Journal of Shandong University (Health Sciences) ›› 2019, Vol. 57 ›› Issue (3): 75-79.doi: 10.6040/j.issn.1671-7554.0.2018.1195

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Anal canal reduction by external decollement through tunnel and internal suspension in the treatment of circumferential mixed hemorrhoids with anal canal prolapse

SU Yonghong1, LI Zhonghua1, LIU Congcong1, WANG Jinshen2   

  1. 1. Department of Anorectal, Shandong Provincial Hospital(Group)Huaiyin Peoples Hospital, Jinan 250021, Shandong, China;
    2. Department of Gastrointestinal Surgery, Shandong Provincial Hospital, Jinan 250021, Shandong, China
  • Published:2022-09-27

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Abstract: Objective To explore the clinical efficacy of anal canal reduction by external decollement through tunnel and internal suspension in the treatment of circumferential mixed hemorrhoids with anal canal prolapse. Methods A total of 120 cases of circumferential mixed hemorrhoids with anal canal prolapse were randomly divided into 3 groups: patients in the treatment group were treated with anal canal reduction by external decollement through tunnel and internal suspension(n=40); patients in the conventional group received traditional operation(n=40); patients in the procedure for prolapsed hemorrhoids(PPH)group were managed with procedure for prolapsed hemorrhoids(n=40). The operation time, hospital stay, pain score within 3 days after operation, and incidence of postoperative complications(anal edema, hemorrhage, urine retention, rectal tenesmus)were compared. Three months after surgery, the incidence of infection, anal stenosis and fecal incontinence were followed up. Results The treatment group suffered less pain within 3 days after operation than the conventional group(P<0.05); the operation time and hospital stay of the treatment group ranked second among the three groups, and the differences were statistically significant(P<0.001). The treatment group had lower incidence of rectal tenesmus than the other two groups(P<0.05). There were no statistically significant differences in the incidences of delayed bleeding, anal edema, urine retention, infection, absess, anal stenosis and fecal incontinence among the three groups. Conclusion Anal canal reduction by external decollement through tunnel and 山 东 大 学 学 报 (医 学 版)57卷3期 -苏永红,等.肛管复位隧道式外剥内悬吊术治疗肛管下垂型环状混合痔 \=-internal suspension has remarkably better efficacy than the conventional operation and PPH in treating circumferential mixed hemorrhoids with anal canal prolapse.

Key words: Circumferential mixed hemorrhoids, Anal canal prolapse, Procedure for prolapsed hemorrhoids(PPH), Anal canal reduction by external decollement through tunnel and internal suspension

CLC Number: 

  • R657.1
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