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Background: The pain and swelling are the two most common complications of hemorrhoids surgery, the two often occur in combination, affect each other, can not be separated. Both often cause or aggravate other complications seriously affect the patient's quality of life, the biggest reason for the majority of patients fear surgery. Clinical often using hemorrhoid surgery the cut sphincter way to reduce postoperative pain, edema and other complications, but there are some scholars cut off the internal sphincter may occur after the after-effects of anal incontinence and incomplete incontinence. It is seeking the ideal surgical approach, both post-operative pain, edema, but also effective protection anal function the anorectal surgery workers is an important subject. According to preliminary use in anal fissure surgery anal sphincter autologous Extension Act, to obtain satisfactory results will be applied to hemorrhoid surgery, hoping to be able to design a new surgical approach for the majority of patients. Objective: To comply with minimally invasive surgery, localized development trend in the premise to ensure the the hemorrhoid surgery efficacy and reduce postoperative pain, edema and other complications, the use of the internal anal sphincter autologous extended, the maximum guaranteed within the continuity and integrity of the sphincter, better protection of the internal sphincter, to reduce sequelae maintain the normal function of the anus, improve the patient's quality of life. Methods: 45 outpatients received live admission to meet the requirements of hemorrhoid patients were randomly divided into three groups: the treatment group (15 cases) and control group (n = 15) and blank group (15 cases). The three groups hemorrhoid surgery to take all the Milligan surgery, the treatment group at the same time extend the line sphincter autologous control group at the same time the internal anal sphincter cut blank group does not process the internal sphincter. The total effect of the three groups of patients after surgery, complications (pain, edema, urinary retention), anal function, recurrence were observed and compared. Results: three groups of patients there was no significant difference in total effect, recurrence (P gt; 0.05): postoperative complications (pain, edema, urinary retention), the treatment group and the control group than in the control group had significant difference (P lt; 0.05); anal function, the treatment group and blank group than in the control group, a significant difference (P lt; 0.05). Conclusion: The internal sphincter the autologous extend not only can reduce the incidence of complications of hemorrhoids postoperative pain and edema, and to better protect the anal function.
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