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Ultima descărcare din IBN: 2020-03-26 16:31 |
SM ISO690:2012 CRISTALOV, Gheorghe, CULIUC, Vasile, GUŢU, Eugen. Rezultatele clinice precoce ale hemoroidectomiei urgente cu plastia mucoasei anale în tromboza hemoroizilor prolabaţi
. In: Curierul Medical, 2011, nr. 4(322), pp. 21-26. ISSN 1875-0666. |
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Curierul Medical | ||||||
Numărul 4(322) / 2011 / ISSN 1875-0666 | ||||||
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Pag. 21-26 | ||||||
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Early Clinical Results of the Emergent Hemorrhoidectomy with Anoplasty for Prolapsed Thrombosed Hemorrhoids
The aim of the current study was to analyze the clinical efficacy and safety of emergent closed hemorrhoidectomy with implantation of vascular
pedicles and primary plasty of anal mucosa and anoderm in patients with prolapsed thrombosed hemorrhoids. Seventy-one patients who underwent
surgical intervention within 24 hours of admission were enrolled in the study. Clinical evolution and postoperative complications were assessed during
one month after hemorrhoidectomy. Mean age of the patients was 42.48 ± 0.89 years. The mean time between onset of thrombosis and hospital
admission was 85.48 ± 5.18 hours. Duration of hospitalization was 5.21 ± 0.18 days. Urinary retention (11.26%) was the most common postoperative
complication. Primary bleeding after surgery occurred in 2 (2.81%) cases, both of which were controlled conservatively. Two patients experienced
non-specific transient complications. Symptomatic anal stenosis developped in 5 (7.04%) patients, but no one needed further surgical intervention.
We conclude that emergent closed hemorrhoidectomy is efficient and safe, and in absence of contraindications can be widely used in the treatment of
patients with an acute thrombosis of hemorrhoids. Implantation of vascular pedicles after hemorrhoidectomy allows for decreaseding of mucosal injury
and bleeding rates in early postoperative period.
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Cuvinte-cheie acute hemorrhoidal thrombosis, emergent closed hemorrhoidectomy |
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