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환상치핵에 대한 레이저수술

Laser Surgery To The Circumferential Hemorrhoids

대한대장항문학회지 1997년 13권 1호 p.121 ~ 129
김광철 ( Kim Kwang-Chul ) - 현대외과

이혁상 ( Lee Hyuk-Sang ) - 인제대학교 서울백병원 외과학교실

Abstract


This study was undertaken to evaluate the treatment of circumferential hemorrhoids using the CO2 laser.

Methods: Five hundred seventy-two consecutive patients with circumferential hemorrhoids(411 males, 161 females) had hemorrhoidectomy performed with CO2 laser under caudal or epidural anesthesia during the 2 year-period between July 1994 and June 1996. The follow-up period was a minimum of 3 months after hemorrhoidectomy. The standard Milligan-Morgan open technique was used for most full three-quadrant hemorrhoidectomies. For the excision of necessary piles, "core-ablation" technique was employed.

Results: The postoperative pain lasted for an average of 2.10 days. Comlications of hemorrhoidectomy included Postoperative skin tags, bleeding, wound infection, delayed wound healing, urinary retention and anal fistula in only a few of the cases, none of which caused any long-term problems.

Conclusion: These results indicate that CO2 laser hemorrhoidectomy is feasible and safe provided it is used with care, and that it seems to cause no significant alteration in anorectal physiology.

키워드

Hemorrhoids;Laser
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