Randomized controlled study on the treatment of circumferential mixed hemorrhoids with submucosal hemorrhoidectomy based on the theory of “preserving tissue with minimal damage”
[Objectives] To investigate the efficacy of submucosal hemorrhoidectomy (abbreviated as “large C-loop” technique) for the treatment of circumferential mixed hemorrhoids using a randomized controlled study. [Methods] A total of 106 patients with circumferential mixed hemorrhoids who visited the Peopl...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | zho |
| Published: |
Editorial Office of Journal of Colorectal & Anal Surgery
2024-08-01
|
| Series: | 结直肠肛门外科 |
| Subjects: | |
| Online Access: | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=303&cateName=2024%E5%B9%B4%20%E7%AC%AC30%E5%8D%B7%20%E7%AC%AC4%E6%9C%9F |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850136803294576640 |
|---|---|
| author | Shi Rong Wang Zhaochu Chen Luyao Lian Yufeng Jiang Linzhen Huang Juan Chen Zuqing Wang Jing |
| author_facet | Shi Rong Wang Zhaochu Chen Luyao Lian Yufeng Jiang Linzhen Huang Juan Chen Zuqing Wang Jing |
| author_sort | Shi Rong |
| collection | DOAJ |
| description | [Objectives] To investigate the efficacy of submucosal hemorrhoidectomy (abbreviated as “large C-loop” technique) for the treatment of circumferential mixed hemorrhoids using a randomized controlled study. [Methods] A total of 106 patients with circumferential mixed hemorrhoids who visited the People’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine from July 2023 to September 2023 were enrolled as study subjects and randomly divided into a control group (treated with procedure for prolapse and hemorrhoids) and an observation group (treated with the“large C-loop” technique). The anal distension (anal distension scores) on postoperative day 1 and day 7, quality of life (measured by the 5-level version of EuroQol five dimensions questionnaire, EQ-5D-5L) on postoperative day 7 and 1 month, and postoperative complications (such as secondary bleeding and anal stenosis) were compared between the two groups. [Results] The anal distension scores on postoperative day 1 and day 7 in the observation group were significantly lower than those in the control group, with statistically significant differences (P<0.05). On postoperative day 7, the EQ-5D-5L scores in the observation group were significantly lower than those in the control group, with a statistically significant difference (P<0.05). However, there was no statistically significant difference in EQ-5D-5L scores between the two groups at 1 month postoperatively (P>0.05). No statistically significant difference was found in postoperative complications between the two groups (P>0.05). [Conclusion] The “large C-loop” technique has significant advantages in improving early postoperative anal distension and quality of life in patients with circumferential mixed hemorrhoids, making it worthy of clinical promotion and application. |
| format | Article |
| id | doaj-art-7182b05fcbb349bba90fb5b1f1792117 |
| institution | OA Journals |
| issn | 1674-0491 |
| language | zho |
| publishDate | 2024-08-01 |
| publisher | Editorial Office of Journal of Colorectal & Anal Surgery |
| record_format | Article |
| series | 结直肠肛门外科 |
| spelling | doaj-art-7182b05fcbb349bba90fb5b1f17921172025-08-20T02:31:02ZzhoEditorial Office of Journal of Colorectal & Anal Surgery结直肠肛门外科1674-04912024-08-0130445545910.19668/j.cnki.issn1674-0491.2024.04.009Randomized controlled study on the treatment of circumferential mixed hemorrhoids with submucosal hemorrhoidectomy based on the theory of “preserving tissue with minimal damage”Shi Rong0Wang Zhaochu1Chen Luyao2Lian Yufeng3Jiang Linzhen4Huang Juan5Chen Zuqing6Wang Jing7Department of Anorectal Surgery, The People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Fuzhou 350004, Fujian, ChinaDepartment of Anorectal Surgery, The People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Fuzhou 350004, Fujian, ChinaDepartment of Anorectal Surgery, The People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Fuzhou 350004, Fujian, ChinaDepartment of Anorectal Surgery, The People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Fuzhou 350004, Fujian, ChinaDepartment of Anorectal Surgery, The People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Fuzhou 350004, Fujian, ChinaDepartment of Anorectal Surgery, The People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Fuzhou 350004, Fujian, ChinaDepartment of Anorectal Surgery, The People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Fuzhou 350004, Fujian, ChinaDepartment of Anorectal Surgery, The People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Fuzhou 350004, Fujian, China[Objectives] To investigate the efficacy of submucosal hemorrhoidectomy (abbreviated as “large C-loop” technique) for the treatment of circumferential mixed hemorrhoids using a randomized controlled study. [Methods] A total of 106 