Abstract
Forty-eight patients treated for haemorrhoids by Lord's procedure have been followed up for 5 years. Preoperative anal pressure and motility studies suggest that the best long-term results occur in patients with an active internal sphincter. Anal pressure was reduced by dilatation and remained static over the next 5 years. It was not possible to predict which patients would have later recurrence of symptoms from anal pressures measured one year after dilatation. Excellent clinical results were obtained in patients with first- and second-degree haemorrhoids, but in those with third-degree haemorrhoids a completely satisfactory outcome occurred in just under half the patients. Members of the Manchester Regional Association of Surgeons completed a questionnaire concerning their methods of treating haemorrhoids. Lord's procedure was the method used most frequently, but only 11% of surgeons used it regularly for patients with third-degree haemorrhoids. One-third of the surgeons still used haemorrhoidectomy for 25% of more of all their patients. Outpatient cryosurgery and rubber-band ligation were not popular, but treatment by dietary advice alone was common.
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Selected References
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- Hancock B. D. Measurement of anal pressure and motility. Gut. 1976 Aug;17(8):645–651. doi: 10.1136/gut.17.8.645. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hancock B. D., Smith K. The internal sphincter and Lord's procedure for haemorrhoids. Br J Surg. 1975 Oct;62(10):833–836. doi: 10.1002/bjs.1800621021. [DOI] [PubMed] [Google Scholar]
- Lord P. H. A day-case procedure for the cure of third-degree haemorrhoids. Br J Surg. 1969 Oct;56(10):747–749. doi: 10.1002/bjs.1800561013. [DOI] [PubMed] [Google Scholar]
- Thomson J. P. Hemorrhoidectomy--how I do it: current views in Britain. Dis Colon Rectum. 1977 Apr;20(3):173–176. doi: 10.1007/BF02587172. [DOI] [PubMed] [Google Scholar]
- Thomson W. H. The nature of haemorrhoids. Br J Surg. 1975 Jul;62(7):542–552. doi: 10.1002/bjs.1800620710. [DOI] [PubMed] [Google Scholar]