Document Detail


Transperineal ultrasound in the assessment of haemorrhoids and haemorrhoidectomy: a pilot study.
MedLine Citation:
PMID:  20390316     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The purpose of the study was the measurement of the anal cushion area using static transperineal ultrasound in a group of patients with symptomatic grade III and IV haemorrhoids about to undergo haemorrhoidectomy and compare them with a group of age-matched normals and the measured area following haemorrhoidectomy.
METHODS: Transperineal sonography was performed using a linear transducer measuring the anal cushion area by subtracting the measured luminal diameter of the undisturbed anal canal from the inner border of the internal anal sphincter. Measures were made 6 weeks following haemorrhoidectomy.
RESULTS: Comparisons were made between 22 normals and 36 patients with haemorrhoids (31 evaluable post-operatively). The median area of normals was 0.78 cm², that of pre-operative patients 2.25 cm² and that of post-operative cases 1.20 cm². There was a significant difference between pre- and post-operative cases with cushion areas of normal patients being significantly lower than post-operative cases. Variance of measurement in all 3 groups was negligible.
CONCLUSION: Static transperineal sonography measuring the anal cushion area is reproducible and shows marked differences between normals and patients with symptomatic haemorrhoids. There is a marked effect on measured area resultant from haemorrhoidectomy.
Authors:
A P Zbar; R Murison
Related Documents :
1645246 - The double-stapled ileal reservoir and ileoanal anastomosis. a prospective review of sp...
12791016 - Short-term functional outcome following elective surgery for complicated sigmoid divert...
3882036 - A stapler modification of the altemeier procedure for rectal prolapse. experimental and...
7882796 - Pull-through procedures performed months to years after permanent proctectomy.
25453626 - Pelvic tilt in patients undergoing total hip arthroplasty: when does it matter?
3741096 - Axillofemoral bypass. expectations and results.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Techniques in coloproctology     Volume:  14     ISSN:  1128-045X     ISO Abbreviation:  Tech Coloproctol     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-11-30     Completed Date:  2010-12-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9613614     Medline TA:  Tech Coloproctol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  175-9     Citation Subset:  IM    
Affiliation:
Department of Surgery, Tamworth Rural Referral Centre, Universities of New England and Newcastle, PO Box 2064, Tamworth, NSW 2340, Australia. azbar55@yahoo.com
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Anal Canal / pathology*,  ultrasonography*
Hemorrhoids / pathology*,  surgery,  ultrasonography*
Humans
Intestinal Mucosa / pathology,  ultrasonography
Middle Aged
Perineum
Pilot Projects

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


Previous Document:  Marine Glycobiology: Current Status and Future Perspectives.
Next Document:  Structural analysis of the exopolysaccharide produced by Streptococcus thermophilus ST1 solely by NM...