دورية أكاديمية
Early postoperative outcomes of a novel nonexcisional technique using aluminum potassium sulfate and tannic acid sclerotherapy with mucopexy on patients with grade III hemorrhoids
| العنوان: | Early postoperative outcomes of a novel nonexcisional technique using aluminum potassium sulfate and tannic acid sclerotherapy with mucopexy on patients with grade III hemorrhoids |
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| المؤلفون: | Shunya Takada, Akira Tsunoda, Tomoko Takahashi, Hiroshi Kusanagi |
| المصدر: | Annals of Coloproctology, Vol 38, Iss 4, Pp 290-296 (2022) |
| بيانات النشر: | Korean Society of Coloproctology, 2022. |
| سنة النشر: | 2022 |
| المجموعة: | LCC:Diseases of the digestive system. Gastroenterology |
| مصطلحات موضوعية: | hemorrhoids, prolapse, aluminum potassium sulfate and tannic acid, transanal hemorrhoidal dearterialization, mucopexy, Diseases of the digestive system. Gastroenterology, RC799-869 |
| الوصف: | Purpose Aluminum potassium sulfate and tannic acid (ALTA; Zion, Mitsubishi Pharma Corp.) is an effective sclerosing agent for internal hemorrhoids. ALTA therapy with a rectal mucopexy (AM) is a new approach for treating hemorrhoidal prolapse. This study compared the early postoperative outcomes of AM surgery with Doppler-guided transanal hemorrhoidal dearterialization and mucopexy (DM) in patients with third-degree hemorrhoids. Methods AM surgery was performed on 32 patients with grade III hemorrhoids and was compared with a cohort of 22 patients who underwent DM surgery in a previous randomized controlled trial. Results The pain scores during defecation were significantly lower in the AM patients beginning 4 days after surgery. The total use of analgesics 2 weeks postoperatively was significantly lower in the AM patients than in the DM patients (3.5 tablets [range 1.6–5.5] vs. 7.6 tablets [range 3.3–11.9], P=0.04). The length of operation, blood loss, and incidence of postoperative complications were significantly lower in the AM patients than in the DM patients. During 12 months follow-up, recurrence of prolapse occurred in 1 patient who underwent AM surgery. Conclusion AM surgery is effective, with lower complication rates and postoperative analgesic requirements, and is a less invasive treatment for patients with grade III hemorrhoids compared to DM surgery. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2287-9714 2287-9722 |
| Relation: | http://coloproctol.org/upload/pdf/ac-2020-00920-0131.pdf; https://doaj.org/toc/2287-9714; https://doaj.org/toc/2287-9722 |
| DOI: | 10.3393/ac.2020.00920.0131 |
| URL الوصول: | https://doaj.org/article/3b71a264f6074fdaaaca26ec9c194d9f |
| رقم الأكسشن: | edsdoj.3b71a264f6074fdaaaca26ec9c194d9f |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 22879714 22879722 |
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| DOI: | 10.3393/ac.2020.00920.0131 |