Anal Surgery on a Point of View of Postoperative Function

Toshifumi Yoshio

First Department of Surgery, Toho University School of Medicine

Soiling was notedin 25% of patients after hemorrhoidectomy and in 40% after fistulectomy by questionnaire for patients. Submucosal hemorrhoidectomy in ligature-excision mothod and core-out method without sphincterotomy in fistulectomy were recommended, Mucosal prolapse and anal stricture were common caused by Whitehead's operation and injection necrotherapy, so that these treatments must be refused. Sphincter repair operation was selected for the patient of postoperative sphincter defect within a half circumferential and sphincter replacement operation was performed in the patient of those over a half. But sphincter replacement operation has not resulted the perfect fecal continence.

Key words
defecational functjon, anal manometric study, postoperative dysfunction following anal surgery

Reprint requests
Toshifumi Yoshio First Department of Surgery, Toho University, School of Medicine
6-11-1 Ohmori-nishi, Ohta-ku, Tokyo, 143 JAPAN

Accepted
May 9, 1990

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