A CLINICAL TRIAL OF THE TREATMENT OF HqMORRHOIDS BY OPERATION AND THE LORD PROCEDURE

Anscombe, Anthony R.; Hancock, Brian; Humphreys, W V

doi:10.1016/s0140-6736(74)91414-7

Cited by 27 publications

(5 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…EXTENSIVE dilatation of the anus for haemorrhoids (Lord's procedure) is of practical and theoretical interest. The practical application has been confirmed by a number of reports and trials (Chant et al, 1972;MacIntyre and Balfour, 1972;Jones and Schofield, 1974;Anscombe et al, 1974), and the theoretical interest is the mechanism by which dilatation works.…”

mentioning

confidence: 85%

The internal sphincter and Lord's procedure for haemorrhoids

Hancock¹,

Smith²

1975

Journal of British Surgery

115

View full text Add to dashboard Cite

Anal pressure and motility have been measured in 56 patients with haemorrhoids and 40 asymptomatic subjects. The anal pressure of patients with haemorrhoids (93-6 cm H2O) was very significantly higher than that of the controls (66-8 cm H2O; P less than 0-001). Ultra-slow pressure waves (amplitude 25-100 cm H2O, frequency 0-9-1-6/min) were present in 39 per cent of patients with haemorrhoids, but in only 7-5 per cent of the controls (P less than 0-001). Ultra-slow waves are present under anaesthesia with the voluntary muscles paralysed and are associated with the highest anal pressure, and so, represent abnormal activity of the internal anal sphincter. Measurements after anal dilatation showed complete abolition of ultra-slow wave activity and a very significant drop in pressure. One year after dilatation 19 patients had a mean anal pressure of 62 cm H2O. Very good results were obtained unless the haemorrhoids were so large that they prolapsed at times other than defaecation. Lord's procedure is a rational treatment since it corrects an underlying overactivity of the internal sphincter.

show abstract

mentioning

confidence: 85%

The internal sphincter and Lord's procedure for haemorrhoids

Hancock¹,

Smith²

1975

Journal of British Surgery

115

View full text Add to dashboard Cite

show abstract

“…This vicious circle should be broken by anal stretching. Results 6 months and 1 year after dilatation, with a success rate of 84%, compare favorably with 98% after hemorrhoidectomy [6]. Under general anesthesia, in the lateral position, the constricting bands are identified and disrupted by increasing digital dilatation.…”

Section: Manual Dilatation Of the Anusmentioning

confidence: 91%

“…The narrowing due to these bands would interfere with normal defecation, increase the anorectal pressure, and cause venous congestion of the cushions. Records of anal pressure show a significant reduction of resting anal pressure after dilatation in comparison to preoperative values [6,25,39,53]. This vicious circle should be broken by anal stretching.…”

Section: Manual Dilatation Of the Anusmentioning

confidence: 99%

Hemorrhoids

Marti¹

1990

Surgery of Anorectal Diseases

View full text Add to dashboard Cite

“…Anscombe, Hancock and Humphreys (1974) treated 100 patients in a similar trial. The patients were questioned at 6 months, and asked to give opinions as to the success of the treatment.…”

Section: Comparison Of Treatmentsmentioning

confidence: 99%

Haemorrhoids: a doctor’s dilemma

Deutsch

Sternberg

Reiss

1981

Postgraduate Medical Journal

View full text Add to dashboard Cite

Summary The different forms of treatment for haemorrhoids are described. These include conservative therapy, elastic band ligation, sclerotherapy, cryosurgery, anal dilatation, lateral sphincterotomy and formal surgery. Controlled trials comparing these methods of treatment indicate that surgery should be rarely performed. Of the remaining methods available, elastic band ligation or anal dilatation are recommended.

show abstract

A CLINICAL TRIAL OF THE TREATMENT OF HqMORRHOIDS BY OPERATION AND THE LORD PROCEDURE

Cited by 27 publications

References 3 publications

The internal sphincter and Lord's procedure for haemorrhoids

The internal sphincter and Lord's procedure for haemorrhoids

Hemorrhoids

Haemorrhoids: a doctor’s dilemma

Contact Info

Product

Resources

About