ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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ORIGINAL RESEARCH ARTICLES |
Hemorrhoidectomy By Using Circular Stapler Ingrade 3-4 Hemorrhoids
Sezai DEMİRBAŞ*, Osman AKTAŞ*, İbrahim ÖĞÜN*, Gökhan YAĞCI*
*Mevki Military Hospital, Department of General Surgery, Ankara, TURKEY
Although many therapeutic procedures are known as an approach to exclude hemorrhoids, there are still few procedures for grade 3 and 4 hemorrhoids. The circular stapler has been described as a treatment of prolapsed hemorrhoids. The procedure provides stapling of both end branches of the superior hemorrhoidal artery and mucosa prolapsed just above anal canal. Aim: The aim of this study which consist the results of 29 patients with grade 3, 4 hemorrhoids, demonstrates that hemorrhoidectomy procedure by using circular stapler results with less postoperative pain, returning to normal activity in a short time and improvement in anal function and defecation.Patients and Procedure: Twentynine patients with grade 3-4 hemorrhoids had been undergone hemorrhoidectomy by using circular stapler (in a way named De Longo) in Mevki Military Hospital from January 1999 to January 2000. Mean follow-up period was 6,5 (1-13) months. Mean age was 36 (SD± 12,5) years. Mean operation time was 14.65 (8-37) minutes.Conclusion: In Hemorrhoidal diseases, particularly grade 3-4, the procedure by circular stapler gave us encouraging outcomes regarding less postoperative pain, returning to normal activity in a short time, improving effect on anal functions, and restoring to habits of defecation in this study. The results of long term follow up need to be assessed. Although the stapler is expensive, prospective randomized studies should be performed to determine how useful this procedure is.Keywords: HemorrhoidsTurkiye Klinikleri J Med Sci 2002, 22:36-41
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