The feasibility and effectiveness of the interspincterotomy combined with PPH in the treatment of severe mixed hemorrhoids and anal fissure

Abstract

Objective To explore the feasibility and effectiveness of the interspincterotomy combined with PPH in the treatment of severe mixed hemorrhoids and anal fissure. Methods 116 cases of glioma patients with postoperative residual lesions were treated.The observation group of 58 patients were treated with internal sphincterotomy combined with PPH resection, while 58 cases in the control group were treated by traditional external dissection and internal ligation plus resection of anal fissure.The efficacy and safety of treatment of the two groups of patients were evaluated. Results The operation time, hospitalization time, healing time, postoperative curative effect evaluation score of the observation group were (22.5±5.3)min, (2.1±0.9)d, (9.6±2.1)d and (9.8±1.6) points, respectively, which of the control group were (35.2±6.7)min, (9.1±2.5)d, (18.4±3.7)d and (5.3±1.2)points, there were significant differences between the two groups(t=5.68, 4.95, 6.33, 1.35, all P 0.05), but seventh days after the operation, the pain, edema, hemorrhage control scores of the observation group were significantly better those of the control group(all P<0.05). The complication rate of the observation group was 5.17%, which of the control group was 17.24%, there was significant difference between the two groups(χ2=4.25, P<0.05). Conclusion The interspincterotomy combined with PPH is an operation that meeting the requirements of modern hemorrhoid treatment.It is a safe and effective treatment.It is worthy of further promotion in the treatment of severe mixed hemorrhoid and anal fissure. Key words: Hemorrhoids; Anal canal; Fissure in ano; Surgical procedures, Operative