A comparative study on efficacy and safety of modified partial stapled hemorrhoidopexy versus conventional hemorrhoidectomy: a prospective randomized controlled trial
Purpose The long-term outcomes and efficacy of partial stapled hemorrhoidopexy (PSH) compared with those of conventional hemorrhoidectomy (CH) are not fully understood. This study aimed to introduce a modified PSH (mPSH) and compare its clinical efficacy and safety with those of CH. Methods A prospe...
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Korean Society of Coloproctology
2025-04-01
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| Series: | Annals of Coloproctology |
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| Online Access: | http://coloproctol.org/upload/pdf/ac-2024-00535-0076.pdf |
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| author | Tae Gyu Kim Chul Seung Lee Dong Geun Lee Choon Sik Chung Seung Han Kim Sang Hwa Yu Jeong Eun Lee Gwan Cheol Lee Dong Woo Kang Jeong Sub Kim Gyu Young Jeong |
| author_facet | Tae Gyu Kim Chul Seung Lee Dong Geun Lee Choon Sik Chung Seung Han Kim Sang Hwa Yu Jeong Eun Lee Gwan Cheol Lee Dong Woo Kang Jeong Sub Kim Gyu Young Jeong |
| author_sort | Tae Gyu Kim |
| collection | DOAJ |
| description | Purpose The long-term outcomes and efficacy of partial stapled hemorrhoidopexy (PSH) compared with those of conventional hemorrhoidectomy (CH) are not fully understood. This study aimed to introduce a modified PSH (mPSH) and compare its clinical efficacy and safety with those of CH. Methods A prospective randomized controlled trial was conducted. This study was performed at a single hospital and involved 6 colorectal surgeons. In total, 110 patients were enrolled between July 2019 and September 2020. Patients were randomly assigned to undergo either mPSH group (n=55) or CH group (n=55). The primary outcome was to compare postoperative average pain and postoperative peak pain using visual analog scale score between the 2 groups. Results The required duration of analgesia was shorter in the mPSH group than in the CH group, although the difference was not statistically significant (P=0.096). However, the laxative requirement duration (P<0.010), return to work (P<0.010), satisfaction score (P<0.010), and Vaizey score (P=0.014) were significantly better in the mPSH group. The average and peak postoperative pain scores were significantly lower in the mPSH group during the 15 days after surgery (P<0.001). The overall complication rate in both groups was 9.1%, with no significant difference between the groups (P=0.867). Conclusion The mPSH group demonstrated better improvement in symptoms, lower pain scores, and greater patient early satisfaction after surgery than the CH group. Therefore, this surgical technique appears to be a safe and effective alternative for CH. |
| format | Article |
| id | doaj-art-19d2b2a697de4f5ea1042be53d0a02f3 |
| institution | OA Journals |
| issn | 2287-9714 2287-9722 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Korean Society of Coloproctology |
| record_format | Article |
| series | Annals of Coloproctology |
| spelling | doaj-art-19d2b2a697de4f5ea1042be53d0a02f32025-08-20T01:56:01ZengKorean Society of ColoproctologyAnnals of Coloproctology2287-97142287-97222025-04-0141214515310.3393/ac.2024.00535.00762088A comparative study on efficacy and safety of modified partial stapled hemorrhoidopexy versus conventional hemorrhoidectomy: a prospective randomized controlled trialTae Gyu Kim0Chul Seung Lee1Dong Geun Lee2Choon Sik Chung3Seung Han Kim4Sang Hwa Yu5Jeong Eun Lee6Gwan Cheol Lee7Dong Woo Kang8Jeong Sub Kim9Gyu Young Jeong Division of Colorectal Surgery, Department of Surgery, Hansol Hospital, Seoul, Korea Division of Colorectal Surgery, Department of Surgery, Hansol Hospital, Seoul, Korea Division of Colorectal Surgery, Department of Surgery, Hansol Hospital, Seoul, Korea Division of Colorectal Surgery, Department of Surgery, Hansol Hospital, Seoul, Korea Division of Colorectal Surgery, Department