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The most competent specialists record 98-99% of success rate. The surgeon with the more experiences and knowledge can carry out the more successful surgery. |
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Non-resectional surgery cannot remove all the lesions completely and therefore recurrence is common. Removing the all the hemorrhoids lesions completely through resectional surgery is the most important in prevention of recurrence. |
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However, it requires far advanced technique and long experience to remove all the hemorrhoid lesions completely without leaving serious complications. To restore the diseased anus to normal structure and function and to prevent serious complications are the most important techniques. |
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The surgery for anal fistula is notorious for recurrence and sphincter damage. However, anal fistula can heal completely by surgical removal of the internal opening, even in the very complicated cases. |
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Far advanced techniques and long experiences are required to find extremely tiny internal openings and the innermost curved tracks of the complicated anal fistula. |
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The associated or concomitant diseases, e.g. Crohn’s disease, resistant tuberculosis, also influence the healing. However, anal fistula of Crohn’s disease can heal completely by surgery during resolution period of symptoms. |
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Damage of anal sphincter can be prevented by far advanced techniques and long experiences. Therefore it is not reasonable to postpone surgery for the fear of recurrence or damage of sphincters. |
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The patients with recurrence hesitant to take surgeries in the fear of stenosis or damage of sphincters by repeated surgeries. |
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However, far advanced techniques and long experiences can prevent stenosis or damage of sphincters, and also can correct the pre-existing stenosis or damage of sphincters from previous surgeries. |
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