PPH stapler made improved treatment of severe hemorrhoids Effect.doc

 PAGE \* MERGEFORMAT 13 PPH stapler made improved treatment of severe hemorrhoids Effect Of: Zhuangjun Feng, Zhuang Dan, Linxi Han, Liu Yan, Li Dengsong [Abstract] Objective To investigate domestic staplers using a modified double purse stapling hemorrhoid on the mucosal ring removal stapled technique (PPH) in the treatment of severe hemorrhoids. Methods observed and analyzed 56 patients using a modified double purse PPH treatment of grade ~ of hemorrhoids, mixed hemorrhoids in patients with operation time, postoperative pain, postoperative complications (hemorrhage, secondary thrombosis, edema, and postoperative anal margin recurrence of hemorrhoids prolapse and so on. Results 56 cases were all back to the internal hemorrhoids prolapse anal satisfied , hemorrhoids blocks are retracted significantly, postoperative discomfort mild symptoms, good recovery. after 48h no pain in 52 cases (92.85%), 56 patients with an average catheterization time was 19.7h. follow-up 1 month to 2 years the whole group No case of recurrence, anal stenosis or faecal incontinence and perianal infection in patients after .56 days 2.86 days average length of stay. Conclusion The treatment of severe hemorrhoids, through various aspects of the technical details of PPH patients improved, expanded its range of clinical indications for surgery, fewer postoperative complications, recurrence rate, patient satisfaction is high. [Keywords:] hemorrhoid surgery PPH stapler made Mucosal hemorrhoidal circular stapler on the stapled resection surgery (procedure for prolapse and haemorrhoids, PPH) is based on the theory of anal cushion built up down the treatment of severe hemorrhoids on a new technique, surgical treatment of hemorrhoids in recent years, progress in one of the most important . PPH patients according to the provisional specification [1], the indications are circular prolapse , degree hemorrhoids, internal hemorrhoids grade repeated bleeding [2,3]. in our hospital from 20