초음파 가위(Ultrasonic Dissector)를 이용한 개방성 치핵절제술과 반개방성 Milligan식 치핵절제술과의 치료성적 비교
Clinical Trial Comparing Pain and Clinical Function after Conventional Semi-open Milligan Hemorrhoidectomy vs Open Ultrasonic Dissector Hemorrhoidectomy
박철운, 이길연, 박호철, 이상목, 이기형, 윤충, 주흥재,
소속 상세정보
박철운 ( Park Chul-Woon )
경희대학교 의과대학 외과학교실
이길연 ( Lee Kil-Yeon )
경희대학교 의과대학 외과학교실
박호철 ( Park Ho-Chul )
경희대학교 의과대학 외과학교실
이상목 ( Lee Sang-Mok )
경희대학교 의과대학 외과학교실
이기형 ( Lee Kee-Hyung )
경희대학교 의과대학 외과학교실
윤충 ( Yoon Choong )
경희대학교 의과대학 외과학교실
주흥재 ( Joo Hoong-Zae )
경희대학교 의과대학 외과학교실
KMID : 0356720010170040159
Abstract
Purpose: Hemorrhoidectomy is considered to be a painful operation, therefore some patients with symptomatic hemorrhoids conceal their symptoms to defer a much-needed surgical procedure. Patients who have undergone hemorrhoidectomy have experienced constipation or urinary retention due to postoperative pain. Several interventions have been used to relieve postoperative pain after hemorrhoidectomy. Nevertheless, the results are unsatisfactory. Hemorrhoidectomy with ultrasonic dissector have less thermal injury and can avoid ligation and suture. This study compared conventional semi-open Milligan hemorrhoidectomy with open ultrasonic dissector hemorrhoidectomy.
Methods: One hundred patients with prolapsed symptomatic hemorrhoids were randomly assigned to semi-open Milligan (n=50) or open ultrasonic dissector (n=50) hemorrhoidectomy. Operation time, postoperative complication, hospital stay, degree and duration of postoperative pain, pain on bowel movement, and urinary retention were recorded and analyzed.
Results: There was no significant difference in excised pile number. Operation time of open ultrasonic dissector hemorrhoidectomy was shorter than that of semi-open Milligan hemorrhoidectomy (P＜0.05). The open ultrasonic dissector hemorrhoidectomy group resulted in less postoperative pain (P＜0.05) and shorter duration of pain (P＜0.05) and postoperative hospital stay (P＜0.05) than semi- open Milligan hemorrhoidectomy. Urinary retention did not occur in both groups.
Conclusion: Despite the higher cost, open ultrasonic dissector hemorrhoidectomy results in less postoperative pain, shorter operation time and hospital stay than the conventional hemorrhoidectomy.
키워드
초음파 가위;치핵절제술
Ultrasonic dissector;Hemorrhoidectomy
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