{"title":"Evaluation of clinical efficacy of suture-fixation mucopexy in the treatment of prolapsed hemorrhoid.","authors":"M. Zhai, Yizhen Wu, Rui-sheng Xu, Zhijun Zhang","doi":"10.23736/S0026-4733.20.08526-0","DOIUrl":null,"url":null,"abstract":"BACHGROUND\nTo evaluate the clinical efficacy of suture-fixation mucopexy in the treatment of prolapsed hemorrhoids.\n\n\nMETHODS\nA total of 123 patients with grade II, III, and IV hemorrhoids were admitted to The TCM Hospital of Pu Dong New District between 2018 and 2019. They were randomly divided into the suture-fixation group (SF, n=60) and the Milligan-Morgan hemorrhoidectomy group (MM, n=63). Clinical efficacy, postoperative pain, average operation time, hospital stay, complications, and patient satisfaction were prospectively evaluated.\n\n\nRESULTS\nNo significant differences were identified in clinical efficacy, operation time and hospital stay between the two groups (P>0.05). However, VAS score in the SF group was lower than that in the MM group. And the SF group was also more advantageous in anal function protection (P<0.05). In addition, the results of the follow-up survey revealed no significant difference in postoperative recurrence rate and patient satisfaction (P>0.05).\n\n\nCONCLUSIONS\nCompared with Milligan-Morgan hemorrhoidectomy, suture-fixation mucopexy is as effective in the treatment of prolapsed hemorrhoid, but it has more advantages in reducing postoperative pain and protecting the anal function.","PeriodicalId":18714,"journal":{"name":"Minerva chirurgica","volume":null,"pages":null},"PeriodicalIF":1.3000,"publicationDate":"2021-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Minerva chirurgica","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.23736/S0026-4733.20.08526-0","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 2
Abstract
BACHGROUND
To evaluate the clinical efficacy of suture-fixation mucopexy in the treatment of prolapsed hemorrhoids.
METHODS
A total of 123 patients with grade II, III, and IV hemorrhoids were admitted to The TCM Hospital of Pu Dong New District between 2018 and 2019. They were randomly divided into the suture-fixation group (SF, n=60) and the Milligan-Morgan hemorrhoidectomy group (MM, n=63). Clinical efficacy, postoperative pain, average operation time, hospital stay, complications, and patient satisfaction were prospectively evaluated.
RESULTS
No significant differences were identified in clinical efficacy, operation time and hospital stay between the two groups (P>0.05). However, VAS score in the SF group was lower than that in the MM group. And the SF group was also more advantageous in anal function protection (P<0.05). In addition, the results of the follow-up survey revealed no significant difference in postoperative recurrence rate and patient satisfaction (P>0.05).
CONCLUSIONS
Compared with Milligan-Morgan hemorrhoidectomy, suture-fixation mucopexy is as effective in the treatment of prolapsed hemorrhoid, but it has more advantages in reducing postoperative pain and protecting the anal function.
期刊介绍:
Minerva Chirurgica publishes scientific papers on surgery. Manuscripts may be submitted in the form of editorials, original articles, review articles, case reports, special articles, letters to the Editor and guidelines. The journal aims to provide its readers with papers of the highest quality and impact through a process of careful peer review and editorial work.