Liaoning Anorectal Hospital Shenyang 110003 Song Duo
60 cases of circular mixed hemorrhoids were treated with anal cushion suspension plus external stripping and internal ligation.
Good results have been obtained, the report is as follows.
1 Clinical data
There were 42 males and 18 females, aged 24 to 78 years, with an average age of 53 years. disease
It takes 1 to 20 years. 38 cases of pain, 53 cases of intermittent blood in the stool, hemorrhoidal mucosa
43 cases of erosion.
112 Inclusion and exclusion criteria: Inclusion criteria are circular mixed hemorrhoids, hemorrhoids
There is no clear dividing line between the nuclei. The exclusion criterion is that there is a clear boundary between hemorrhoids
2 treatment method
211 Pre-operative preparation: No special bowel preparation is required, just emptying and bowel movements
212 anesthesia: sacral anesthesia was used in all cases.
213 operation: the patient takes the lithotomy position, routine disinfection of the perineum, and aseptic shop
Towel, in the rectal mucosa above the mother hemorrhoid area (or the larger part of the ring hemorrhoids)
Place, use 220 absorbable thread parallel figure-eight suture ligation, two needle spacing
015～110 cm, as deep as the submucosa, lift and fix the loose rectum
Mucosa, 3 to 4 places can be ligated in one week, the ligation surface should be staggered,
Keep at least 1 cm of normal mucosa between each ligation point. deal with
Later, the larger surface of internal hemorrhoids is bleeding or there is still external hemorrhoids at the anal margin
For skin tags, internal hemorrhoid ligation and external hemorrhoid peeling can be given as appropriate.
3 结 果
All 60 cases in this group were cured, and the hospitalization time was 1 to 14 days.
Both were 7 days, and the follow-up period was 3-24 months. There was no recurrence.
4 Discuss Discuss
Annular mixed hemorrhoids are frequently-occurring, the hemorrhoids are in the shape of a ring, gradually prolapse, and
To incarceration. The condition is serious and treatment is difficult. In the past, mixed external hemorrhoids
Internal ligation treatment, large trauma, slow healing, many complications, patient pain
Big. This procedure involves ligating the rectal mucosa and mucosa above the anal cushion.
The submembrane tissue makes the anal cushion tissue hang upward to correct the hemorrhoids.
Prolapse, but also selectively cut through the mucosal layer and mucosa
The lower layer has blood supply to the anal cushion. Reduce the blood supply of the hemorrhoids, and the hemorrhoids gradually wither
Shrink. This operation does little damage to the anal canal structure and protects various physiological functions
And anatomical structure, reducing the incidence of complications such as sensory incontinence