The ligament of Parks as a key anatomical structure for safer hemorrhoidectomy: Anatomic study and a simple surgical note
| Autor: | Theodoros Piperos, Menelaos Zoulamoglou, Panagiotis Theodoropoulos, Ioannis Flessas, Georgia Barla, Vasileios Bonatsos, Maria Zarokosta, Theodoros Mariolis-Sapsakos, Ioannis Kaklamanos, Ioanna Stathopoulou |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
business.industry Anal Disorder Urethral sphincter Conventional hemorrhoidectomy Ligament of Parks General Medicine medicine.disease Surgery Hemorrhoidal disease 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Hemorrhoids SAFER Ligament medicine 030211 gastroenterology & hepatology 030212 general & internal medicine Surgical treatment business Original Research Anal canal anatomy |
| Zdroj: | Annals of Medicine and Surgery |
| ISSN: | 2049-0801 |
| Popis: | Hemorrhoids are a common anal disorder which affects both men and women of all ages. One out of ten patients with hemorrhoidal disease, requires surgical treatment. Unfortunately though, hemorrhoidectomy is closely related to complications that can be present early or late postoperatively. In the present manuscript, the safe surgical technique which emphasizes to the identification of the key anatomical structure of the ligament of Parks (Trietz's muscle) is adequately described. A total of 200 patients with grades III and IV hemorrhoids, underwent Milligan-Morgan or Ferguson's hemorrhoidectomy. The mucosal ligament of Parks was identified to all patients and was used as a key anatomical structure through the excision of the hemorrhoids. Its identification guides surgeons during the operation and reduces the major problem of postoperative complications. Finally, since the mucosal ligament of Parks represents a constantly identifiable landmark, it allows simple and reliable identification of the internal sphincter muscle and minimizes the probability of postoperative complications. Highlights • The Parks ligament (Trietz muscle) tethers the dentate line of the anal canal with the internal sphincter. • Identification of the Parks ligament guides surgeons to the detection and preservation of internal sphincter through hemorrhoidectomy. • Finally, the identification of the key-anatomical structure of the Parks ligament reduces postoperative complications of hemorrhoidectomy. |
| Databáze: | OpenAIRE |
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