کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6110470 1211494 2014 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Original articleA prospective and comparative study between stapled hemorrhoidopexy and hemorrhoidal artery ligation with mucopexy
ترجمه فارسی عنوان
مقاله پژوهشی مطالعه آینده نگر و مقایسه ای بین هموروئیدوپکسی ستون فقرات و پیوند عروق هموروئیدی همراه با مخاط
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری‌های گوارشی
چکیده انگلیسی

SummaryAimThe aim of this study was to compare the efficacy between stapled hemorrhoidopexy (Longo technique) and transanal hemorrhoidal artery ligation with mucopexy (THDm) in the treatment of hemorrhoidal disease.Patients and methodsFrom June 2009 to January 2011, 81 patients having grade II or III hemorrhoidal disease underwent prospective evaluation followed by surgery at two centers (27 Longo and 54 THDm). Symptoms (bleeding, tenesmus, prolapse, fecal incontinence, pain) and the satisfaction score were compared on the first post-operative day and at 1, 6, 12, and 24 months thereafter. The follow-up was 24 months.ResultsThere was no difference in mean length of stay. One complication (recto-vaginal fistula) was observed after Longo. The prolapse score was significantly lower after THDm than after Longo on the first post-operative day (P < 0.0015). Bleeding score after THDm was significantly lower on the first post-operative day (P = 0.04), but higher thereafter (P = 0.03 and P = 0.04). Tenesmus score after THDm was significantly lower for the first three months (P < 0.06 and 0.001). On the first post-operative day and at one month, the visual analog pain score was significantly lower after THDm than that after Longo (P < 0.0003 et P < 0.01). On the first post-operative day and at one month, the satisfaction score was higher after THDm than after Longo (P < 0.001).ConclusionTHDm was safe and effective. Short-term outcomes after THDm were better than after Longo but long-term results seemed to be similar.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Visceral Surgery - Volume 151, Issue 4, September 2014, Pages 257-262
نویسندگان
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