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Comparison of a modified anoscope and the purse-string anoscope in stapled haemorrhoidopexy

World Journal of Gastroenterology 2009年第44期15卷 5573-5578页

作者： Ali Dogan Bozdag Ismail Yaman Hayrullah Derici Tugrul Tansug Vedat Deniz Third Surgical Clinic of Izmir Ataturk Training and Research Hospital 35360 IzmirTurkey Clinic of General Surgery Manisa State Hospital 45020 ManisaTurkey Clinic of General Surgery Cizre State Hospital 73000 SirnakTurkey

AIM： To compare the results of the anoscope of the PPH kit and a modified anoscope during stapled haemorrhoidopexy. METHODS： The hospital records of 37 patients who underwent stapled haemorrhoidopexy between 2001 and 2006 were reviewed. The purse-string suture anoscope in the PPH kit was used on 15 patients （Group 1）, and the modified anoscope was used on 22 patients （Group 2）. Demographic characteristics of the patients, operation time, surgeon＇s performance, analgesic requirement, and complications were compared. RESULTS： Operation time was significantly longer in Group 1 （42.0 4- 8.4 min vs 27.7 4- 8.0 min, P = 0.039）. The surgeons reported their operative performance as significantly better in Group 2 （the results of the assessments were poor in ten, medium in four and good in one in Group 1, while good in all patients in Group 2, P 〈 0.001）. The need for haemostatic sutures was significantly higher in Group 1 （six cases） and was needed in two cases in Group 2 （P = 0.034）. CONCLUSION： Operation time decreased and the surgeon＇s satisfaction increased with use of the modified anoscope, and fewer haemostatic sutures were required if the surgeon waited longer before and after firing the stapler.

关键词： Haemorrhoidal disease Modified anoscope Purse-string suture stapled haemorrhoidopexy stapled anopexy

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