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Chinese Journal of General Surgery ; (12): 1011-1014, 2016.
Article in Chinese | WPRIM | ID: wpr-506181

ABSTRACT

Objective To evaluate complications from two anal stapling operations of anorectal surgery,the procedure for prolapse and hemorrhoids (PPH) and the stapled transanal rectal resection (STARR).Methods The data of 1 276 patients undergoing PPH for hemorrhoids and 149 patients having STARR for ODS from January 2010 to January 2015,in Beijing Chaoyang Hospital were studied.More than six months of follow-up was done.Statistics used included t Test and Chi-square test,Logistic regression analysis.Results Complications of PPH and STARR included hemorrhage in 27 cases (2.1%) vs.3 cases (2.0%);pain in 285 cases (22.3%) vs.6 cases (4.0%);uroschesis in 96 cases (7.5%) vs.12 cases (8.1%);edema in 227 cases (17.8%) vs.16 cases (10.7%);defecatory urgency in 194 cases (15.2%) vs.38 cases (25.5%);anastomotic infection in 17 cases (1.3%) vs.2 cases (1.3%);mild anal incontinence in 11 cases (0.9%) vs.2 cases (1.3%);anastomotic stenosis in 11 cases (0.9%) vs.1 case (0.7%).There was a positive correlation between dry stool,defecatory urgency and hemorrhage after PPH.PPH compared to STARR:The post-operative pain,edema and defecatory urgency and overall complication rate was significantly different (t =26.51,x2 =4.69,x2 =10.38,x2 =37.12,P < 0.05).Conclusions PPH and STARR have rare serious complications and easy to handle.Abnormal defecation such as dry stool and defecatory urgency is an important risk of hemorrhage.

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