当教室における痔核手術(ホワイトヘッド氏法および結紮切除)の遠隔成績について

抄録

Two hundred seventy six patients were operated on the hemorrhoids at this department from 1955 to 1967. Concerning the method of operation, Withead's operation and Braatz's method were perforomed mainly from 1955 to 1968. But the ligature operation by Milligan-Morgan was adopted at this department since 1956. And nowadays the ligature method by Milligan-Morgan or Parks were performed usually for treatment of the hemorrhoids.
This report is the follow up results in such methods about operation of the hemorrhoids.
1. Whitehead's operation
The patients who have no complaint after operation were 12 of 26 cases (46.2%). Recurrence of the hemorrhoids was 3 cases (11.5%), anal bleeding 5 cases (19.3%), incontinence 2 cases (7.7%), prolapse 3 cases (11.5%) and anal stricture 1 case (3.8%).
2. Braatz's operation
The patients who have no complaint after operation were 13 of 24 cases. Recurrence of the hemorrhoids was 8 cases (33.4%), anal bleeding 2 cases (8.4%) and pruritus ani 1 case (4.2%).
3. Milligan-Morgan's method
The patients who have no complaint after operation were 47 of 70 cases (67.0%) Recur-rence of the hemorrhoids was 16 cases (22.8%), anal bleeding 3 cases (4.4%), pain on defeca-tion 3 cases (4.4%) and prolapse 1 cases (1.4%).
4. Parks's method
The patients who have no complaint after operation were 22 of 28 cases. Recurrence of the hemorrhoids was 5 cases (17.8%). No person have complaint such complications as anal bleeding or pain on defecation after this operation.
Conclusion of this report was that Whitehead's operation was frequently accompanied with the postoperative disturbance of anal stricture, prolapse and defecation bleeding. The other hand the ligature operation (Milligan-Morgan and Parks) was not almost complicated with above various postoperative disturbance but the recurrence of the hemorrhoids was recognized in few cases.