and chronic fissure-in-ano. During the period from 1999 to 2004, 26 patients underwent combined surgical treatment for anal fissure and prolapsing symptomatic haemorrhoids. Preoperative and postoperative clinical evaluation and the patient's degree of satisfaction were recorded. Early complications included faecal urgency (3 patients) and pain (2 patients). Complete continence was restored within 10 weeks in all patients except 1 who had persisting incontinence to flatus. All fissures healed completely within 4 weeks. No haemorrhoidal or fissure recurrence has been observed during follow-up. The combination of stapled haemorrhoidopexy and lateral internal sphincterotomy is a safe and effective procedure for the treatment of prolapsing 3rd-degree haemorrhoids and chronic anal fissures. Copyright (C) 2005 S. Karger AG, Basel.
引用
收藏
页码:317 / 320
页数:4
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