patients with circumferential mixed hemorrhoids who visited the People’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine from July 2023 to September 2023 were enrolled as study subjects and randomly divided into a control group (treated with procedure for prolapse and hemorrhoids) and an observation group (treated with the“large C-loop” technique). The anal distension (anal distension scores) on postoperative day 1 and day 7, quality of life (measured by the 5-level version of EuroQol five dimensions questionnaire, EQ-5D-5L) on postoperative day 7 and 1 month, and postoperative complications (such as secondary bleeding and anal stenosis) were compared between the two groups. [Results] The anal distension scores on postoperative day 1 and day 7 in the observation group were significantly lower than those in the control group, with statistically significant differences (P<0.05). On postoperative day 7, the EQ-5D-5L scores in the observation group were significantly lower than those in the control group, with a statistically significant difference (P<0.05). However, there was no statistically significant difference in EQ-5D-5L scores between the two groups at 1 month postoperatively (P>0.05). No statistically significant difference was found in postoperative complications between the two groups (P>0.05). [Conclusion] The “large C-loop” technique has significant advantages in improving early postoperative anal distension and quality of life in patients with circumferential mixed hemorrhoids, making it worthy of clinical promotion and application.https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=303&cateName=2024%E5%B9%B4%20%E7%AC%AC30%E5%8D%B7%20%E7%AC%AC4%E6%9C%9Fcircumferential mixed hemorrhoidsprocedure for prolapse and hemorrhoidsanal distensioneq-5d-5l |
| spellingShingle | Shi Rong Wang Zhaochu Chen Luyao Lian Yufeng Jiang Linzhen Huang Juan Chen Zuqing Wang Jing Randomized controlled study on the treatment of circumferential mixed hemorrhoids with submucosal hemorrhoidectomy based on the theory of “preserving tissue with minimal damage” 结直肠肛门外科 circumferential mixed hemorrhoids procedure for prolapse and hemorrhoids anal distension eq-5d-5l |
| title | Randomized controlled study on the treatment of circumferential mixed hemorrhoids with submucosal hemorrhoidectomy based on the theory of “preserving tissue with minimal damage” |
| title_full | Randomized controlled study on the treatment of circumferential mixed hemorrhoids with submucosal hemorrhoidectomy based on the theory of “preserving tissue with minimal damage” |
| title_fullStr | Randomized controlled study on the treatment of circumferential mixed hemorrhoids with submucosal hemorrhoidectomy based on the theory of “preserving tissue with minimal damage” |
| title_full_unstemmed | Randomized controlled study on the treatment of circumferential mixed hemorrhoids with submucosal hemorrhoidectomy based on the theory of “preserving tissue with minimal damage” |
| title_short | Randomized controlled study on the treatment of circumferential mixed hemorrhoids with submucosal hemorrhoidectomy based on the theory of “preserving tissue with minimal damage” |
| title_sort | randomized controlled study on the treatment of circumferential mixed hemorrhoids with submucosal hemorrhoidectomy based on the theory of preserving tissue with minimal damage |
| topic | circumferential mixed hemorrhoids procedure for prolapse and hemorrhoids anal distension eq-5d-5l |
| url | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=303&cateName=2024%E5%B9%B4%20%E7%AC%AC30%E5%8D%B7%20%E7%AC%AC4%E6%9C%9F |
| work_keys_str_mv | AT shirong randomizedcontrolledstudyonthetreatmentofcircumferentialmixedhemorrhoidswithsubmucosalhemorrhoidectomybasedonthetheoryofpreservingtissuewithminimaldamage AT wangzhaochu randomizedcontrolledstudyonthetreatmentofcircumferentialmixedhemorrhoidswithsubmucosalhemorrhoidectomybasedonthetheoryofpreservingtissuewithminimaldamage AT chenluyao randomizedcontrolledstudyonthetreatmentofcircumferentialmixedhemorrhoidswithsubmucosalhemorrhoidectomybasedonthetheoryofpreservingtissuewithminimaldamage AT lianyufeng randomizedcontrolledstudyonthetreatmentofcircumferentialmixedhemorrhoidswithsubmucosalhemorrhoidectomybasedonthetheoryofpreservingtissuewithminimaldamage AT jianglinzhen randomizedcontrolledstudyonthetreatmentofcircumferentialmixedhemorrhoidswithsubmucosalhemorrhoidectomybasedonthetheoryofpreservingtissuewithminimaldamage AT huangjuan randomizedcontrolledstudyonthetreatmentofcircumferentialmixedhemorrhoidswithsubmucosalhemorrhoidectomybasedonthetheoryofpreservingtissuewithminimaldamage AT chenzuqing randomizedcontrolledstudyonthetreatmentofcircumferentialmixedhemorrhoidswithsubmucosalhemorrhoidectomybasedonthetheoryofpreservingtissuewithminimaldamage AT wangjing randomizedcontrolledstudyonthetreatmentofcircumferentialmixedhemorrhoidswithsubmucosalhemorrhoidectomybasedonthetheoryofpreservingtissuewithminimaldamage |