Distal hemorrhoidectomy with ALTA injection: a new method for hemorrhoid surgery.
Aluminum potassium sulfate and tannic acid injection (ALTA) is a useful and less-invasive treatment for internal hemorrhoids. However, it is not a treatment option for external hemorrhoidal diseases, including mixed hemorrhoids. Distal hemorrhoidectomy with ALTA injection involves surgical resection of external piles, followed by injection therapy on internal piles. We report technical details and the short-term results of this procedure in patients with mixed hemorrhoids. Seventy-two patients with mixed hemorrhoids treated between 2010 and 2011 were included. The main outcome measures were the short-term response and complication rates. At 28 days after surgery, the disappearance rate of prolapse was 100%. Three patients (4%) had postoperative complications, all minor in nature. No prolapse recurrence was observed within a median follow-up period of 6 months. Distal hemorrhoidectomy with ALTA injection appears to be a promising treatment option for patients with mixed hemorrhoids.
Department of Proctology, Kunimoto Hospital, 1-7-2-1 Akebono, Asahikawa 070-0061, Japan.
Tatsuya
T
Abe
Yoshikazu
Y
Hachiro
Yoshiaki
Y
Ebisawa
Houhei
H
Hishiyama
Masao
M
Kunimoto
D000534:Alum Compounds / Q000008:administration & dosage*; D061865:Hemorrhoidectomy; D006484:Hemorrhoids / Q000188:drug therapy / Q000601:surgery*; D006801:Humans; D015552:Injections, Intralesional; D012189:Retrospective Studies; D012597:Sclerosing Solutions / Q000008:administration & dosage*; D013634:Tannins / Q000008:administration & dosage*
D000534:Alum Compounds; D012597:Sclerosing Solutions; D013634:Tannins; C041524:aluminum sulfate
Aluminum potassium sulfate and tannic acid; Hemorrhoidectomy; Sclerotherapy