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Lateral internal sphincterotomy in the treatment of hemorrhoids

A clinical and manometric study

  • Published:
Diseases of the Colon & Rectum

Abstract

Using a microtip pressure transducer, anorectal manometry was performed in 119 patients with symptomatic hemorrhoids. In 96 patients (80.7 percent), a high anal pressure (>125 cm/H2O) was found. These patients were treated by lateral internal sphincterotomy, carried out under local anesthesia. In 23 patients 919.3 percent), a normal or low anal pressure (<125 cm/H2O) was found. These patients were treated by band ligation or hemorrhoidectomy. The clinical results after lateral internal sphincterotomy (success rate, 75.3 percent) suggest that this procedure is a good alternative in selected patients.

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References

  1. Thomson WH. The nature of haemorrhoids. Br J Surg 1975;62:542–52.

    PubMed  CAS  Google Scholar 

  2. Haas PA, Fox TA Jr, Haas GP. The pathogenesis of hemorrhoids. Dis Colon Rectum 1984;27:442–50.

    Article  PubMed  CAS  Google Scholar 

  3. Hancock BD, Smith K. The internal sphincter and Lord's procedure for haemorrhoids. Br J Surg 1975;62:833–6.

    PubMed  CAS  Google Scholar 

  4. Schouten WR, van Vroonhoven TJ. A simple method of anorectal manometry. Dis Colon Rectum 1983;26:721–4.

    Article  PubMed  CAS  Google Scholar 

  5. Rosenberg AJ, Vela AR. A new simplified technique for pediatric anorectal manometry. Pediatrics 1983;71:240–5.

    PubMed  CAS  Google Scholar 

  6. Arabi Y, Alexander-Williams J, Keighley MR. Anal pressures in hemorrhoids and anal fissure. Am J Surg 1977;134:608–10.

    Article  PubMed  CAS  Google Scholar 

  7. Read MG, Read NW, Haynes WG, Donnelly TC, Johnson AG. A prospective study of the effect of haemorrhoidectomy on sphincter function and faecal incontinence. Br J Surg 1982;69:396–8.

    PubMed  CAS  Google Scholar 

  8. Baeten CG. Haemorrhoids, evaluation of methods of treatment: a thesis. Van Gorcum—Assen, Maastricht, 1985.

    Google Scholar 

  9. Teramoto T, Parks AG, Swash M. Hypertrophy of the external anal sphincter in haemorrhoids: a histometric study. Gut 1981;22:45–8.

    PubMed  CAS  Google Scholar 

  10. Kenter J, Keeman J. Longterm follow-up of Lord's procedure for haemorrhoids. Neth J Surg 1983;35:17–9.

    PubMed  CAS  Google Scholar 

  11. MacIntyre IM, Balfour TW. Results of the Lord non-operative treatment for haemorrhoids. Lancet 1972;1:1094–5.

    Article  PubMed  CAS  Google Scholar 

  12. Sames P. Experiences of Lord's procedure for the treatment of haemorrhoids. Proc R Soc Med 1972;65:782–3.

    PubMed  CAS  Google Scholar 

  13. Walls AD, Ruckley CV. A five-year follow-up of Lord's dilatation for haemorrhoids. Lancet 1976;1:1212–3.

    Article  PubMed  CAS  Google Scholar 

  14. Chant AD, May A, Wilken BJ. Haemorrhoidectomy versus manual dilatation of the anus. Lancet 1972;2:398–9.

    Article  PubMed  CAS  Google Scholar 

  15. Anscombe AR, Hancock BD, Humphreys WV. A clinical trial of the treatment of haemorrhoids by operation and the Lord procedure. Lancet 1974;2:250–3.

    Article  PubMed  CAS  Google Scholar 

  16. McCaffrey J. Lord treatment of haemorrhoids: four year follow-up of fifty patients. Lancet 1975;1:133–4.

    Article  PubMed  CAS  Google Scholar 

  17. Vellacott KD, Hardcastle JD. Is continued anal dilatation necessary after a Lord's procedure for haemorrhoids? Br J Surg 1980;67:658–9.

    PubMed  CAS  Google Scholar 

  18. Eisenhammer S. Internal anal sphincterotomy plus free dilatation versus anal stretch with special criticism of the anal stretch procedure for hemorrhoids: the recommended modern approach to hemorrhoid treatment. Dis Colon Rectum 1974;17:493–522.

    PubMed  CAS  Google Scholar 

  19. Allgöwer M. Conservative management of haemorrhoids. III. Partial internal sphincterotomy. Clin Gastroenterol 1975;4:608–18.

    Google Scholar 

  20. Keighley MR, Buchmann P, Minervini S, Arabi Y, Alexander-Williams J. Prospective trials of minor surgical procedures and high-fibre diet for haemorrhoids. Br Med J 1979;2:967–9.

    Article  PubMed  CAS  Google Scholar 

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Author notes

  1. W. Rudolf Schouten M.D.

    Present address: Department of Surgery, University Hospital Dijkzigt, Rotterdam

Authors and Affiliations

  1. Department of Surgery, St Elisabeth Hospital, Tilburg, The Netherlands

    W. Rudolf Schouten M.D. & Theo J. Van Vroonhoven M.D.

Authors
  1. W. Rudolf Schouten M.D.
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  2. Theo J. Van Vroonhoven M.D.
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Schouten, W.R., Van Vroonhoven, T.J. Lateral internal sphincterotomy in the treatment of hemorrhoids. Dis Colon Rectum 29, 869–872 (1986). https://doi.org/10.1007/BF02555366

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  • DOI: https://doi.org/10.1007/BF02555366

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