A Modified Ferguson Hemorrhoidectomy for Circumferential Prolapsed Hemorrhoids with Skin Tags

Wang, Liang‐Tsai; Wu, Chang‐Chieh; Hsiao, Cheng–Wen; Feng, Chun-Che; Jao, Shu-Wen

doi:10.1007/s10350-007-9179-y

Cited by 8 publications

(3 citation statements)

References 15 publications

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“…The surgical procedure involved a modified form of the Ferguson hemorrhoidectomy, which consisted of excision of the hemorrhoid component and primary closure of skin defects. 13 At the end of surgery, the anal canal was lightly packed with a small piece of hemostatic dressing for 4 to 6 h. Following surgery, patients were advised to limit their fluid intake before the first micturition to prevent postoperative urinary retention.…”

Section: Surgerymentioning

confidence: 99%

Comparison of Clinical Effects Between Warm Water Spray and Sitz Bath in Post-hemorrhoidectomy Period

Hsu

Chia²,

Jao

et al. 2009

Journal of Gastrointestinal Surgery

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Section: Surgerymentioning

confidence: 99%

Comparison of Clinical Effects Between Warm Water Spray and Sitz Bath in Post-hemorrhoidectomy Period

Hsu

Chia²,

Jao

et al. 2009

Journal of Gastrointestinal Surgery

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“…The "external dissection and internal ligation" or Milligan-Morgan technique, is the gold standard technique for mixed hemorrhoids, 7 leaving behind too much hemorrhoid-bearing mucosa and skin tags, interpreted by the patients as incomplete resection or recurrence. 8 In general, prolapsing hemorrhoids can be dealt with via many modern techniques, infrared photocoagulation is deemed to be superior when compared to surgical hemorrhoidectomy. However, high price of its equipment may limit its application.…”

Section: Introductionmentioning

confidence: 99%

Indirect Coagulation of Residual Lesions of Circumferential Piles after Excisional Hemorrhoidectomy; a Prospective Controlled Pilot Study

Hamed

Sabry

Elazazy

2023

Ain Shams Journal of Surgery

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Background: "Circumferential prolapsed piles" poses great challenge for colorectal surgeons. "Infrared photocoagulation" (IFC) is a safe procedure for early stages of piles but is not readily available due to high costs. We introduce a simple simulation of (IFC) for management of residual daughter piles after surgical excision of the main piles.Patients and methods: 10 patients with circumferential grade III-IV piles were recruited for "indirect cauterization" of residual daughter piles after open excision of the main piles and were observed for one month for postoperative complications. The results were compared to those of the last 10 correlated patients in the database managed by simple excision of the main piles only.Results: Three cases of SSI (Surgical Site Infection) with minimal, temporary spotting after removal of dressing were found in the study group. No case of incontinence was recorded. Conclusion:The "indirect cauterization" technique is feasible with satisfactory outcome for cases of circumferential piles in low resource areas.

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“…1 Although early application of conservative methods relieves symptoms and avoids surgical morbidity, it does not provide a definitive cure from the disease and subsequently hemorrhoidectomy will be required. 2 Submucosal hemorrhoidectomy (Parks' procedure) is best indicated for fourth-degree hemorrhoids having dentate lines sliding outside the anal verge and contemporary circular external piles. However, it has never gained much popularity as a result of its complexity, the fact that it is time-consuming, and, possibly, the accompanying increased blood loss.…”

mentioning

confidence: 99%

Submucosal Anoderm-Preserving Hemorrhoidectomy Revisited: A Modified Technique for the Surgical Management of Hemorrhoidal Crisis

Theodoropoulos

Michalopoulos

Linardoutsos

et al. 2013

The American Surgeon™

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Submucosal hemorrhoidectomy (Parks’ procedure) is a recognized method for treating acute hemorrhoidal crisis. Anoderm preservation has been stressed in various techniques described for elective or emergency excisional hemorrhoidal management. Mucopexy techniques have been proven useful as an adjunct to minimally resectional techniques. A modified submucosal technique with anoderm preservation and mucopexy was applied to 45 patients who presented on an emergency basis with hemorrhoidal crisis. External piles were minimally removed, the minimum possible amount of diseased mucosa was excised, a linear incision was used at the anoderm to enter the subanodermal/mucosal plane to achieve the submucosal excision, and a mucopexy was added at the approximation of the mucosal flaps. Postoperative morbidity was minimal and pain after the procedure remained at acceptable levels. This technique allows for an excision limited to the pathology with important anatomic tissue preservation. This results in conservation of the sensitive and useful anoderm, a decreased risk of stenosis, and addresses the mucosal prolapse. The level of postoperative pain with this technique is acceptable and long-term follow-up reveals a high degree of patient satisfaction.

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A Modified Ferguson Hemorrhoidectomy for Circumferential Prolapsed Hemorrhoids with Skin Tags

Abstract: Our modified Ferguson method represents a good choice for radical treatment of circumferential prolapsed hemorrhoids because it is easy to perform, has few complications, and provides satisfying results.

Cited by 8 publications

References 15 publications

Comparison of Clinical Effects Between Warm Water Spray and Sitz Bath in Post-hemorrhoidectomy Period

Comparison of Clinical Effects Between Warm Water Spray and Sitz Bath in Post-hemorrhoidectomy Period

Indirect Coagulation of Residual Lesions of Circumferential Piles after Excisional Hemorrhoidectomy; a Prospective Controlled Pilot Study

Submucosal Anoderm-Preserving Hemorrhoidectomy Revisited: A Modified Technique for the Surgical Management of Hemorrhoidal Crisis

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