A randomized study on hemorrhoidectomy combined with anal dilatation

Diseases of the Colon and Rectum
P E MortensenJ Christiansen

Abstract

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.

References

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

Citations

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
Hemorrhoids
Tonometry
Randomization
Relapse

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Neural Activity: Imaging

Imaging of neural activity in vivo has developed rapidly recently with the advancement of fluorescence microscopy, including new applications using miniaturized microscopes (miniscopes). This feed follows the progress in this growing field.

The Tendon Seed Network

Tendons are rich in the extracellular matrix and are abundant throughout the body providing essential roles including structure and mobility. The transcriptome of tendons is being compiled to understand the micro-anatomical functioning of tendons. Discover the latest research pertaining to the Tendon Seed Network here.

Myocardial Stunning

Myocardial stunning is a mechanical dysfunction that persists after reperfusion of previously ischemic tissue in the absence of irreversible damage including myocardial necrosis. Here is the latest research.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Incretins

Incretins are metabolic hormones that stimulate a decrease in glucose levels in the blood and they have been implicated in glycemic regulation in the remission phase of type 1 diabetes. Here is the latest research.

Chromatin Regulation and Circadian Clocks

The circadian clock plays an important role in regulating transcriptional dynamics through changes in chromatin folding and remodelling. Discover the latest research on Chromatin Regulation and Circadian Clocks here.

Long COVID-19

“Long Covid-19” describes illness in patients who are reporting long-lasting effects of the SARS-CoV-19 infection, often long after they have recovered from acute Covid-19. Ongoing health issues often reported include low exercise tolerance and breathing difficulties, chronic tiredness, and mental health problems such as post-traumatic stress disorder and depression. This feed follows the latest research into Long Covid.

Spatio-Temporal Regulation of DNA Repair

DNA repair is a complex process regulated by several different classes of enzymes, including ligases, endonucleases, and polymerases. This feed focuses on the spatial and temporal regulation that accompanies DNA damage signaling and repair enzymes and processes.