The Effect of Different Surgical Techniques of Haemorrhoidectomy on the Occurrence of Postoperative Hypertrophic Anal Papillae.

Jie Xu, Yongzhi Lv, Weiping Chang, Huan Jia
{"title":"The Effect of Different Surgical Techniques of Haemorrhoidectomy on the Occurrence of Postoperative Hypertrophic Anal Papillae.","authors":"Jie Xu, Yongzhi Lv, Weiping Chang, Huan Jia","doi":"10.29271/jcpsp.2025.03.287","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To explore the differences in the occurrence of postoperative hypertrophic anal papillae (HAP) using different surgical techniques (Ferguson haemorrhoidectomy or Milligan-Morgan haemorrhoidectomy), and whether the haemorrhoidectomy technique is an independent risk factor of postoperative HAP.</p><p><strong>Study design: </strong>A descriptive study. Place and Duration of the Study: The First Affiliated Hospital of Xi'an Medical University, Xi'an, Shaanxi, China, from October 2018 to 2023.</p><p><strong>Methodology: </strong>Data were collected retrospectively from the electronic inpatient and outpatient records of patients with haemorrhoidectomy who were grouped according to the specific haemorrhoidectomy technique, and the difference in the incidence rate of postoperative HAP between the two groups was compared by χ2 test. In addition, the correlation between other observation indicators and postoperative HAP was tested. Relevant indicators were included in binary logistic regression analysis to determine whether the haemorrhoidectomy technique was an independent risk factor for postoperative HAP.</p><p><strong>Results: </strong>This study collected 815 cases with 494 Milligan-Morgan surgery and 321 Ferguson surgery. Twenty-six (8.1%) cases with Ferguson surgery and 13.16% cases with Miligan-Morgan surgery (n = 65) had postoperative HAP. The difference between the two groups is statistically significant (p = 0.025). After multivariate regression analysis, it was found that the haemorrhoidectomy technique was an independent risk factor of postoperative HAP (p = 0.004).</p><p><strong>Conclusion: </strong>The frequency of postoperative HAP varies significantly between Milligan-Morgan haemorrhoidectomy and Ferguson haemorrhoidectomy, and the haemorrhoidectomy technique can independently affect the occurrence of postoperative HAP. In order to get a lower occurrence of postoperative HAP, it was recommended for front-line colorectal doctors to consider the Ferguson haemorrhoidectomy.</p><p><strong>Key words: </strong>Ferguson haemorrhoidectomy, Milligan-Morgan haemorrhoidectomy, Mixed haemorrhoids, Hypertrophic anal papillae, Independent risk factor.</p>","PeriodicalId":94116,"journal":{"name":"Journal of the College of Physicians and Surgeons--Pakistan : JCPSP","volume":"35 3","pages":"287-291"},"PeriodicalIF":0.0000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the College of Physicians and Surgeons--Pakistan : JCPSP","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.29271/jcpsp.2025.03.287","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Objective: To explore the differences in the occurrence of postoperative hypertrophic anal papillae (HAP) using different surgical techniques (Ferguson haemorrhoidectomy or Milligan-Morgan haemorrhoidectomy), and whether the haemorrhoidectomy technique is an independent risk factor of postoperative HAP.

Study design: A descriptive study. Place and Duration of the Study: The First Affiliated Hospital of Xi'an Medical University, Xi'an, Shaanxi, China, from October 2018 to 2023.

Methodology: Data were collected retrospectively from the electronic inpatient and outpatient records of patients with haemorrhoidectomy who were grouped according to the specific haemorrhoidectomy technique, and the difference in the incidence rate of postoperative HAP between the two groups was compared by χ2 test. In addition, the correlation between other observation indicators and postoperative HAP was tested. Relevant indicators were included in binary logistic regression analysis to determine whether the haemorrhoidectomy technique was an independent risk factor for postoperative HAP.

Results: This study collected 815 cases with 494 Milligan-Morgan surgery and 321 Ferguson surgery. Twenty-six (8.1%) cases with Ferguson surgery and 13.16% cases with Miligan-Morgan surgery (n = 65) had postoperative HAP. The difference between the two groups is statistically significant (p = 0.025). After multivariate regression analysis, it was found that the haemorrhoidectomy technique was an independent risk factor of postoperative HAP (p = 0.004).

Conclusion: The frequency of postoperative HAP varies significantly between Milligan-Morgan haemorrhoidectomy and Ferguson haemorrhoidectomy, and the haemorrhoidectomy technique can independently affect the occurrence of postoperative HAP. In order to get a lower occurrence of postoperative HAP, it was recommended for front-line colorectal doctors to consider the Ferguson haemorrhoidectomy.

Key words: Ferguson haemorrhoidectomy, Milligan-Morgan haemorrhoidectomy, Mixed haemorrhoids, Hypertrophic anal papillae, Independent risk factor.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
求助全文
约1分钟内获得全文 去求助
来源期刊
自引率
0.00%
发文量
0
期刊最新文献
Stem Cell Mobilisation Failure in Auto HSCT and Its Factors: A Single Centre Experience. The Effect of Different Surgical Techniques of Haemorrhoidectomy on the Occurrence of Postoperative Hypertrophic Anal Papillae. The Need for a Multidimensional Approach to Mortality Prediction in COVID-19: A Critical Review of Recent Findings. Variations and Clinical Implications of Serum Gal-3 and IL-6 in Heart Failure Individuals Complicated with Renal Impairment. A Systematic Review and Meta-Analysis on the Impact of Screen-Time on the Social-Emotional Development of Children Under Five Years.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1