Besset J F
Phlebologie. 1984 Jan-Mar;37(1):109-19.
The author discusses two minor, but nevertheless very unpleasant, complications which can occur following haemorrhoidectomy according to the St Mark's Hospital London technique. The first consists of a healing defect in one of the two or three incisions with local reorganization and inadequate granulation tissue, which results in the classical picture of anal fissures(s) several weeks after the operation. The reasons for this are quite complicated, but in general there is a persistence of local inflammation which should have resolved after the phase of simple wound toilet. The treatment is that for ordinary fissures. The second complication is the post-operative pain itself, which should be much less severe with modern techniques. It is caused by local inflammation. It is easily controlled with anti-inflammatory agents like phenylbutazone. Both these complications have in common the persistence of harmful inflammatory phenomena.
作者讨论了两种轻微但非常令人不适的并发症,这些并发症可能在按照伦敦圣马克医院技术进行痔切除术后出现。第一种情况是,两三个切口中的一个出现愈合缺陷,伴有局部重新组织化和肉芽组织生成不足,这会在术后几周导致典型的肛裂症状。其原因相当复杂,但总体而言,局部炎症持续存在,而在简单伤口清理阶段后炎症本应消退。治疗方法与普通肛裂相同。第二种并发症是术后疼痛本身,采用现代技术后疼痛本应轻得多。它由局部炎症引起。使用保泰松等抗炎药很容易控制。这两种并发症的共同之处在于有害炎症现象持续存在。