변형 항문쿠션 보존 치핵근치술 새로운 술식 소개 및 추적관찰
Modified Anal Cushion Preserving Hemorrhoidectomy
배옥석, 박성대,
소속 상세정보
배옥석 ( Bae Ok-Suk )
계명대학교 의과대학 외과학교실
박성대 ( Park Sung-Dae )
계명대학교 의과대학 외과학교실
KMID : 0356720000160050293
Abstract
Purpose: The ligation and excision method of hemorrhoids is a simple and rapid procedure, but it has a drawback of possible damage to the anal cushion. To solve this problem, we tried to preserve the anal cushion with superficial ligation and excision method of anorectal mucosa including removal of the hemorrhoidal tissues from the anal cushion after submucosal dissection. However, it was difficult to remove hemorrhoidal vessels with this procedure and it was time consuming. To minimize these problems, we originally tried a new cushion preserving procedure in 15 patients during 1 year.
Methods: After mobilization of the anorectal mucosa, hemorrhoidal tissues and anal cushion from the anal sphincter muscles, the anorectal mucosa was first dissected from the anal cushion, then the hemorrhoidal vessels were removed and the remaining anal cushion was reattached to the anal sphincter muscles.
Results: The results of this surgery have been satisfactory with only one postoperative bleeding and two anal skin tags.
Conclusion: This method is simple and convenient for preservation of anal cushion with minimal complications when compared with the conventional method of anal cushion preservation.
키워드
Anal cushion;Hemorrhoidectomy
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