Evaluation of clinical efficacy of suture-fixation mucopexy in the treatment of prolapsed hemorrhoid.

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.