Lord's procedure for haemorrhoids: A prospective anal pressure study

✍ Scribed by Brian D. Hancock

• Book ID: 101742400
• Publisher: John Wiley and Sons
• Year: 1981
• Tongue: English
• Weight: 239 KB
• Volume: 68
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.1800681017

✦ Synopsis

Summary

Forty-eight patients treated by Lord's procedure were studied prospectively with preoperative and several postoperative anal pressure recordings over at least 5 years.

Excellent long term results were obtained in the patients with first and second-degree haemorrhoids but only just under half of those with third-degree haemorrhoids were symptom-free.

There was some evidence that patients with the most active internal sphincter had the best clinical results.

Pressure was significantly reduced by dilatation and pressure remained static over the next 5 years. Five patients developed recurrent symptoms between 1 and 5 years after dilatation. It was not possible to predict relapse from serial anal pressure measurements.