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Two-quadrant semiclosed hemorrhoidectomy. A preliminary report.

M Pescatori1

  • 1Coloproctology Unit of Villa Flaminia Hospital, Via L. Bodio 58, I-00191 Rome, Italy. ucpclub@virgilio.it

Techniques in Coloproctology
|October 29, 2002
PubMed
Summary

This study introduces a modified hemorrhoidectomy technique that covers surgical wounds with rectal mucosa. This semiclosed approach significantly reduces postoperative bleeding and speeds up wound healing for patients.

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Area of Science:

  • Colorectal Surgery
  • Surgical Innovation
  • Hemorrhoid Treatment

Background:

  • Hemorrhoidectomy can lead to postoperative complications such as bleeding and delayed healing.
  • Patient discomfort is a significant concern following traditional hemorrhoidectomy procedures.

Purpose of the Study:

  • To present a modified Milligan-Morgan hemorrhoidectomy technique.
  • To evaluate the efficacy of a semiclosed hemorrhoidectomy in reducing bleeding and healing time.

Main Methods:

  • A modified Milligan-Morgan operation was performed on 12 patients with internal and external hemorrhoids.
  • The surgical wound's upper portion was covered with rectal mucosa, and the distal edge was closed with a running suture.
  • Postoperative pain, bleeding, healing time, and complications were assessed.

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Main Results:

  • The median operative time was 32 minutes.
  • Mean postoperative pain at 12 hours was 4.4 on a visual analogue scale.
  • Wound healing occurred within 3 weeks for most patients, with no significant postoperative bleeding. One patient experienced acute urinary retention.

Conclusions:

  • Two-quadrant semiclosed hemorrhoidectomy offers a promising alternative for hemorrhoid treatment.
  • This technique effectively minimizes bleeding and accelerates healing with acceptable pain levels.
  • The modified approach demonstrates good patient outcomes and a low complication rate.