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겸자절제 및 봉합에 의한 치핵수술

Hemorrhoidectomy by Excision over Clamp and Suture

대한대장항문학회지 1996년 12권 1호 p.41 ~ 44
김진천 ( Kim Jin-Cheon ) - 울산대학교 의과대학 외과학교실

Abstract


A new technique is presented in treating internal or external hemorrhoids confined to anal canal or rectal ampulla. The hemorrhoid is clamped with Crile clamp and it is excised with electrocautry. Then, anorectal mucosae including inner part of internal anal sphincter is continuously sutured. This technique had been used in 54 patients with third-degree hemorrhoids. Other technique was combined in 52 patients, while this technique alone was applied in 2 patients. Right-anteriorly located hemorrhoids were the prominent direction for this technique (52.5%, p<0.001). It can be interpreted that this technique includes the advantage of sphincteric strengthening and preferred indication for the internal hemorrhoids. Median duration of wound healing were 10 days(7 ∼22days). In conclusion, the hemorrhoidectomy by excision over clamp and suture is an efficient technique preventing recurrence as well as prolapse. It can be safely combined with
other hemorrhoidectomies for maintaining adequate anal canal.

키워드

Hemorrhoidectomy;Hemorrhoids
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