Randomized controlled trial of lateral internal sphincterotomy with haemorrhoidectomy

被引:64
作者
Mathai, V
Ong, BC
Ho, YH
机构
[1] SINGAPORE GEN HOSP,DEPT COLORECTAL SURG,SINGAPORE,SINGAPORE
[2] SINGAPORE GEN HOSP,DEPT ANAESTHESIA & INTENS CARE,SINGAPORE,SINGAPORE
关键词
D O I
10.1002/bjs.1800830327
中图分类号
R61 [外科手术学];
学科分类号
摘要
A prospective trial was conducted to compare haemorrhoidectomy alone (control, group 1) with haemorrhoidectomy plus lateral internal sphincterotomy (group 2) for prolapsed piles, Some 33 patients (18 men, 15 women) of mean(s.e.m.) age 40(2.3) years were randomized, 16 to group 1 and 17 to group 2, There were no significant differences in postoperative pain scores, Mean resting and maximum anal squeeze pressures, studied 6 weeks and 3 months after operation, were generally lower in group 2, but were not significantly different, Two patients in group 2 were distressed by incontinence to liquid faeces which persisted in one after 1 year, There were no other complications in either group after a mean(s.e.m.) follow-up of 11(0.4)months. The addition of lateral internal sphincterotomy to routine haemorrhoidectomy is unnecessary and carries the added risk of incontinence.
引用
收藏
页码:380 / 382
页数:3
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