Anatomical hemorrhoidectomy and semi-shutting suture combined with mucosal ligation for mixed hemorrhoids
[Objectives] To investigate the effect of anatomical hemorrhoidectomy and semi-shutting suture combined with mucosal ligation for mixed hemorrhoids. [Methods] Eighty patients with mixed hemorrhoids treated at our hospital between May 2019 and May 2020 were recruited and randomly assigned to the trea...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | zho |
| Published: |
Editorial Office of Journal of Colorectal & Anal Surgery
2022-06-01
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| Series: | 结直肠肛门外科 |
| Subjects: | |
| Online Access: | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=411&cateName=2022%E5%B9%B4%20%E7%AC%AC28%E5%8D%B7%20%E7%AC%AC3%E6%9C%9F |
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| Summary: | [Objectives] To investigate the effect of anatomical hemorrhoidectomy and semi-shutting suture combined with mucosal ligation for mixed hemorrhoids. [Methods] Eighty patients with mixed hemorrhoids treated at our hospital between May 2019 and May 2020 were recruited and randomly assigned to the treatment and control group using the random number table. Patients in the control group were treated with conventional Milligan-Morgan surgery. Patients in the treatment group were treated with anatomical hemorrhoidectomy and semi-shutting suture combined with mucosal ligation. The followings were compared between the two groups: effectiveness, surgical parameters, postoperative pain visual analog scale (VAS) score, postoperative complications, recurrence, and patients’satisfaction. [Results] At 6 months after surgery, the overall effectiveness rate was 100% in both groups. The overall effectiveness and the proportion of patients who were considered “cured”were higher in the treatment group (P < 0.05). The treatment group had significantly longer duration of surgery, less intraoperative blood loss, shorter time to incision healing, and shorter postoperative hospitalization than the control group (P < 0.05). Pain VAS score at the first postoperative defecation was 3 (2, 4) in the treatment group and 5.5 (5.0, 7.0) in the control group, with a significant between-group difference (P < 0.05). The scores based on the VAS according to the time points of 6, 12, and 48 hours after surgery revealed that pain was less in the treatment group than in the control group (P < 0.05), and the pain decreased significantly over time (P < 0.05). The incidence of urinary retention, incision edge edema, anal distension, and the overall incidence of complications within 30 days postoperative was significantly lower in the treatment group than in the control group (P < 0.05). The incidence of postoperative bleeding and anorectal stricture was similar between the two groups (P > 0.05). The two groups did not differ significantly concerning the recurrence rate at 1 year postoperative (P > 0.05). Patients’satisfaction at 6 months postoperative was significantly greater in the treatment group than in the control group (P < 0.05). [Conclusion] Anatomical hemorrhoidectomy and semi-shutting suture combined with mucosal ligation can achieve desirable cure rate for mixed hemorrhoids. Compared with conventional Milligan-Morgan surgery, it can alleviate patients’postoperative pain, reduce postoperative complications, promote postoperative recovery, and improve patients’satisfaction. |
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| ISSN: | 1674-0491 |