- 期刊
Staple Hemorrhoidectomy-A Modified Low Transection Technique of PPH
並列摘要
Purpose. Staple hemorrhoidopexy, also known as PPH, initially advocated by Longo, is becoming a procedure of choice for the hemorrhoids. The procedure has less postoperative pain and hastens early returning to work. If adhering to the standard Longo technique and in our experience, it is insufficient sometimes to eradicate prominent external piles and skin tags and leaves patients the impression of persistence of their hemorrhoid s. We describe a modified technique to actually excise the hemorrhoids Material and Methods. Including 30 patients underwent modified Longo procedures and 30 patients underwent circumferential hemorrhoidectomy. The admission days and postoperative complications were collected including dysuria, pain, delayed bleeding, and perianal swelling or thrombosis. Results. The patients underwent circumferential hemorrhoidectomy had better cosmesis with less hemorrhoids and skin tags, but the patients underwent modified Longo procedures had less postoperative pain and acceptable postoperative result. Conclusion. This modified technique offers a straightforward and effective way of dealing with the problem in selective patients and further study is required.