Document Detail


Randomized controlled trial of lateral internal sphincterotomy with haemorrhoidectomy.
MedLine Citation:
PMID:  8665199     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
V Mathai; B C Ong; Y H Ho
Related Documents :
17208539 - Are the long-term results of the transanal pull-through equal to those of the transabdo...
11990329 - Clinico-pathological follow-up after total colectomy and straight ileo-anal anastomosis...
8563899 - Efficacy of nutritional therapy for active crohn's disease.
18622559 - Two-center experience in the treatment of hemorrhoidal disease using doppler-guided hem...
17225209 - Long-term function and manovolumetric characteristics after ileal pouch-anal anastomosi...
18172679 - Impact of stapled haemorrhoidopexy on stool continence and anorectal function: long-ter...
22054799 - Impact of ultra-early coiling on clinical outcome after aneurysmal subarachnoid hemorrh...
20074159 - Comparison of temporary stent insertion with pneumatic dilation of the same diameter in...
23816939 - Preoperative acetazolamide spect is useful for predicting outcome of shunt operation in...
Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  The British journal of surgery     Volume:  83     ISSN:  0007-1323     ISO Abbreviation:  Br J Surg     Publication Date:  1996 Mar 
Date Detail:
Created Date:  1996-08-08     Completed Date:  1996-08-08     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  380-2     Citation Subset:  AIM; IM    
Affiliation:
Department of Colorectal Surgery, Singapore General Hospital, Republic of Singapore.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Anal Canal / physiopathology
Female
Hemorrhoids / physiopathology,  surgery*
Humans
Male
Pain Measurement
Pain, Postoperative / etiology
Pressure
Prolapse
Prospective Studies
Rectum / physiopathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Local recurrence following total mesorectal excision for rectal cancer.
Next Document:  Anatomical basis of autonomic nerve-preserving total mesorectal excision for rectal cancer.