Adaptation of the pursestring suture anoscope with a small hole in a case of stapled hemorrhoidectomy.
作者信息
Yamamoto Joji, Nagai Motoki, Smith T Barry, Tamaki Satoshi, Kubota Tadao, Sasaki Ken, Ohmori Toshihiro, Maeda Kiyotaka
机构信息
Department of Surgery, Chibanishi General Hospital, Matsudo-City, Chiba, Japan.
出版信息
Dis Colon Rectum. 2006 Jun;49(6):925-6. doi: 10.1007/s10350-006-0534-1.
PURPOSE
Stapled hemorrhoidectomy has become more popular with the general surgeon, mainly because of reduced postoperative pain and shorter hospital stays. However, we have faced some complications caused by irregular pursestring suture of the rectal mucosa.
METHODS
To secure pursestring suture in the rectal mucosa layer, we placed a small hole in the Pursestring Suture Anoscope.
RESULTS
Since 2001, we have experienced more than 200 cases of stapled hemorrhoidectomy and in the last two years we have performed pursestring suture by using a Pursestring Suture Anoscope with a small hole in 60 cases. Rectal mucosa was resected without irregular defect in all the cases.
CONCLUSIONS
Stapled hemorrhoidectomy can be performed easily and safely with this modification.
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