Abstract | PURPOSE: METHODS: Between May 2006 and July 2009, 1210 patients with grade III or IV hemorrhoids underwent surgery at Kunimoto Hospital. Our treatment strategy for internal hemorrhoids is first establishing whether ALTA therapy is possible for the type of hemorrhoid, and then performing either ALTA therapy or alternatively, ligation and excision (LE) for those types unsuitable for ALTA therapy. RESULTS: A total of 448 patients were treated with ALTA therapy alone (Group A), 706 patients were treated with a combination of ALTA and LE therapy (Group B), and 56 patients were treated with LE alone (Group C). The overall recurrence rates were 3.6% (16/448) and 0.3% (2/706) in Groups A and B, respectively. There was no recurrence in Group C. Rectal ulcers developed at the injection site in four (0.9%) patients from Group A, but they healed within a few months with conservative therapy. CONCLUSION:
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Authors | Yoshikazu Hachiro, Masao Kunimoto, Tatsuya Abe, Masahiro Kitada, Yoshiaki Ebisawa |
Journal | Surgery today
(Surg Today)
Vol. 41
Issue 6
Pg. 806-9
(Jun 2011)
ISSN: 1436-2813 [Electronic] Japan |
PMID | 21626327
(Publication Type: Journal Article)
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Chemical References |
- Alum Compounds
- Sclerosing Solutions
- Tannins
- aluminum sulfate
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Topics |
- Alum Compounds
(administration & dosage)
- Female
- Hemorrhoids
(drug therapy, surgery)
- Humans
- Injections, Intralesional
- Ligation
- Male
- Middle Aged
- Sclerosing Solutions
(administration & dosage)
- Tannins
(administration & dosage)
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