Clinical Study On The Treatment Of Hemorrhoids Which Looks Like A Rose With External Dissection Combined With PPH Operation

Background:As hemorrhoidal disease common in everyday life, often caused by blood in the stool, prolapse, anal pain and other symptoms, have some negative impact on life. The hemorrhoids traditional classification of disease surgical incision choice and design guidance is not obvious. We summarize the traditional medicine records found about hemorrhoids, hemorrhoids for its classification of different morphological tend to favor the selection of our treatment modalities. So we put forward the "rosette" mixed hemorrhoids concept, this type of hemorrhoids is a common anorectal difficult cases, although surgery and diverse, but clinical efficacy has always been unsatisfactory. For this type of treatment hemorrhoids, mentor through years of clinical practice and experience summary, make a joint PPH surgical treatment of the disease can first external hemorrhoids after stripping the "rosettes" mixed hemorrhoid treatment to open up new ideas.Objective:To evaluate the clinical efficacy of combined PPH hemorrhoids surgical stripping and Milligan-Morgan surgical treatment of severe varicose veins cyclic mixed hemorrhoids.Methods:In this study, a randomized, controlled, single-blind principle, using random number table 54 cases of severe varicose veins cyclic mixed hemorrhoids whichgatehospitalin May 2014-March 2015 were divided into treatment group and control group,27 cases in each group. Two groups of gender, age, duration of disease, such as general Statistically, the difference was not statistically significant (P>0.05), the two groups were comparable. Preoperative are glycerin enema 110ml enema, surgery carried out by the same anesthesiologist cobweb anesthesia chamber anesthesia, surgery combined treatment group were stripped PPH hemorrhoids surgical control group, Milligan-Morgan procedure, surgery after topical, oral and intravenous drugs are the same. Comparison of the two groups consuming surgery, blood loss, postoperative wound pain and edema score, length of stay, patient satisfaction and recurrence rates and other aspects of diversity, and statistical analysis in between the two groups.Results:After statistical analysis, the treatment group and the control group were consuming surgery (42.19 ± 5.421) min, (45.59 ± 9.053) minutes, can not believe the difference was statistically significant (P> 0.05); compare two blood loss, P= 0.015<0.05, significant differences exist; postoperative pain compared to the first postoperative day 7 days after P<0.05, significant differences exist, the first 14 days after surgery, P> 0.05, the difference no statistically significant; postoperative day 3,5,7 anal margin of edema compare P<0.05, the difference was statistically significant, the first day of the anal margin of edema compare 1,14 P> 0.05, the difference was not statistically significant; two group of patient satisfaction, length of stay, total efficiency by comparing surgery, were statistically significant (P<0.05).Conclusion:External hemorrhoids surgical stripping joint PPH only surgical trauma Milligan-Morgan technique than classical style to be small, and that not only get rid of hemorrhoids surgical subcutaneous veins clumps, and we had anal cushions suspension reset, starting from the pathological basis of hemorrhoids treatment of the disease, to the minimally invasive, thorough and efficient treatment of severe varicose veins cyclic mixed hemorrhoids, and fewer complications, faster healing, high patient satisfaction, worthy of clinical application.