Hemorrhoidectomy, with Special Reference to Open Versus Closed Technics

Turell, Robert

doi:10.1016/s0039-6109(16)33602-7

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Ja Reis Neto • Ja Reis Jr • O Kagohara • J Simões Neto1

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1955

2005

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Cited by 10 publications

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“…The stapled technique does not remove the external plexus and skin tags. A sequence of complications (edema and external thrombosis) may occur for this reason and by varying the methods of dealing with the internal plexus, a larger or smaller incidence of complications and recurrence is observed [3,6,7].…”

Section: Ja Reis Neto • Ja Reis Jr • O Kagohara • J Simões Netomentioning

confidence: 99%

Semi–open hemorrhoidectomy

Neto¹,

Reis²,

Kagohara³

et al. 2005

Tech Coloproctol

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The concept that hemorrhoidal disease is a consequence of disorders of the cephalic portion of the anal canal, i.e. weakness of the vascular cushions and the connective tissue, is the basis for modifying the usual surgical technique in many aspects. The two main differences of the method described are: (i) the internal plexus is treated by parceled ligature, avoiding resection of the mucosa, but providing a firm fixation of the submucosa and subsequent fixation of the anal epithelium to the underlying sphincter in the anal canal; (ii) the external plexus is removed preserving as much as possible the anal margin skin, and the resulting wound is partially closed, resulting in a small drainage area; and (iii) a firm fixation of the submucosa and subsequent fixation of the anal epithelium to the underlying sphincter are achieved without mucosa resection.

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Section: Ja Reis Neto • Ja Reis Jr • O Kagohara • J Simões Netomentioning

confidence: 99%