Chinese Journal of Modern Operative Surgery  2018, Vol. 22 Issue (1): 22-25 DOI: 10.16260/j.cnki.1009-2188.2018.01.006 |
| Clinical Research |
|
|
|
|
|
| The Effect on the Depth of Purse-string Suture in Tissue Selecting Technique for Mixed Hemorrhoid withGrade Ⅲ and Ⅳ |
| CHENG Zhi-qiang1,CHEN Zhao-hui1,XIAO Hui2,ZHANG Rui-fang1,CHEN Lin1,CHEN Hong-xia1,FAN Yong-qiang
|
| 1.Department?of?Anorectum,The?First?Affiliated?Hospital?of?Chengdu?Medical?College,Chengdu?610500,Sichuan,China; 2.Department?of?Emergency,The?Affiliated?Hospital?of?Guizhou?Medcial?University,Guiyang?550025,Guizhou,China |
|
|
|
|
Abstract ?Objective?To investigate the effect of purse-string suturedepth in tissue selecting therapy stapler (TST) for the treatment of mixedhemorrhoid with grade Ⅲ and Ⅳ.Methods?A total of 140 mixedhemorrhoid cases performed TST in ourhospital from March 2016 to February 2017 weredivided into the observation group with a slight of smooth muscle tissue (n=73) and control group without smooth muscle tissue (n=67) according to pathological result of excisional rectal mucous tissue.Thehemorrhoids was graded Ⅲ in 61cases and Ⅳ in 12 cases of the observation group,and Ⅲ in 50 cases and Ⅳ in 17 cases of the control group.Results?The intra-operative bleeding volume,the intra-operative transfixion ratedue to active bleeding of anastomotic stoma,the anal swelling,the weight and volume of the resected tissue and the edema of anal edge at 3-,7- and 10days after the surgery in the observation group were better than those in the control group (P<0.05).There was no statisticaldifference in postoperative pain score between the two groups (P>0.05).No anal stenosis and anal incontinence was found in both groups after 3 to 6 months follow-up.The recurrence rate was 4.10% of the observation group,and was lower than 13.43% of the control group,and thedifference was statistically between the two groups (P<0.05).Conclusion?Thedepth of purse string suture to the rectal wall with slight muscle layer in TST can reduce the incidence of postoperative complications and the long-term recurrence rate.
|
|
Published: 13 August 2018
|
|
|
|
Corresponding Authors:
CHEN Zhao-hui
|
|
|
|
|
|
