치핵봉합술: 치핵치료의 유용한 보조술식
Pile Suture; An Useful Adjunct in Treating Hemorrhoids
김진천, 김희철, 안병율, 이동희, 서훈, 유창식,
소속 상세정보
김진천 ( Kim Jin-Cheon )
울산대학교 의과대학 외과학교실
김희철 ( Kim Hee-Cheol )
울산대학교 의과대학 외과학교실
안병율 ( Ahn Byung-Yul )
울산대학교 의과대학 외과학교실
이동희 ( Lee Dong-Hee )
울산대학교 의과대학 외과학교실
서훈 ( Seo Hoon )
울산대학교 의과대학 외과학교실
유창식 ( Yu Chang-Sik )
울산대학교 의과대학 외과학교실
KMID : 0356719990150020137
Abstract
Purpose: A modified technique of pile suture (PS) was introduced with its principle and useful indications.
Methods: A transfixing suture was layed onto the base of hemorrhoidal cushion including vessels, submocosal connective tissues, and internal anal sphincter. According to morphological changes in the pile, several (0∼2) sutures were added downward upto the level of the dentate line. We have treated 348 patients with third and fourth degree
hemorrhoids by either this technique alone (28 patients) or by combination with other techniques (320 patients). The median follow-up period was 39 months.
Results: This technique showed earlier convalescence and lesser complications than the open hemorroidectomy (OH) (p＜0.05): PS vs. OH, hospitalization 2.3 vs. 4.7 days; pain, 4.2 vs. 6.9 days; discharge, 0 vs. 8.6 days; dripping amount of bleeding, 3.8% vs. 13.9%. There was no recurrence in both operative techniques.
Conclusion: Because hemorrhoids present diverse shapes and symptoms, various operative techniques may be more efficient than single technique alone. Pile suture appears to be an useful armamentarium in treating hemorrhoids, especially in cases of recurrent or multiple hemorrhoids.
키워드
Hemorrhoidectomy;Suture
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