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DILATATION TREATMENT OF HAEMORRHOIDS
Author(s) -
Carden A. B. G.
Publication year - 1970
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.1970.tb77970.x
Subject(s) - medicine , surgery , anus , general surgery
A new treatment for second‐ and third‐degree hæmorrhoids is presented. Lord's procedure is an anal dilatation performed under general anæsthesia. It is believed to overcome the primary ætiological factor in internal hæmorrhoids, believed to be the inelastic band or pecten in the lower anus. Lord maintains that disruption of this band allows decongestion of the hæmorrhoids, with relief of symptoms. The procedure was found to be extraordinarily effective In patients suffering the complications of strangulation, prolapse and oedema, but has since been used as the treatment of choice for alt second and third‐degree piles by Lord and his colleagues. The operation is performed on a day‐patient basis, and the patient's return to normal work two or three days later is anticipated. The procedure causes virtually no pain, incontinence or prolapse, despite the extent of the dilatation. Lord and his colleagues recommend that no patient should undergo operative hæmorrhoidectomy unless the dilatation procedure has failed to relieve the symptoms of internal hæmorrhoids.