Is continued anal dilatation necessary after a Lord's procedure for haemorrhoids?

Author:

Vellacott K D1,Hardcastle J D1

Affiliation:

1. Department of Surgery, University Hospital, Queen's Medical Centre, Nottingham NG7 2UH

Abstract

Summary Forty patients with symptomatic haemorrhoids had a Lord's procedure performed under general anaesthetic. Anal pressures were recorded before and after the dilatation. The patients were then randomly allocated to one of two regimens. Group I was given only a bulk laxative and group 2 was given a bulk laxative and a large anal dilator to use over the next few months according to Lord's regimen. When reviewed at 3 months and 12 months there was no difference in the results between the two groups. We conclude that the use of an anal dilator does not improve the results after a Lord's procedure.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference14 articles.

1. L'anatomie des hémorrhoides;Verneuil;Bull. Soc. Anat.,1855

2. A new regime for the treatment of haemorrhoids;Lord;Proc. R. Soc. Med.,1968

3. Haemorrhoidectomy versus manual dilatation of the anus;Chant;Lancet,1972

4. Results of the Lord non-operative treatment for haemorrhoids;Macintyre;Lancet,1972

5. Follow up of Lord's procedure for haemorrhoids;Fussell;Proc. R. Soc. Med.,1973

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