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치핵의 임상적 고찰

A Clinical Study of Hemorrhoids

대한대장항문학회지 1998년 14권 2호 p.259 ~ 266
이상호 ( Lee Sang-Ho ) - 을지병원 일반외과

한준길 ( Han Jun-Kil ) - 을지병원 일반외과
이광찬 ( Lee Gwang-Chan ) - 을지병원 일반외과

Abstract


Background: Various surgical techniques are used for the cure of hemorrhoid according to the extent of disease and severity of symptom. Purpose : We compared the postoperative clinical course after submucosal hemorrhoidectomy and ligation and excision of hemorrhoids.

Material and Methods: Between February 1995 and May 1997, 221 patients underwent submucosal hemorrhoidectomy and 111 patients underwent ligation and excision of hemorrhoids at the Department of Surgery, Eulji General Hospital. We compared the hospital course and postoperative complications in two group.

Results: For submucosal hemorrhoidectomy group, mean operation time was 38 minutes, the improvement of postoperative pain, is based on no needs of analgesics after 48 hours of postoperation, was seen in 115 patients(52.0%), wound healing took 19.5 days in average, and mean hospital stay was 6.4 days. For ligation and excision group, these findings were mean operation time 21 minutes, the improvement of postoperative pain in 47 patients(42.3%), wound healing 25.4 days, and hospital stay 7.2 days. Postoperative complications such as skin tag, edema, and were more common in submucosal hemorrhoidectomy group. But anal fissure, stenosis were more frequent in ligation and excision group, although they did not occur later.

Conclusion: We think that submucosal hemorrhoidectomy is a better method than ligation and excision in respect of postoperative course and complications.

키워드

Hemorrhoid;Hemorrhoidectomy
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