痔瘡參考文獻

  • 1.Surgical Treatment of Hemorrhoids.Indru Khubchandani,MD.2009:15-17
  • 2.Day Surgery: Operation guide. Professor Ara Darzi.2002Aug:9-22
  • 3.Surgical Treatment of Hemorrhoids.Indru Khubchandani,MD.2009:57-65
  • 4.Surgical Treatment of Hemorrhoids.Indru Khubchandani,MD.67-69;113-114
  • 5.Surgical Treatment of Hemorrhoids.Indru Khubchandani,MD.67-69;115-116
  • 6.Harmonic Scalpel vs. Electrocautery Hemorrhoidectomy: A Prospective Evaluation.David N. Armstrong, M.D.,Dis Colon Rectum, April 2001:558-64
  • 7.Surgical management of hemorrhoids. Senagore AJ. J Gastrointest Surg. 2002 May-Jun;6(3):295-8.
  • 8.Hemorrhoidectomy: Indications and Risks. R. G. Holzheimer. EUROPEAN JOURNAL OF MEDICAL RESEARCH 18-36
  • 9.Surgical Treatment of Hemorrhoids.Indru Khubchandani,MD.2009:117-123
  • 10.HYPERTROPHIED ANAL PAPILLAE AND FIBROUS ANAL POLYPS. SHOULD THEY BE REMOVED? PRAVIN J. GUPTA. Medical Journal of Islamic Academy of Sciences 13:4, 151-154, 2000
  • 11.Surgical management of hemorrhoids. Senagore AJ. J Gastrointest Surg.2002May-Jun ;6(3):295-8.
  • 12.Surgical Treatment of Hemorrhoids.Indru Khubchandani,MD2009:117-123
  • 13.HYPERTROPHIED ANAL PAPILLAE AND FIBROUS ANAL POLYPS.SHOULD THEY BE REMOVED?PRAVINJ.GUPTA,Medical Journal of Islamic Academy of Sciences 13:4,151-154,2000
  • 14.Surgical treatment of anal stenosis.Giuseppe Brisinda.World J Gastroenterol 2009 April 28;15(16):1921-1928
  • 15.ANAL ABSCESSES AND FISTULAS.MATTHEW J.F.X.ANZ J.Surg.2005;75:64-72
  • 16.Hemorrhodectomy:Indications and Risks. R.G.Holzheimer.EUROPEAN JOURNAL OF MEDICAL RESEARCH 18-36
  • 17.Day Surgery:Operation guide.Professor Ara Darzi.2002Aug:9-22
  • 18.Fever in the Post-operative Patient. Christopher Sikora.The Canadian Journal of CME/May 2004:93-98

適應症

  • 1.痔瘡

適合對象

  • 1.男女皆可
  • 2.有三/四度以上的痔瘡患者
  • 3.內痔及外痔

可合併手術

  • 1.提乳、乳頭縮小或凹陷拉提手術
  • 2.臉部手術如雙眼皮、眼袋、墊下巴、隆鼻、修唇等
  • 3.私密處手術如小陰唇、陰道
  • 4.身體整形如腹部拉皮
  • 5.醫美微整或光療雷射,如除毛、玻尿酸、肉毒、電波音波等

手術優點

利用整形外科的器械加上外科的專業

  • 1.疼痛少:舒眠麻醉
  • 2.出血少:組織破壞少
  • 3.傷口小:小傷口能除病痛 
  • 4.免住院:術後活動自如
  • 5.恢復快:幾天~一星期
  • 6.正常上班:術後照顧簡單
  • 7.不需多次手術:>95%手術一次到位 
  • 8.併發症少:不傷害肛門括約肌、狹窄失禁少
  • 9.無須規則坐浴

手術缺點

  • 1.手術時間較長(但較不疼痛)

處置的成功率可能依病情、認知與體況不同而異,若無併發症,一般成功率約可達到95%以上

大量流血、局部出血、瘀青、血腫或術後再出血、傷口局部感染、疤痕增生較嚴重者可能不雅觀或引起異物感、傷口裂開或癒合時間較長、過敏反應或組織縫線反應、解尿困難、其他偶發併發症如:肛門狹窄、失禁、敗血症、肛門廔管

  • 1.目前身體任何的部位有感染或免疫功能低下者
  • 2.患有癌症或癌症前期病變未經妥善治療者
  • 3.懷孕中的婦女
  • 4.嚴重貧血、凝血不良之病人、或有重大疾病患者等
  • 5.心智不健康者