Hemorrhoidectomy: Hospital Leopold Bellan procedure.
The authors describe their hemorrhoidectomy technique, a modification of Milligan-Morgan. It differs by the association of a posterior anoplasty (with internal sphincterotomy in the case of a fissure or sphincter hypertonia) and of a sub-mucocutaneous dissection of the security bridges. They report on their experience with 410 operations carried out during the year 1985. Immediate complications are mainly hemorrhage (2.68%) and urinary problems (9%). Average cicatrization time is about six weeks. At one year, there were no relapses nor fissures. A moderate stenosis was observed in 1.45% of the cases, and a hypocontinence to flatus in 2.3%. Use of a CO2 laser does not result in any modification of these results.
Denis
J
J
Colo-Proctology Department, Hôpital L. Bellan, Paris, France.
Dubois
N
N
Ganansia
R
R
du Puy-Montbrun
T
T
Lemarchand
N
N
D005401:Fissure in Ano / Q000601:surgery*; D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D053685:Laser Therapy; D008722:Methods