Resection combined with external hemorrhoids PPH patients aged 50 cases of severe mixed hemorrhoid.docVIP

 PAGE \* MERGEFORMAT 8 Resection combined with external hemorrhoids PPH patients aged 50 cases of severe mixed hemorrhoid Of: Na Kong Qingfeng Jiang Zhenyu Wu Meng Tao [Keywords:] PPH; external hemorrhoids; severe mixed hemorrhoids Severe mixed hemorrhoid treatment range, surgical treatment is preferred. To explore the PPH surgery and conventional surgical combined treatment was external hemorrhoids with severe mixed hemorrhoids efficacy, this article from March 2004 to September 2008 during the college admitted 50 patients elderly patients with severe PPH mixed hemorrhoid patients combined with the traditional operation and simple traditional outside strip internal ligation-type were compared. 1 Clinical data 1.1 General Information The group of 50 patients were hospitalized in our department patients, 28 males and 22 females, aged 55 to 78 years, mean (65 + -9.6 years); were mixed ~ degree hemorrhoids and external hemorrhoids internal hemorrhoids prolapse after the return is satisfied still evident. hemorrhoid which 20 cases of grade , degree of 30 cases of hemorrhoids. PPH patients were randomly divided into groups and traditional groups outside the strip inside the bar. surgical instruments used by the U.S. Johnson amp; Johnson PPH hemorrhoid stapler, including stapling, anal canal expansion devices, anal with mirror suture thread. 1.2 Procedures PPH patients (A group: one on the evening before surgery 25% of oral mannitol 250 ml, cleansing enema the morning surgery, epidural anesthesia, lithotomy position to take, the first expansion of anal, then a prominent place in the external hemorrhoids electric knife to do along the anal margin a curved incision, the hemorrhoidal venous plexus to the tooth line sneak peel 0.3 ~ 0.5 cm, and then removed. if the hemorrhoids prolapse was significantly greater who stripped to the tooth line is 0.5 cm, together with the partial removal of internal hemorrhoids, bleeding power hemostasis. then 40