Outside the Milligan-Morgan surgery plus Xiaozhiling lateral annular mixed hemorrhoid injection of a clinical report of 145 cases of.doc

 PAGE \* MERGEFORMAT 9 Outside the Milligan-Morgan surgery plus Xiaozhiling lateral annular mixed hemorrhoid injection of a clinical report of 145 cases of Keywords: outside the Milligan-Morgan surgery Xiaozhiling lateral annular mixed hemorrhoid Authors from August 2005 to August 2007 using outside stripping off the bridge within the Zappi anal anastomosis, side-injection therapy therefore legitimate Xiaozhiling circular mixed hemorrhoid, efficacy significantly, the report is as follows. A clinical data 1.1 General information on 145 cases of patients in this group of men and 89 cases, female 56 cases; aged 30 to 70 years old, duration of 5 to 30 years. With acute incarceration of 30 cases of circular mixed hemorrhoid, 5d by conservative treatment, 27 cases of anal margin are mainly Annular v. hemorrhoids prolapse. 1.2 treatment of hard-hemp or local anesthesia, patients taking prone position, wide hip retractor tape, routine disinfection of shop towels, extending anus, so that hemorrhoids body fully exposed, check the hemorrhoids distribution, design surgery. To hemorrhoids natural boundaries of sub-paragraph 3 or 4 outside the Milligan-Morgan [1]. Selection and ligation of internal hemorrhoids external hemorrhoids incision corresponds to the Department, the incision radial spindle, the upper to the dentate line 0.5cm, bottom to the external hemorrhoids external edge of 0.5 ~ 1.0cm. V-shaped incision external hemorrhoids body, after sphincter superficial varicose vein stripping group, filed the corresponding part of the internal hemorrhoid, curved forceps and the base at the bottom of the anal canal longitudinal axis parallel to the direction of clamping, 2/0Dixon line at the top of the line clamp mucosa the lower suture. On the clamp on the cut in external hemorrhoids, Dixon wound continuous suture clamp hemorrhoid basement, post-retirement pliers to tighten the suture ligation, pruning wound edge spindle-shaped. The same