[Scientific background and clinical implementation: three new proposals in coloproctology].
OBJECTIVE
The Authors underline three clinical problems in coloproctology: the surgical access to the anal canal, the lacking aspects of the actual classification of hemorrhoids, the difficult choice of the surgical treatment in case of coexisting III degrees and IV degrees degree of hemorrhoids. They propose a new anal retractor which enables the surgeon to better calibrate all the surgical procedures inside the anal canal and to operate alone without the help of another operator. A new computerized software is able to rapidly guarantee a numeric score for hemorrhoids which is repetable before and after treatment of the disease. The Authors present a new surgical technique defined of transfixed stichtes for the resolution of the most advanced stage of hemorrhoids.


METHODS
The new anal retractor was used in fifthy consecutive patients operated on for proctological problems. A quickly computerized score coming from the new classification PATE 2000 Sorrento was evaluated in one hundred patients, while the surgical technique of transfixed stichtes was utilized in fifthy.


RESULTS
All the surgical procedures performed with the new device were concluded without complications. The highest values of the score from PATE 2000 Sorrento always fit with the surgical treatment of the disease, while transfixed stitches gave dysuria in five patients, but a better quality of life was referred by 38 over 50 patients treated.


CONCLUSIONS
The Authors underline in this paper the results of the clinical implementation of these three new solutions in colon-proctology.
Gaj
F
F
Dipartimento di Chirurgia Generale, II Clinica Chirurgica, Università di Roma "La Sapienza", Roma, Italia. fagaj@tin.it
Trecca
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D000328:Adult; D000368:Aged; D001004:Anus Diseases / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000295:instrumentation / Q000379:methods; D004867:Equipment Design; D005260:Female; D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011996:Records; D012720:Severity of Illness Index