Related Experiment Videos
A randomized study on hemorrhoidectomy combined with anal dilatation.
P E Mortensen1, J Olsen, I K Pedersen
1Department of Surgery D, Glostrup Hospital, University of Copenhagen, Denmark.
Diseases of the Colon and Rectum
|October 1, 1987
Summary
Hemorrhoidectomy combined with anal dilatation did not improve cure rates for third-degree hemorrhoids compared to hemorrhoidectomy alone. This combination may increase the risk of continence disturbances in patients.
Area of Science:
- Colorectal Surgery
- Gastroenterology
Background:
- Third-degree hemorrhoids significantly impact patient quality of life.
- Surgical interventions aim for symptom relief and cure.
Purpose of the Study:
- To compare the efficacy of Milligan hemorrhoidectomy with and without anal dilatation for third-degree hemorrhoids.
- To assess the impact on cure rates and anal manometry parameters.
Main Methods:
- Randomized controlled trial involving 40 patients with third-degree hemorrhoids.
- Comparison of hemorrhoidectomy alone versus hemorrhoidectomy with anal dilatation.
- Preoperative and postoperative (3, 6, 12 months) anal manometry.
Main Results:
- Both surgical groups showed a significant decrease in maximum resting anal pressure one year post-surgery.
- Three patients in the dilatation group experienced minor incontinence, versus none in the non-dilated group.
- Recurrent hemorrhoid symptoms were reported by three patients in each group.
Conclusions:
- Combining hemorrhoidectomy with anal dilatation does not enhance cure rates for third-degree hemorrhoids.
- Anal dilatation in conjunction with hemorrhoidectomy may elevate the risk of postoperative continence issues.