• Department of Traditional Chinese Medicine and Western Medicine, West China Hospital, Sichuan University, Chengdu 610041, China;
WU Jing, Email: feng8921@sina.com.cn
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Objective To investigate the clinical curative effect of divided excision and plastic combined with procedure for prolapse and hemorrhoids (PPH) in treatment for circular mixed hemorrhoids. Methods Clinical observation on 120 patients with circular mixed hemorrhoids between May 2007 and May 2008 treated by divided excision and plastic combined with PPH was carried out. Results The mean hospital stay after operation was 7.6 d. The wound healing average time was 11.9 d. The incidence rate of postoperative urinary retention was 5.8% (7/120). Average scores of pain in 3 d after operation: 5.3 points (1-8 points) on day 1, 3.6 points (2-9 points) on day 2, 2.2 points (1-8 points) on day 3. All patients were followed up for 12 months, there were 3 cases of hematochezia, 1 case of prolapse, and 1 case of remained abnormal outgrowth skin; the anus function was normal in all cases without anal stricture or tightening feeling. Conclusions Divided excision and plastic combined with PPH can better treat circular mixed hemorrhoids. This operation can not only completely clear the lesions, but also repair and reconstruct the anus and anal canal, protect its size and function. It is an ideal operation for treatment for circular mixed hemorrhoids.

Citation: HE Hongbo,LI Ning,WU Jing,YANG Chunmei,LIU Hong,CHEN Xiaohui.. Clinical Study on Divided Excision and Plastic Combined with Procedure for Prolapse and Hemorrhoids in Treatment for Circular Mixed Hemorrhoids. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2010, 17(12): 1282-1285. doi: Copy