Anorectal function and clinical outcome after open and closed haemorrhoidectomy, with and without internal sphincterotomy. A prospective study

Pescatori, Mario; Favetta, U.; Amato, Antonio

doi:10.1007/s101510050049

Cited by 12 publications

(11 citation statements)

References 22 publications

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“…Postoperative pain was acceptable, being similar to that reported after conventional operations [3]. One may argue that stitching the distal perianal skin might increase pain, but the method is used for the management of postfistulotomy wounds and has not been followed by a more painful postoperative course in a controlled prospective study (unpublished observations).…”

Section: Discussionsupporting

confidence: 71%

“…The aims of semiclosed hemorrhoidectomy are: (i) to avoid any suture tension in the anal canal and subsequently to decrease the risk of dehiscence, which has been reported after the Ferguson operation [2], (ii) to minimize the risk of postoperative bleeding, which may occur after both open and closed hemorrhoidectomies [3], and (iii) to leave a small wound in the anal canal, thus decreasing the healing time and allowing an earlier return to work [4].…”

Section: Discussionmentioning

confidence: 99%

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Two-quadrant semiclosed hemorrhoidectomy. A preliminary report

Pescatori¹

2002

Techniques in Coloproctology

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Bleeding and delayed healing may affect the postoperative course following hemorrhoidectomy and cause discomfort to the patient. The present report deals with a modification of the Milligan-Morgan operation: the upper part of the surgical wound is covered with rectal mucosa and the distal edge is stitched with a running suture, with the aim of decreasing both the risk of bleeding and the healing time. The operation has been performed in 12 consecutive patients with two quadrant internal and external piles. The median operative time was 32 minutes (range, 21-30). The mean postoperative pain after 12 hours, measured from 1 to 10 on a visual analogue scale, was 4.4 (SEM, 1.4). All patients but three had their wounds healed within 3 weeks and none of them had postoperative bleeding requiring treatment. Acute urinary retention occurred in one case. All patients were discharged after 48 hours. None had anal incontinence or short-term recurrence. In conclusion, two-quadrant semiclosed hemorrhoidectomy provided good results in terms of both bleeding rate and healing process with an acceptable operative time and postoperative pain.

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Section: Discussionsupporting

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Two-quadrant semiclosed hemorrhoidectomy. A preliminary report

Pescatori¹

2002

Techniques in Coloproctology

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“…No such case was found in this study, as the disorder itself is not common in India. As the fibers of the internal sphincter were severed in the surgical procedures, no additional sphincterotomy or anal stretch was necessary to relieve the anal spasm, as reported by others in association with hemorrhoidectomy [22].…”

Section: Discussionmentioning

confidence: 71%

A study of suppurative pathologies associated with chronic anal fissures

Gupta

2005

Tech Coloproctol

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“…Six studies15, 27, 44, 66, 67, 75 compared conventional closed haemorrhoidectomy with open haemorrhoidectomy ( Table S2 , supporting information). Three27, 67, 75 of the six studies observed significantly lower pain scores with conventional closed versus open haemorrhoidectomy ( P < 0·01 to P < 0·05).…”

Section: Resultsmentioning

confidence: 99%