Vascular Z-shaped ligation technique in surgical treatment of haemorrhoid  

作　　者：Kaz?m Gemici Ahmet Oku? Serden Ay 

机构地区：[1]Department of General Surgery, Faculty of Medicine, Mevlana University, 42200 Konya, Turkey [2]Department of General Surgery, Mu? Malazgirt State Hospital, 49400 Mu?, Turkey

出　　处：《World Journal of Gastrointestinal Surgery》2015年第1期10-14,共5页世界胃肠外科杂志（英文版）（电子版）

摘　　要：AIM: To present the effectiveness of minimal invasive vascular zet ligation in the surgical treatment of haemorrhoidal disease(HD).METHODS: Among 138 patients with 2nd-4th grade internal HD having several complaints and operated at our hospital between 2003-2013; 116 patients who regularly attended 1-year control were included in the study. Operation times, postoperative early period pain, satisfaction score, complications and relapse details were obtained from computer records retrospectively. Visual Analogous Scale(VAS) scores were used for patient satisfaction on the 3rd, 7th and 21 st days. Technique; fixed suture which is constituted by the first leg of the Z-shaped suture(to pass by the mucosa and muscular layer) was put in the pile root in order to ensure vascular ligation and fixation. The second leg of the Z-shaped suture is constituted by mobile suture and it passes by the pile mucosa and submucosa which prolapses 5-10 mm below the first suture. RESULTS: Seventy-five of the patients(65%) were male, 41 of them(35%) were female and their age average was 41. The mean operation time was 12 ± 4.8 min. VAS/satisfaction score was found as 2.2/4.3, 1.8/4.0, 1.2/4.4 respectively on the 3rd, 7th, and 21 st days. Four of the patient(3.5%) had relapse.CONCLUSION: This technique is an easily applicable, cost efficient way of operation which increases patient satisfaction.AIM: To present the effectiveness of minimal invasive vascular zet ligation in the surgical treatment of haemorrhoidal disease(HD).METHODS: Among 138 patients with 2nd-4th grade internal HD having several complaints and operated at our hospital between 2003-2013; 116 patients who regularly attended 1-year control were included in the study. Operation times, postoperative early period pain, satisfaction score, complications and relapse details were obtained from computer records retrospectively. Visual Analogous Scale(VAS) scores were used for patient satisfaction on the 3rd, 7th and 21 st days. Technique; fixed suture which is constituted by the first leg of the Z-shaped suture(to pass by the mucosa and muscular layer) was put in the pile root in order to ensure vascular ligation and fixation. The second leg of the Z-shaped suture is constituted by mobile suture and it passes by the pile mucosa and submucosa which prolapses 5-10 mm below the first suture. RESULTS: Seventy-five of the patients(65%) were male, 41 of them(35%) were female and their age average was 41. The mean operation time was 12 ± 4.8 min. VAS/satisfaction score was found as 2.2/4.3, 1.8/4.0, 1.2/4.4 respectively on the 3rd, 7th, and 21 st days. Four of the patient(3.5%) had relapse.CONCLUSION: This technique is an easily applicable, cost efficient way of operation which increases patient satisfaction.

关 键 词：HAEMORRHOIDS HAEMORRHOIDECTOMY Zligation 

分 类 号：R657.18[医药卫生—外科学]