Document Detail

Randomized controlled trial of lateral internal sphincterotomy with haemorrhoidectomy.
MedLine Citation:
PMID:  8665199     Owner:  NLM     Status:  MEDLINE    
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.
V Mathai; B C Ong; Y H Ho
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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    
Department of Colorectal Surgery, Singapore General Hospital, Republic of Singapore.
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MeSH Terms
Anal Canal / physiopathology
Hemorrhoids / physiopathology,  surgery*
Pain Measurement
Pain, Postoperative / etiology
Prospective Studies
Rectum / physiopathology

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