A Randomized Controlled Trial Comparing Suture-Fixation Mucopexy and Doppler-Guided Hemorrhoidal Artery Ligation in Patients with Grade III Hemorrhoids
Background. We aimed to evaluate the effectiveness of a suture-fixation mucopexy procedure by comparing with Doppler-guided hemorrhoidal artery ligation (DGHAL) in the management of patients with grade III hemorrhoids. Methods. This was a randomized controlled trial. One hundred patients with grade...
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2016-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2016/8143703 |
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| author | Min Zhai Yong-An Zhang Zhen-Yi Wang Jian-Hua Sun Jie Wen Qi Zhang Jin-De Li Yi-Zheng Wu Feng Zhou Hui-Lei Xu |
| author_facet | Min Zhai Yong-An Zhang Zhen-Yi Wang Jian-Hua Sun Jie Wen Qi Zhang Jin-De Li Yi-Zheng Wu Feng Zhou Hui-Lei Xu |
| author_sort | Min Zhai |
| collection | DOAJ |
| description | Background. We aimed to evaluate the effectiveness of a suture-fixation mucopexy procedure by comparing with Doppler-guided hemorrhoidal artery ligation (DGHAL) in the management of patients with grade III hemorrhoids. Methods. This was a randomized controlled trial. One hundred patients with grade III hemorrhoids were randomly assigned to receive suture-fixation mucopexy (n=50) or DGHAL (n=50). Outcome assessments were performed at 2 weeks, 12 months, and 24 months. Assessments included resolution of clinical symptoms, postoperative complications, duration of hospitalization, and total costs. Results. At 2 weeks, one (2%) patient in suture-fixation group and four (8%) patients in DGHAL group had persistent prolapsing hemorrhoids. Postoperative bleeding was observed in two patients (4%) in suture-fixation group and one patient in DGHAL group. There was no significant difference in short-term recurrence between groups. Postoperative complications and duration of hospitalization were comparable between the two groups. Rates of recurrence of prolapse or bleeding at 12 months did not differ between groups. However, recurrence of prolapse at 24 months was significantly more common in DGHAL group (19.0% versus 2.3%, p=0.030). Conclusions. Compared with DGHAL, the suture-fixation mucopexy technique had comparable short-term outcomes and favorable long-term outcomes. |
| format | Article |
| id | doaj-art-5cbd4a9ba923478996762c99f70785da |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
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| series | Gastroenterology Research and Practice |
| spelling | doaj-art-5cbd4a9ba923478996762c99f70785da2025-02-03T00:59:59ZengWileyGastroenterology Research and Practice1687-61211687-630X2016-01-01201610.1155/2016/81437038143703A Randomized Controlled Trial Comparing Suture-Fixation Mucopexy and Doppler-Guided Hemorrhoidal Artery Ligation in Patients with Grade III HemorrhoidsMin Zhai0Yong-An Zhang1Zhen-Yi Wang2Jian-Hua Sun3Jie Wen4Qi Zhang5Jin-De Li6Yi-Zheng Wu7Feng Zhou8Hui-Lei Xu9Department of Anorectal Surgery, The TCM Hospital of Pu Dong New District, Shanghai 201299, ChinaDepartment of Anorectal Surgery, The TCM Hospital of Pu Dong New District, Shanghai 201299, ChinaYueyang Hospital of Integrated Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, ChinaYueyang Hospital of Integrated Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, ChinaDepartment of Anorectal Surgery, The TCM Hospital of Pu Dong New District, Shanghai 201299, ChinaDepartment of Anorectal Surgery, The TCM Hospital of Pu Dong New District, Shanghai 201299, ChinaDepartment of Anorectal Surgery, The TCM Hospital of Pu Dong New District, Shanghai 201299, ChinaDepartment of Anorectal Surgery, The TCM Hospital of Pu Dong New District, Shanghai 201299, ChinaDepartment of Anorectal Surgery, The TCM Hospital of Pu Dong New District, Shanghai 201299, ChinaDepartment of Anorectal Surgery, The TCM Hospital of Pu Dong New District, Shanghai 201299, ChinaBackground. We aimed to evaluate the effectiveness of a suture-fixation mucopexy procedure by comparing with Doppler-guided hemorrhoidal artery ligation (DGHAL) in the management of patients with grade III hemorrhoids. Methods. This was a randomized controlled trial. One hundred patients with grade III hemorrhoids were randomly assigned to receive suture-fixation mucopexy (n=50) or DGHAL (n=50). Outcome assessments were performed at 2 weeks, 12 months, and 24 months. Assessments included resolution of clinical symptoms, postoperative complications, duration of hospitalization, and total costs. Results. At 2 weeks, one (2%) patient in suture-fixation group and four (8%) patients in DGHAL group had persistent prolapsing hemorrhoids. Postoperative bleeding was observed in two patients (4%) in suture-fixation group and one patient in DGHAL group. There was no significant difference in short-term recurrence between groups. Postoperative complications and duration of hospitalization were comparable between the two groups. Rates of recurrence of prolapse or bleeding at 12 months did not differ between groups. However, recurrence of prolapse at 24 months was significantly more common in DGHAL group (19.0% versus 2.3%, p=0.030). Conclusions. Compared with DGHAL, the suture-fixation mucopexy technique had comparable short-term outcomes and favorable long-term outcomes.http://dx.doi.org/10.1155/2016/8143703 |
| spellingShingle | Min Zhai Yong-An Zhang Zhen-Yi Wang Jian-Hua Sun Jie Wen Qi Zhang Jin-De Li Yi-Zheng Wu Feng Zhou Hui-Lei Xu A Randomized Controlled Trial Comparing Suture-Fixation Mucopexy and Doppler-Guided Hemorrhoidal Artery Ligation in Patients with Grade III Hemorrhoids Gastroenterology Research and Practice |
| title | A Randomized Controlled Trial Comparing Suture-Fixation Mucopexy and Doppler-Guided Hemorrhoidal Artery Ligation in Patients with Grade III Hemorrhoids |
| title_full | A Randomized Controlled Trial Comparing Suture-Fixation Mucopexy and Doppler-Guided Hemorrhoidal Artery Ligation in Patients with Grade III Hemorrhoids |
| title_fullStr | A Randomized Controlled Trial Comparing Suture-Fixation Mucopexy and Doppler-Guided Hemorrhoidal Artery Ligation in Patients with Grade III Hemorrhoids |
| title_full_unstemmed | A Randomized Controlled Trial Comparing Suture-Fixation Mucopexy and Doppler-Guided Hemorrhoidal Artery Ligation in Patients with Grade III Hemorrhoids |
| title_short | A Randomized Controlled Trial Comparing Suture-Fixation Mucopexy and Doppler-Guided Hemorrhoidal Artery Ligation in Patients with Grade III Hemorrhoids |
| title_sort | randomized controlled trial comparing suture fixation mucopexy and doppler guided hemorrhoidal artery ligation in patients with grade iii hemorrhoids |
| url | http://dx.doi.org/10.1155/2016/8143703 |
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