The Study On Pain And Edema After Hemorrhoidectomy With Autologus Internal Anal Sphincter Extension

Background:Pain and edema after hemorrhoid surgery are the most common postoperative complications, both of which are often accompanied by each other, and they can not be completely separated. Both of them often cause or worsen each other, and they have serious influenced patients'quality of life, so thousands of patients with hemorrhoid are afraid of surgery. Today in the clinical we often reduce postoperative pain, edema and other complications after hemorrhoid surgery by internal sphincterotomy, but there are some scholars said that hemorrhoidectomy with internal sphincterotomy might cause incontinence and incomplete incontinence. Therefore, to find the ideal surgical method that would relieve the postoperative pain, edema, and can effectively protect the patients anal function is an important issue in anorectal surgery. Based on the use of autologus anal internal sphincter extension in the anal fissure, which had achieved satisfactory results, we will applied it to hemorrhoid surgery. We hope to find a new surgical method.Objective:Comply with Minimally Invasive Surgery and limitations of the development trend of hemorrhoid surgery, we hope autologus anal internal sphincter extension technique can reduce pain and edema, protect the normal function of anus and improve patient quality of life by maximum sphincter continuity and integrity of the sphincter.Method:45 patients with hemorrhoids were divided randomly into three groups:treatment group(15 cases), control group(15 cases) and blank group(15 cases). The treatment group were treated with autologus anal internal sphincter extension after hemorrhoidectomy, and the control group were treated with internal sphincterotomy after hemorrhoidectomy, while the blank group were treated with simple hemorrhoidectomy. Then we compare them in efficacy, complications (pain, edema, urinary retention), anal function, postoperative recurrence. Results:There was no significant difference between three groups of patients in the overall efficacy, recurrence (P> 0.05).There were significantly different in the treatment group and control group than in the control group in the postoperative complications (pain, edema, urinary retention) (P<0.05).And there was significant difference in the treatment group and control group than in the control group in the anal function (P<0.05).Concludes:Not only can autologus anal internal sphincter extension technique reduce the incidence of complications such as pain and edema, but also it can protect anal function better.