of Surgery, Hansol Hospital, Seoul, Korea Division of Colorectal Surgery, Department of Surgery, Hansol Hospital, Seoul, Korea Division of Colorectal Surgery, Department of Surgery, Hansol Hospital, Seoul, Korea Division of Colorectal Surgery, Department of Surgery, Hansol Hospital, Seoul, Korea Division of Colorectal Surgery, Department of Surgery, Hansol Hospital, Seoul, Korea Division of Colorectal Surgery, Department of Surgery, Hansol Hospital, Seoul, KoreaPurpose The long-term outcomes and efficacy of partial stapled hemorrhoidopexy (PSH) compared with those of conventional hemorrhoidectomy (CH) are not fully understood. This study aimed to introduce a modified PSH (mPSH) and compare its clinical efficacy and safety with those of CH. Methods A prospective randomized controlled trial was conducted. This study was performed at a single hospital and involved 6 colorectal surgeons. In total, 110 patients were enrolled between July 2019 and September 2020. Patients were randomly assigned to undergo either mPSH group (n=55) or CH group (n=55). The primary outcome was to compare postoperative average pain and postoperative peak pain using visual analog scale score between the 2 groups. Results The required duration of analgesia was shorter in the mPSH group than in the CH group, although the difference was not statistically significant (P=0.096). However, the laxative requirement duration (P<0.010), return to work (P<0.010), satisfaction score (P<0.010), and Vaizey score (P=0.014) were significantly better in the mPSH group. The average and peak postoperative pain scores were significantly lower in the mPSH group during the 15 days after surgery (P<0.001). The overall complication rate in both groups was 9.1%, with no significant difference between the groups (P=0.867). Conclusion The mPSH group demonstrated better improvement in symptoms, lower pain scores, and greater patient early satisfaction after surgery than the CH group. Therefore, this surgical technique appears to be a safe and effective alternative for CH.http://coloproctol.org/upload/pdf/ac-2024-00535-0076.pdfhemorrhoidspartial stapled hemorrhoidopexyquality of lifeprospective randomized controlled trial |
| spellingShingle | Tae Gyu Kim Chul Seung Lee Dong Geun Lee Choon Sik Chung Seung Han Kim Sang Hwa Yu Jeong Eun Lee Gwan Cheol Lee Dong Woo Kang Jeong Sub Kim Gyu Young Jeong A comparative study on efficacy and safety of modified partial stapled hemorrhoidopexy versus conventional hemorrhoidectomy: a prospective randomized controlled trial Annals of Coloproctology hemorrhoids partial stapled hemorrhoidopexy quality of life prospective randomized controlled trial |
| title | A comparative study on efficacy and safety of modified partial stapled hemorrhoidopexy versus conventional hemorrhoidectomy: a prospective randomized controlled trial |
| title_full | A comparative study on efficacy and safety of modified partial stapled hemorrhoidopexy versus conventional hemorrhoidectomy: a prospective randomized controlled trial |
| title_fullStr | A comparative study on efficacy and safety of modified partial stapled hemorrhoidopexy versus conventional hemorrhoidectomy: a prospective randomized controlled trial |
| title_full_unstemmed | A comparative study on efficacy and safety of modified partial stapled hemorrhoidopexy versus conventional hemorrhoidectomy: a prospective randomized controlled trial |
| title_short | A comparative study on efficacy and safety of modified partial stapled hemorrhoidopexy versus conventional hemorrhoidectomy: a prospective randomized controlled trial |
| title_sort | comparative study on efficacy and safety of modified partial stapled hemorrhoidopexy versus conventional hemorrhoidectomy a prospective randomized controlled trial |
| topic | hemorrhoids partial stapled hemorrhoidopexy quality of life prospective randomized controlled trial |
| url | http://coloproctol.org/upload/pdf/ac-2024-00535-0076.pdf |
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