PPH treatment of circumferential prolapsed hemorrhoids Clinical observation of 27 cases.docVIP

 PAGE \* MERGEFORMAT 8 PPH treatment of circumferential prolapsed hemorrhoids Clinical observation of 27 cases 【Abstract】 Objective: To explore an effective annular prolapsed hemorrhoids treatment. Methods: hemorrhoid circumcision on the mucosa anastomosis (PPH) treatment of circumferential prolapsed hemorrhoids in 27 cases. Results: The total effective rate was 100%, pain, bleeding, swelling and other postoperative complications Cezza significantly less than traditional hemorrhoid surgery, hospitalization usually 7-9 d. Conclusion: PPH treatment of circumferential prolapsed hemorrhoids safe and reliable, less pain, shorter hospitalization, significantly superior to the traditional hemorrhoid surgery Cezza. Keywords: stapled hemorrhoid circumcision on the mucosa anastomosis; annular prolapsed hemorrhoids; surgery; complications Stapled hemorrhoid circumcision on the mucosa anastomosis (PPH) is based on the anal cushions down doctrine established treatment of severe hemorrhoids the new surgical procedure is the surgical treatment of hemorrhoids in recent years, progress in one of the most important. PPH patients according to the provisional specification, the indication is a ring prolapse Ⅲ, Ⅳ degree hemorrhoids [1]. In recent years, I have found that subjects in clinical practice, circular prolapsed hemorrhoids, even mixed hemorrhoid, if handled appropriately can still use the PPH treatment, and the effect is significant. Now including 27 clinical observations, the report is as follows. 1 Materials and Methods 1.1 General Information of this group of 27 cases, 23 male and 4 female; aged 40-60 years 16 cases ,61-85-year-old, 11 cases were annular prolapsed hemorrhoids, and a multi-mix of hemorrhoids associated with external hemorrhoids, history were more than 5 years, most patients with hemorrhoids prolapse during defecation, subject to the way back to Namibia. 1.2 Methods of preoperative preparation: routine examin