ghd piastra Stapled hemorrhoid surgery mucosal res

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Stapled hemorrhoid surgery mucosal resection (PPH) in the role of prevention and treatment of low rectal cancer

Adenoma is regarded as precancerous lesions, usually after the age of onset in 30, but there are also cancer before age 20 were. Inflammatory bowel disease, ulcerative colitis and Crohn's disease and other damage to the intestinal mucosa, ulcer repair proliferation, granulation tissue formation in cancer. Schistosomiasis eggs deposited in the lining of the rectum, chronic inflammation carcinogenic change. Others such as immune deficiencies, genetic factors, viral infections, stomach after cholecystectomy and so on. Rectal cancer in men more than 2 / 3 parts,[link widoczny dla zalogowanych], palpable by digital rectal examination and. However, the lack of early symptoms of cancer, to be increased ulceration bleeding, blood, mucus and internal hemorrhoids easy to right again, dysentery and other diseases to be confused, it is reported up to 88.57% misdiagnosis rate of competition. Misdiagnosis of time an average of 8 months, Gu Yu improve cancer cure rate and survival, the key is early diagnosis and early appropriate treatment. The surgery is the removal of the dentate line through an annular side rectal mucosa, so anal cushion on the move,[link widoczny dla zalogowanych], blocking the blood supply of hemorrhoids, control bleeding and the remaining part of the shrinking hemorrhoid surgery to achieve cure hemorrhoids. Longo and other reports since 1998, hemorrhoid stapling carried out circumcision on the mucosa, the domestic operations of the hospital to carry out the increasing number of PPH,[link widoczny dla zalogowanych], PPH for how to improve the efficacy of surgery has gradually been the focus, PPH surgery is 3 away from the dentate line ~ 4cm at the Central Bank of the anal canal with a silk thread as a purse suture mucosal prolapse Rectal mucosa, rectal cancer often occurs in the dentate line 3 ~ 4cm. Rectal mucosal resection should be not less than the width of 2.5cm, operation of low rectal cancer early enough to remove. Transanal endoscopy and colonoscopy, tumor diameter of lcm below the ulcer is difficult to detect or misdiagnosed as hemorrhagic colitis, and hemorrhoids. Outside the traditional surgical stripping only the removal of the ligation below the dentate line and hemorrhoids, rectal mucosa does not involve the dentate line, once associated with early rectal cancer undetected delayed treatment and even disputes. I have come across a case of the same patients. Therefore,[link widoczny dla zalogowanych], removal of hemorrhoids with circular stapled mucosa surgery (PPH) with a quick operation, little pain, surgery and other advantages of physiologic functions also play an important role in prevention and treatment of low rectal cancer. 4 Suggestions for clinical work in 4.1 when the attention of low rectal cancer rectal examination the rectum is a census of the predilection site of colorectal cancer, high incidence of cancer in the body of the first three accounts,[link widoczny dla zalogowanych], so only check when the anal inspection No anal diseases and to check whether the lesion the dentate line, if necessary, and fiberoptic colonoscopy biopsy pathology. Found that early treatment of medical records. 4.2 PPH surgery reduce the popularity of surgical indications and the cost of patients in strictly economic capacity premise. PPH surgery described the advantages of surgical treatment to minimize cost and reduce the financial burden of patients. 4.3 after visual inspection and routine pathological examination, if found without complete resection of cancer should take early measures. 4.4 encourage patients to eat low-fat and full of rough fiber foods, avoid spicy food and smoking cessation wine.
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