title: Hemorrhoidectomy: Hospital Leopold Bellan procedure.
abstract: 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.
authors.affiliation: Colo-Proctology Department, Hôpital L. Bellan, Paris, France.
authors.forename: J
authors.initials: J
authors.lastname: Denis
authors.forename: N
authors.initials: N
authors.lastname: Dubois
authors.forename: R
authors.initials: R
authors.lastname: Ganansia
authors.forename: T
authors.initials: T
authors.lastname: du Puy-Montbrun
authors.forename: N
authors.initials: N
authors.lastname: Lemarchand
mesh_terms: D005401:Fissure in Ano / Q000601:surgery*; D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D053685:Laser Therapy; D008722:Methods