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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 111 - 116 (6page)
이용수
초록· 키워드
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Purpose: A variety of instruments, including circular staplers, ultrasonic scalpels, lasers, and bipolar electrothermal devices, are currently used when performing a hemorrhoidectomy. This study compared outcomes between hemorrhoidectomies performed with an ultrasonic scalpel and conventional methods. Methods: The study was a randomized prospective review of data available between May 2013 and December 2013, involving 50 patients who had undergone a hemorrhoidectomy for grade III or IV internal hemorrhoids. The hemorrhoidal pedicle was coagulated with an ultrasonic device in the ultrasonic scalpel group (n = 25) and sutured with 3-0 vicryl material after excision in the conventional method group (n = 25). Results: The patients’ demographics, clinical characteristics, and lengths of hospital stay were similar in both groups. The mean ages of the conventional and the ultrasonic scalpel groups were, respectively, 20.8 ± 1.6 and 22.4 ± 5.0 years (P = 0.240). In comparison with the conventional method group, the ultrasonic scalpel group had a shorter operation time (P < 0.005), less postoperative pain on the visual analogue scale score (for example, P = 0.211 on postoperative day 1), and less postoperative bleeding (P = 0.034). No significant differences in postoperative complications were observed between the 2 groups. Conclusion: A hemorrhoidectomy using an ultrasonic scalpel is an effective and safe procedure. The ultrasonic scalpel reduces the operation time, the postoperative blood loss, and the postoperative pain. Long-term follow-up with larger-scale studies is required to evaluate normal activity after a hemorrhoidectomy performed with an ultrasonic scalpel.
목차
등록된 정보가 없습니다.
참고문헌 (26)
참고문헌 신청
MacRae HM / 1995 / Comparison of hemorrhoidal treatment modalities. A meta-analysis / Dis Colon Rectum 38:687~694
Milligan ET / 1937 / Surgical anatomy of the anal canal, and the operative treatment of hæmorrhoids / Lancet 230:1119~1124
Ferguson JA / 1959 / Closed hemorrhoidectomy / Dis Colon Rectum 2:176~179
Goligher JC / 1969 / The value of stretching the anal sphincters in the relief of post-haemorrhoidectomy pain / Br J Surg 56:859~861
Jayne DG / 2002 / Randomized clinical trial of Ligasure versus conventional diathermy for day-case haemorrhoidectomy / Br J Surg 89:428~432
Milligan ET / 1937 / Surgical anatomy of the anal canal, and the operative treatment of hæmorrhoids / Lancet 230:1119~1124
Ferguson JA / 1959 / Closed hemorrhoidectomy / Dis Colon Rectum 2:176~179
Goligher JC / 1969 / The value of stretching the anal sphincters in the relief of post-haemorrhoidectomy pain / Br J Surg 56:859~861
Jayne DG / 2002 / Randomized clinical trial of Ligasure versus conventional diathermy for day-case haemorrhoidectomy / Br J Surg 89:428~432
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