Perioperative management of circumcision of prolapse and hemorrhoids in elderly patients (published in Chinese Journal of Geriatrics)
Wang Mofei Shan Dongmei Li Chunyu
[Objective] To explore the perioperative management and clinical efficacy of prolapse and hemorrhoids (PPH) in the treatment of severe hemorrhoids in the elderly. Methods The clinical data of 52 elderly patients undergoing PPH surgery were retrospectively analyzed. Results All 52 operations were successful. The average operation time was 15.3±3.2min, the average blood loss was 15±1.7ml, and the average hospital stay was 4.5±2.6 days. The follow-up period was 1-20 months, with an average follow-up of 14.2±2.4 months, the follow-up rate was 92.3% (48/52), 18 cases of postoperative urinary retention (37.5%); 2 cases of anastomotic bleeding (4.2%); 4 cases of anal pain Cases (8.4%); 1 case of recurrence (2.1%); 1 case of hypoglycemia (2.1%); 1 case (2.1%) had anastomotic stenosis in the second month after surgery, and there was no case of rectovaginal fistula. Conclusion Old age is not a contraindication for PPH in the treatment of severe hemorrhoids. Paying attention to perioperative management can reduce postoperative complications and improve the quality of life.
[Keywords] hemorrhoids; anastomosis, surgery; during operation
Perioperative management of the PPH for the treatment of the Senile serious hemorrhoids
Wang Mo-fei, Shan Dong-mei, Li Chun-yu. The Colorectal Surgical of the 4th Affiliated Hospital of China Medical University, 110005, China.
Corresponding author: Wang Mofei, Email: firstname.lastname@example.org
Abstract Objective To evaluate the perioperative management and herapeutic efficacy of PPH (procedure for prolapse and hemorrhoids) for the treatment of the Senile serious hemorrhoids.Methods The clinical data of 52 elderly patients (aged 60 years or more) with serious hemorrhoids treated by PPH between March 2005 to November 2007 were analyzed restrospectively. Results All succeeded in PPH, and none was converted. The average operation time was 15.3±3.2 min, the average blood loss was 15±1.7 ml and the average hospitalization was 4.5±2.6 days .Patients were followed for 1-20 months and 14.2±2.4 for average, follow-up rate was 92.3﹪(48/52), Complications include urinary retention in 18 cases(37.5﹪); anastomotic bleedings in 2 cases(4.2﹪) ;Postoperative pain of anal in 4 cases(8.4﹪);recrudesced in 1 case(2.1﹪);glycopenia in 1 case（2.1﹪）；1 case（2.1﹪）were found stricture in rectum at 2 months after the procedure and no case appeared rectovaginal fistula.Conclusions Old age is not the contraindication for the PPH for the treatment of the serious hemorrhoids .Proper perioperative management may decrease the post-operative complication, improve the life quality of the patients.
【Keywords】 Hemorrhoids; Anastomosis, surgical; Intraoperative period