Anal pad preserving respective resection of the internal and external hemorrhoids for the treatment of circumferential mixed hemorrhoids / 中国普通外科杂志

ABSTRACT

Objective[WT5”BZ] To improve the surgical result of circumferential mixed hemorrhoids by using a new technique.[WT5”HZ]Method[WT5”BZ] 371 cases of circumferential mixed hemorrhoids were divided into two groups treated respectively by anal pad preserving(with intact dentate line) respective resection of the internal and external hemorrhoids (RR group) and those treated with routine approach of stripping off the varicose masses of the external hemorrhoids and ligating the internal (control group).[WT5”HZ]Results[WT5”BZ] (1)Cure rates were 84 7%(166/196) in RR group and 74 8%(131/175) in controls, P 0 05.(4) Postoperative complications a) Postoperative anal painmild in 75,moderate in 53 and severe in 68 cases in RR compared with mild in 28,moderate in 47and severe in 100 cases in controls, P 0 05. c) Postoperative urinary dysfunction26 5%(52/196) in RR and 44 6%(78/175) in controls respectively. d) Tenesmus7 7%(15/196) in RR and 21 1%(37/175) in controls, P