Tags

Type your tag names separated by a space and hit enter

[Efficacy of the procedure for prolapse and hemorrhoids combined with external hemorrhoids excision in the treatment of III or IV mixed hemorrhoids].
Zhonghua Wei Chang Wai Ke Za Zhi. 2008 Nov; 11(6):525-8.ZW

Abstract

OBJECTIVE

To investigate the efficacy of the procedure for prolapse and hemorrhoids (PPH) combined with external hemorrhoids excision in the treatment of III or IV mixed hemorrhoids.

METHODS

One hundred and twelve patients with III or IV mixed hemorrhoids admitted for surgical treatment were randomly divided into three groups: PPH 1 group (34 cases), PPH2 group (36 cases), and Milligan-Morgan group (42 cases). PPH1 group received the standard PPH operation, PPH2 received PPH and external hemorrhoids excision, and Milligan-Morgan group received Milligan-Morgan hemorrhoidectomy. Postoperative 24 h-pain index, pain index when defecating, bleeding, anal discomfort feeling , wound edema, the ability of controlling feces, operating time, hospitalization time and charges were recorded. The change of anal dynamics was detected by anorectal manometry. All the patients were followed-up for 0.5-1 year.

RESULTS

There were no significant differences among the three groups in bleeding, anal discomfort feeling, the ability of controlling feces (P>0.05). The postoperative 24 h-pain index of PPH1 group was lower than those of the other two groups (P<0.05). PPH1 group and PPH2 group were better than Milligan-Morgan group in pain index when defecating, wound edema, operating time, and hospitalization time (P<0.05). Milligan-Morgan group was better than the other two groups in postoperative urinary retention and hospital charges (P<0.05). The change of anal duct pressure of Milligan-Morgan group was less than those of the other two groups (P<0.05). Within 0.5-1.0 year follow-up, 3 patients got thrombosed external hemorrhoid in PPH1 group, 2 patients recurred and 1 patient got thrombosed external hemorrhoid in Milligan-Morgan group, no recurred patients in PPH2 group.

CONCLUSION

PPH combined with external hemorrhoid excision is a safe and effective treatment for mixed hemorrhoids, which is suitable for mixed hemorrhoids with severe external hemorrhoids.

Authors+Show Affiliations

Department of Colorectal Surgery, The Third People's Hospital of Hangzhou, Hangzhou 310009, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
English Abstract
Journal Article
Randomized Controlled Trial

Language

chi

PubMed ID

19031126

Citation

Liao, Xiu-jun, et al. "[Efficacy of the Procedure for Prolapse and Hemorrhoids Combined With External Hemorrhoids Excision in the Treatment of III or IV Mixed Hemorrhoids]." Zhonghua Wei Chang Wai Ke Za Zhi = Chinese Journal of Gastrointestinal Surgery, vol. 11, no. 6, 2008, pp. 525-8.
Liao XJ, Meng Q, Yang GG, et al. [Efficacy of the procedure for prolapse and hemorrhoids combined with external hemorrhoids excision in the treatment of III or IV mixed hemorrhoids]. Zhonghua Wei Chang Wai Ke Za Zhi. 2008;11(6):525-8.
Liao, X. J., Meng, Q., Yang, G. G., Shen, Z., Yang, Q. Y., & Wu, W. J. (2008). [Efficacy of the procedure for prolapse and hemorrhoids combined with external hemorrhoids excision in the treatment of III or IV mixed hemorrhoids]. Zhonghua Wei Chang Wai Ke Za Zhi = Chinese Journal of Gastrointestinal Surgery, 11(6), 525-8.
Liao XJ, et al. [Efficacy of the Procedure for Prolapse and Hemorrhoids Combined With External Hemorrhoids Excision in the Treatment of III or IV Mixed Hemorrhoids]. Zhonghua Wei Chang Wai Ke Za Zhi. 2008;11(6):525-8. PubMed PMID: 19031126.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Efficacy of the procedure for prolapse and hemorrhoids combined with external hemorrhoids excision in the treatment of III or IV mixed hemorrhoids]. AU - Liao,Xiu-jun, AU - Meng,Qiang, AU - Yang,Guan-gen, AU - Shen,Zhong, AU - Yang,Qin-yan, AU - Wu,Wen-jing, PY - 2008/11/26/pubmed PY - 2010/3/10/medline PY - 2008/11/26/entrez SP - 525 EP - 8 JF - Zhonghua wei chang wai ke za zhi = Chinese journal of gastrointestinal surgery JO - Zhonghua Wei Chang Wai Ke Za Zhi VL - 11 IS - 6 N2 - OBJECTIVE: To investigate the efficacy of the procedure for prolapse and hemorrhoids (PPH) combined with external hemorrhoids excision in the treatment of III or IV mixed hemorrhoids. METHODS: One hundred and twelve patients with III or IV mixed hemorrhoids admitted for surgical treatment were randomly divided into three groups: PPH 1 group (34 cases), PPH2 group (36 cases), and Milligan-Morgan group (42 cases). PPH1 group received the standard PPH operation, PPH2 received PPH and external hemorrhoids excision, and Milligan-Morgan group received Milligan-Morgan hemorrhoidectomy. Postoperative 24 h-pain index, pain index when defecating, bleeding, anal discomfort feeling , wound edema, the ability of controlling feces, operating time, hospitalization time and charges were recorded. The change of anal dynamics was detected by anorectal manometry. All the patients were followed-up for 0.5-1 year. RESULTS: There were no significant differences among the three groups in bleeding, anal discomfort feeling, the ability of controlling feces (P>0.05). The postoperative 24 h-pain index of PPH1 group was lower than those of the other two groups (P<0.05). PPH1 group and PPH2 group were better than Milligan-Morgan group in pain index when defecating, wound edema, operating time, and hospitalization time (P<0.05). Milligan-Morgan group was better than the other two groups in postoperative urinary retention and hospital charges (P<0.05). The change of anal duct pressure of Milligan-Morgan group was less than those of the other two groups (P<0.05). Within 0.5-1.0 year follow-up, 3 patients got thrombosed external hemorrhoid in PPH1 group, 2 patients recurred and 1 patient got thrombosed external hemorrhoid in Milligan-Morgan group, no recurred patients in PPH2 group. CONCLUSION: PPH combined with external hemorrhoid excision is a safe and effective treatment for mixed hemorrhoids, which is suitable for mixed hemorrhoids with severe external hemorrhoids. SN - 1671-0274 UR - https://www.unboundmedicine.com/medline/citation/19031126/[Efficacy_of_the_procedure_for_prolapse_and_hemorrhoids_combined_with_external_hemorrhoids_excision_in_the_treatment_of_III_or_IV_mixed_hemorrhoids]_ L2 - http://journal.yiigle.com/LinkIn.do?linkin_type=pubmed&amp;issn=1671-0274&amp;year=2008&amp;vol=11&amp;issue=6&amp;fpage=525 DB - PRIME DP - Unbound Medicine ER -