Capomagi A, Maffia L, Barbini N, Caporelli S
Divisione di Chirurgia Geriatrica, I.N.R.C.A., Ancona.
Minerva Chir. 1990 Mar 31;45(6):365-8.
On the basis of personal experience of the surgical treatment of hemorrhoidal lesions of the third stage, the Authors describe a new technique for radical hemorrhoidectomy. Sixty-one patients (67% males and 33% females) affected by hemorrhoidal lesions of the third (96%) and second (2%) stage were treated using this method at the INRCA Surgical Centre in Ancona. 19% of patients also suffered from chronic anal fissure which were treated by internal lateral sphincterotomy. No major complications were observed, although minimum postoperative bleeding (17%) and a congestive edematous suffusion (20%) were observed, as was the partial leakage of the mucous-cutaneous suture in 7% of cases. The follow-up after 24 months of 50 patients revealed only one relapse (2%) and persistent soiling for approximately 90 days in 22% of cases.
基于对三期痔病变手术治疗的个人经验，作者描述了一种根治性痔切除术的新技术。在安科纳的INRCA外科中心，61例（67%为男性，33%为女性）患有三期（96%）和二期（2%）痔病变的患者采用该方法进行治疗。19%的患者还患有慢性肛裂，通过内侧括约肌切开术进行治疗。未观察到重大并发症，尽管观察到有少量术后出血（17%）和充血性水肿性渗出（20%），7%的病例出现黏膜皮肤缝线部分渗漏。对50例患者进行24个月的随访发现，仅1例复发（2%），22%的病例持续约90天有粪便污染。
