Anal cushion lifting method is a novel radical management strategy for XXXX that does not involve excision or cause postoperative anal complications.

@entity1 @entity850 @entity158 @entity6713
AIM: To describe the anal cushion lifting (ACL) method with preliminary clinical results. METHODS: Between January to September 2007, 127 @entity1 who received ACL method for @entity6713 was investigated with informed consent. In this study, three surgeons who specialized in anorectal surgery performed the procedures. @entity1 with grade two or more severe @entity6713 according to Goligher's classification were considered to be indicated for surgery. The @entity1 were given the choice to undergo either the ACL method or the ligation and excision method. ACL method is an original technique for managing @entity6713 without excision. After dissecting the anal cushion from the internal sphincter muscle, the anal cushion was lifted to oral side and ligated at the proper position. Clinical characteristics and outcomes of @entity1 were recorded including complications after surgery. RESULTS: A total of 127 @entity1 were enrolled. Their median age was 42 (19-84) years, and 74.8% were female. In addition, more than 99% of the @entity1 had grade 3 or worse @entity6713 . The median follow-up period was 26 (0-88) mo, and the median operative time was 15 (4-30) min. After surgery, analgesics were used for a median period of three days (0-21). @entity158 control was achieved using extra-oral analgesic drugs, although some @entity1 required intravenous injections of analgesic drugs. The median duration of the @entity1 ' postoperative hospital stay was 7 (2-13) d. A total of 10 complications (7.9%) occurred. Bleeding was observed in one @entity1 and was successfully controlled with manual compression. Urinary retention occurred in 6 @entity1 , but it disappeared spontaneously in all cases. Recurrent @entity6713 developed in 3 @entity1 after 36, 47, and 61 mo, respectively. No @entity850 or persistent anal @entity158 occurred. CONCLUSION: We consider that the ACL method might be better than all other current methods for managing @entity6713 .
