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[A meta-analysis on short and long term efficacy and safety of procedure for prolapse and hemorrhoids].
Zhonghua Wai Ke Za Zhi. 2013 Nov; 51(11):1034-8.ZW

Abstract

OBJECTIVE

To Systematic review and meta-analysis of short and long term efficacy and safety of procedure for prolapse and hemorrhoids.

METHODS

Electronic databases including Cochrane Library, PubMed, OVID, SpringerLinker, ScinceDirect, EBSCO, CNKI, VIP, WanFang Data and CBM were searched. The date of search was between January 2000 and January 2013. Randomized controlled trials (RCTs) were indentified studying association of Compare PPH and Milligan-Mogan (MMH) treatment. Study selection and meta-analysis were conducted according to the Cochrane Handbook for RevMan 5.1 software.

RESULTS

The trials involving 1343 patients were included. The results of meta-analysis indicated: compared with MMH, PPH operative time (OR = -11.05, 95%CI: -15.15--6.95, P < 0.01), duration of hospitalization (OR = -3.07, 95%CI: -4.46--1.69, P < 0.01) and return to normal activity time (OR = -7.17, 95%CI: - 9.13--5.20, P < 0.01) was short, postoperative pain light (OR = -3.13, 95%CI: -4.38--1.88, P < 0.01), but the high cost of treatment (OR = 2534.2, 95%CI: 509.0-4559.4, P = 0.01). Long-term efficacy, PPH was higher patient satisfaction (OR = 2.21, 95%CI: 1.03-4.75, P = 0.04), but the recurrence rate of prolapse (OR = 3.75, 95%CI: 1.75-8.06, P < 0.01) and reoperation rate (OR = 7.90, 95%CI: 1.78-35.03, P < 0.01) higher. The incidence of anal stenosis and anal incontinence postoperative were higher than MMH (P > 0.05). The difference of post operative anal stenosis and anal incontinence and residual skin tag rate were not statistically significant (all P > 0.05).

CONCLUSIONS

PPH surgery can be used as replacement therapy of MMH for III°-IV° prolapsed hemorrhoids. But we should inform patients of prolapse recurrence and reoperation risk of PPH in the long term.

Authors+Show Affiliations

Department of Anorectal Surgery, the First Affiliated Hospital, Xinjiang Medical University, Urumqi 830054, China.Department of Anorectal Surgery, the First Affiliated Hospital, Xinjiang Medical University, Urumqi 830054, China.Department of Anorectal Surgery, the First Affiliated Hospital, Xinjiang Medical University, Urumqi 830054, China.Department of Anorectal Surgery, the First Affiliated Hospital, Xinjiang Medical University, Urumqi 830054, China.Department of Anorectal Surgery, the First Affiliated Hospital, Xinjiang Medical University, Urumqi 830054, China.Department of Anorectal Surgery, the First Affiliated Hospital, Xinjiang Medical University, Urumqi 830054, China.Department of Anorectal Surgery, the First Affiliated Hospital, Xinjiang Medical University, Urumqi 830054, China. Email:luming123luming@163.com.

Pub Type(s)

Journal Article
Meta-Analysis
Research Support, Non-U.S. Gov't
Review
Systematic Review

Language

chi

PubMed ID

24444692

Citation

Wang, Guo-qiang, et al. "[A Meta-analysis On Short and Long Term Efficacy and Safety of Procedure for Prolapse and Hemorrhoids]." Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery], vol. 51, no. 11, 2013, pp. 1034-8.
Wang GQ, Liu Y, Liu Q, et al. [A meta-analysis on short and long term efficacy and safety of procedure for prolapse and hemorrhoids]. Zhonghua Wai Ke Za Zhi. 2013;51(11):1034-8.
Wang, G. Q., Liu, Y., Liu, Q., Yang, R. Q., Hong, W., Fan, K., & Lu, M. (2013). [A meta-analysis on short and long term efficacy and safety of procedure for prolapse and hemorrhoids]. Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery], 51(11), 1034-8.
Wang GQ, et al. [A Meta-analysis On Short and Long Term Efficacy and Safety of Procedure for Prolapse and Hemorrhoids]. Zhonghua Wai Ke Za Zhi. 2013;51(11):1034-8. PubMed PMID: 24444692.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [A meta-analysis on short and long term efficacy and safety of procedure for prolapse and hemorrhoids]. AU - Wang,Guo-qiang, AU - Liu,Yang, AU - Liu,Qing, AU - Yang,Run-qing, AU - Hong,Wen, AU - Fan,Kai, AU - Lu,Ming, PY - 2014/1/22/entrez PY - 2014/1/22/pubmed PY - 2015/4/9/medline SP - 1034 EP - 8 JF - Zhonghua wai ke za zhi [Chinese journal of surgery] JO - Zhonghua Wai Ke Za Zhi VL - 51 IS - 11 N2 - OBJECTIVE: To Systematic review and meta-analysis of short and long term efficacy and safety of procedure for prolapse and hemorrhoids. METHODS: Electronic databases including Cochrane Library, PubMed, OVID, SpringerLinker, ScinceDirect, EBSCO, CNKI, VIP, WanFang Data and CBM were searched. The date of search was between January 2000 and January 2013. Randomized controlled trials (RCTs) were indentified studying association of Compare PPH and Milligan-Mogan (MMH) treatment. Study selection and meta-analysis were conducted according to the Cochrane Handbook for RevMan 5.1 software. RESULTS: The trials involving 1343 patients were included. The results of meta-analysis indicated: compared with MMH, PPH operative time (OR = -11.05, 95%CI: -15.15--6.95, P < 0.01), duration of hospitalization (OR = -3.07, 95%CI: -4.46--1.69, P < 0.01) and return to normal activity time (OR = -7.17, 95%CI: - 9.13--5.20, P < 0.01) was short, postoperative pain light (OR = -3.13, 95%CI: -4.38--1.88, P < 0.01), but the high cost of treatment (OR = 2534.2, 95%CI: 509.0-4559.4, P = 0.01). Long-term efficacy, PPH was higher patient satisfaction (OR = 2.21, 95%CI: 1.03-4.75, P = 0.04), but the recurrence rate of prolapse (OR = 3.75, 95%CI: 1.75-8.06, P < 0.01) and reoperation rate (OR = 7.90, 95%CI: 1.78-35.03, P < 0.01) higher. The incidence of anal stenosis and anal incontinence postoperative were higher than MMH (P > 0.05). The difference of post operative anal stenosis and anal incontinence and residual skin tag rate were not statistically significant (all P > 0.05). CONCLUSIONS: PPH surgery can be used as replacement therapy of MMH for III°-IV° prolapsed hemorrhoids. But we should inform patients of prolapse recurrence and reoperation risk of PPH in the long term. SN - 0529-5815 UR - https://www.unboundmedicine.com/medline/citation/24444692/[A_meta_analysis_on_short_and_long_term_efficacy_and_safety_of_procedure_for_prolapse_and_hemorrhoids]_ L2 - http://journal.yiigle.com/LinkIn.do?linkin_type=pubmed&amp;issn=0529-5815&amp;year=2013&amp;vol=51&amp;issue=11&amp;fpage=1034 DB - PRIME DP - Unbound Medicine ER -