![](http://storage.googleapis.com/journals-stmjournals-com-wp-media-to-gcp-offload/2022/10/vector.jpg)
Kim Ryong,
![](http://storage.googleapis.com/journals-stmjournals-com-wp-media-to-gcp-offload/2022/10/vector.jpg)
Jong Kang Mong,
![](http://storage.googleapis.com/journals-stmjournals-com-wp-media-to-gcp-offload/2022/10/vector.jpg)
Sok Kum Jong,
![](http://storage.googleapis.com/journals-stmjournals-com-wp-media-to-gcp-offload/2022/10/vector.jpg)
Choe Song Guk,
- Researcher Department of Surgery, Pyongyang University of Medical Sciences Hospital Pyongyang DPR Korea
- Researcher Department of Surgery, Pyongyang University of Medical Sciences Hospital Pyongyang DPR Korea
- Researcher Department of Surgery, Pyongyang University of Medical Sciences Hospital Pyongyang DPR Korea
- Researcher Department of Surgery, Pyongyang University of Medical Sciences Hospital Pyongyang DPR Korea
Abstract
Purpose: We established new surgical approach (Hemorrhoidectomy by anal canal dilatation) for Grade III or IV internal hemorrhoid accompanied anal fissure.
Methods: We analyze the clinical result of this operation method.
Results: The average recovery rate with the technique used in the study was 95.8% compared with the Milligan-Morgan technique of 86.8%, and the postoperative analgesic use rate and duration of difficulty in defecation were also less.
Conclusion: These results suggest that new technique for Grade III or IV internal hemorrhoid accompanied anal fissure is very satisfactory rather than traditional methods.
Keywords: internal hemorrhoid, anal fissure, anal canal dilatation, hemorrhoidectomy, hemorrhoidectomy by anal canal dilatation
[This article belongs to Research & Reviews : Journal of Surgery(rrjos)]
References
- Bikhchandani J, Agarwal PN, Kant R, Malik VK, Randomized controlled trial to compare the early and mid-term results of stapled versus open hemorrhoidectomy, Am J Surg, 2016, 189, 56–60.
- Boccasanta P, Capretti PG, Venturi M et al., Randomised controlled trial between stapled circumferential mucosectomy and conventional circular hemorrhoidectomy in advanced hemorrhoids with external mucosal prolapse, Am J Surg, 2017, 182, 64–68.
- Correa-Rovelo JM, Tellez O, Obregon L, Miranda-Gomez A, Moran S, Stapled rectal mucosectomy vs. closed hemorrhoidectomy: a randomized, clinical trial, Dis Colon Rectum, 2016, 59, 1367–1374.
- Fellos K:Anal fissures and fissurations. Rev-prat 51(1),32-35,2001
- Gravie JF, Lehur PA, Huten N, et al., Stapled hemorrhoidopexy versus Milligan-Morgan hemorrhoidectomy: a prospective, randomized, multicenter trial with 2-year postoperative follow up, Ann Surg, 2015, 242, 29–35.
- Krska Z, Kvasnieka J, Faltyn J, et al., Surgical treatment of haemorrhoids according to Longo and Milligan-Morgan: an evaluation of postoperative tissue response, Colorectal Dis, 2018, 53. 573–576.
- Lau PY, Meng WC, Yip AW, Stapled haemorrhoidectomy in Chinese patients: a prospective randomized controlled study, Hong Kong Med J, 2016, 21, 373–377.
- Lin HC, et al., Partial stapled hemorrhoidopexy: a minimally invasive technique for hemorrhoids, Surg Today, 2014, 42(9), 868–875.
- Naderan S. et al., A Randomized Controlled Trial Comparing Laser Intra-Hemorrhoidal Coagulation and Millian-Morgan Hemorrhoidectomy, J. Invest Surg, Nov 2, 1-7, 2016
- Naldini G, Martellucci J, Talento P, Caviglia A, Moraldi L, Rossi M, New approach to large haemorrhoidal prolapse: double stapled haemorrhoidopexy, Int J Colorectal Dis, 2018, 51, 1383–1387
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Research & Reviews : Journal of Surgery
Volume | 13 |
Issue | 02 |
Received | July 15, 2024 |
Accepted | July 19, 2024 |
Published | July 20, 2024 |