[Ligature and excision method with diathermy for haemorrhoidectomy: in comparison with conventional method].

T Hirano, H Yoshioka
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Abstract

The usefulness of ligature and excision method with diathermy (group D) for haemorrhoidectomy was evaluated in comparison with conventional ligature and excision method with scalpel and scissors (group S) from several parameters. Intraoperative bloodloss and hospitalization days in group D were significantly smaller than those in group S. Moreover, post-operative woundal bleeding and edema in group D were significantly smaller than those in group S. As regards post-operative pain, although there were no significant differences between the two groups, the values in group D were slightly improved as compared with group S. These results indicate the usefulness of diathermic method for haemorrhoidectomy because of its better cost-efficacy as compared with conventional method with scalpel and scissors.

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[结扎切除加透热法治疗痔切除术:与常规方法比较]。
从多个参数评价透热结扎切开术(D组)与常规刀剪结扎切开术(S组)在痔切除术中的应用价值。D组术中出血量、住院天数均明显小于s组。D组术后伤口出血、水肿明显小于s组。术后疼痛方面,两组间差异无统计学意义。与s组相比,D组的数值略有提高。这些结果表明,与手术刀和剪刀的常规方法相比,透热法具有更好的成本效益,是一种实用的痔疮切除术方法。
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