Stapler ile Hemoroidopekside Keseboynu Dikişinin Kolay Uygulanabilmesi için Özel Anoskop

Special Anoscope for Easy Purse-string Suture Application in Stapled Hemorrhoidopexy

Ali Doğan Bozdağ, Okay Nazlı, Tuğrul Tansuğ, Hayrullah Derici, and Vedat Deniz

Third Surgical Clinic of Atatürk Training and Research Hospital, Izmir, Turkey

Journal World Journal of Surgery

Publisher Springer New York

ISSN 0364-2313 (Print) 1432-2323 (Online)

Subject Medicine

Issue Volume 31, Number 3 / March, 2007

DOI 10.1007/s00268-006-0416-7

Pages 538-541

Abstract

Background: Internal hemorrhoids and loose rectal mucosa may block exposure during the purse-string suturing in stapled hemorrhoidopexy, and this may lead to complications.

Materials and methods: To retract the prolapsing rectal mucosa, we modified the purse-string anoscope of the PPH01 kit (Ethicon-Endosurgery, Cincinnati, OH, USA) and produced a special anoscope. The open part of the purse-string suture anoscope is covered by transparent acrylic (Orthoacryl®, Dentaurum, Pforzheim, Germany). The covering had completely cylindrical outer and inner surfaces and was thin enough to let the anoscope easily rotate in the anal dilator and to let the 26 mm curved, round-bodied needle of the 2/0 polypropylene suture move in the anoscope. A window, 3 cm long and 3–4 mm wide, was opened at the angled part of the anoscope 2 cm to the tip. This special anoscope was used for the purse-string suture during the stapled hemorrhoidopexy procedure in five patients.

Results and conclusions: No postoperative complications, early or late, were encountered, and we propose that stapled hemorrhoidopexy procedure can be applied more easily by using this special anoscope.

Duyurular
Bu sayfalarda Dr. Turhan Tansuğ’un radyoloji arşivindeki çeşitli patolojilere ait konvansiyonel radyolojik görüntülerden örneklere yer verilecektir.
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