[The surgical treatment of hemorrhoids. Their suturing ligation without excision]

Abstract

Analysis is made of the results of application of a modified method offered by the author "suturing ligature without excision" in hemorrhoids. It consists of suturing ligature of the vascular bundle, including ligation of the hemorrhoid node itself without excision. For the period 1981-1988 the method was applied on 32 patients. The results were compared with those in a control group of 105 patients operated by the method of Milligan, Morgan. The mean postoperative hospital treatment lasted 3.2 days, vs. 11.4 days in the control group. It was moreover characterized by minimal pain, good state of well-being and hygiene, normal intestinal passage from the first day with flatulence and defecation. Pain lasting more than 24 hours had only 2 patients, vs. 97 in the control group. There was no constrained retention of bowel movement, which in the control group led to difficult flatulence in 101 patients and exacerbation of colitic complaints. The method is pathogenetically substantiated. It provides ligation of the terminal branchings of a. rectalis sup. averts relapses and postoperative bleeding, preserves a sufficient mucosal surface to ensure the physiologic act of flatulence.