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Problems of cryohemorrhoidectomy

C Oh

    Cryobiology
    |June 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Cryohemorrhoidectomy offers high patient satisfaction but can cause pain and recurrence, especially in males. Combining hemorrhoidectomy with internal sphincterotomy may reduce complications in patients with high anal pressure.

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    Area of Science:

    • Colorectal Surgery
    • Gastroenterology

    Background:

    • Cryohemorrhoidectomy is a surgical technique for hemorrhoids.
    • High anal pressure is a suspected factor in hemorrhoid recurrence and postoperative pain.

    Purpose of the Study:

    • To evaluate patient satisfaction, pain, and recurrence rates after cryohemorrhoidectomy.
    • To investigate the relationship between anal pressure and complications.
    • To assess the efficacy of combining internal sphincterotomy with hemorrhoidectomy.

    Main Methods:

    • A retrospective review of 1000 cryohemorrhoidectomies performed between 1973-1979.
    • Analysis of patient satisfaction, pain levels, and recurrence rates.
    • A prospective study of 200 patients undergoing combined hemorrhoidectomy and internal sphincterotomy.

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    Main Results:

    • 90% patient satisfaction with cryohemorrhoidectomy.
    • One-third experienced moderate to severe pain; 11% had recurrences.
    • Younger patients reported more pain; males accounted for two-thirds of recurrences.
    • Early results of combined surgery were promising.

    Conclusions:

    • Cryohemorrhoidectomy is effective but associated with pain and recurrence, potentially linked to high anal pressure.
    • Internal sphincterotomy may be beneficial for patients with high anal pressure to prevent recurrence and pain.
    • Cryohemorrhoidectomy is recommended for prolapsing internal hemorrhoids without signs of high anal pressure.