A randomized study on hemorrhoidectomy combined with anal dilatation

Diseases of the Colon and Rectum
P E MortensenJ Christiansen


Forty patients with third-degree hemorrhoids were randomized in two groups. Seventeen patients had a Milligan hemorrhoidectomy combined with anal dilatation and 23 had hemorrhoidectomy only. Anal manometry was carried out preoperatively at three, six, and 12 months postoperatively. Maximum resting pressure decreased significantly in both groups after surgery, although a small increase in maximum resting pressure was noticed after six months. A significant decrease in anal pressure was measured in both groups after one year. After one year, three patients in the dilatation group had minor degrees of incontinence compared to none in the nondilated group. In both groups three patients complained of recurrent symptoms of hemorrhoids. It is concluded that the combination of hemorrhoidectomy and anal dilatation does not improve cure rate compared to hemorrhoidectomy alone, but may increase the risk of continence disturbances.


Jun 5, 1976·Lancet·A D Walls, C V Ruckley
Aug 1, 1976·Gut·B D Hancock
Jul 1, 1986·Diseases of the Colon and Rectum·A ChristensenJ Christiansen
Nov 1, 1985·Diseases of the Colon and Rectum·K M Hiltunen, M Matikainen
Dec 1, 1980·The Australian and New Zealand Journal of Surgery·R C Jaworski
Oct 1, 1981·The British Journal of Surgery·B D Hancock


Jul 1, 1995·Diseases of the Colon and Rectum·H M MacRae, R S McLeod
May 17, 2000·Diseases of the Colon and Rectum·G ArbmanS Haapaniemi
Jan 1, 1989·American Journal of Surgery·C E Welch
Nov 18, 2003·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·S KarandikarJ Beynon
Apr 7, 1999·Scandinavian Journal of Gastroenterology·P R MaxwellD Kumar
Jan 1, 1996·Scandinavian Journal of Gastroenterology. Supplement·K Lauritsen, E Christensen
Aug 18, 2009·Gastroentérologie Clinique Et Biologique·M-A Bigard, Laurent Siproudhis
Oct 15, 2014·Journal of Visceral Surgery·H Pillant-Le MoultV De Parades
Mar 1, 1996·The British Journal of Surgery·V MathaiY H Ho
Oct 1, 1996·The British Journal of Surgery·J N Lund, John H Scholefield
Jul 1, 1994·The British Journal of Surgery·P B LoderR K Phillips
Nov 15, 2002·Diseases of the Colon and Rectum·Indru T Khubchandani

Related Concepts

Anal Canal
Clinical Trials
Combined Modality Therapy
Dilate procedure
Fecal Incontinence

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