The sliding skin-flap graft operation for hemorrhoids

Rand, A

doi:10.1007/bf02617283

Cited by 25 publications

(2 citation statements)

References 12 publications

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“…The Whitehead-Rand hemorrhoidectomy 23,24 is an alternative technique for circumferential Grade III and IV hemorrhoids that, in properly selected patients, yields good results. [25][26][27][28] The procedure for prolapsing hemorrhoids (PPH) was first adapted to a circular endorectal stapler by Allegra in 1990 29 and later by Pescatori et al, 30 and in a larger study by Longo, 31 who proposed alleviating symptoms without affecting function by interrupting the blood flow to the hemorrhoids by circumferentially excising mucosa and submucosa rather than the hemorrhoids themselves.…”

mentioning

confidence: 99%

Stapled Hemorrhoidectomy With Local Anesthesia can be Performed Safely and Cost-Efficiently

Esser¹,

Khubchandani

Rakhmanine³

2004

Diseases of the Colon &Amp; Rectum

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Administration of general, spinal, or epidural anesthesia for the procedure for prolapsing hemorrhoids is well described. This study suggests that the use of local anesthesia supplemented with conscious sedation for the procedure for prolapsing hemorrhoids yields results equivalent to those achieved with general or regional anesthesia without the attendant risks and additional costs. This study also suggests that the presence of muscle fibers in the pathologic specimen does not seem to lead to increased pain or impaired continence, although it was not specifically designed to address this issue.

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mentioning

confidence: 99%

Stapled Hemorrhoidectomy With Local Anesthesia can be Performed Safely and Cost-Efficiently

Esser¹,

Khubchandani

Rakhmanine³

2004

Diseases of the Colon &Amp; Rectum

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“…More recent modifications, such as a circular incision, anodermal flap graft, or sliding skin flap graft, reduce the risk of complications associated with the primary method, but the results remain unsatisfactory. [4][5][6][7] We have used a modified method with an anodermal flap to treat circumferential hemorrhoids during the past 20 years, 8 but we have had unsatisfactory results, including occasional flap necrosis, which causes skin defects and anal stenosis. The loss of most cushioning effect of the anus, which results in varying degrees of incontinence, also is a problem.…”

mentioning

confidence: 99%