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A Randomized Multicenter Clinical Trial of RPH With the Simplified Milligan-Morgan Hemorrhoidectomy in the Treatment of Mixed Hemorrhoids.
Surg Innov. 2017 Dec; 24(6):574-581.SI

Abstract

PURPOSE

To explore the safety and efficacy of Ruiyun procedure for hemorrhoids (RPH) or RPH with the simplified Milligan-Morgan hemorrhoidectomy (sMMH) in the treatment of mixed hemorrhoids.

METHODS

This is a randomized, controlled, balanced, multicenter study of 3000 patients with mixed hemorrhoids. The outcomes and postoperative complications were compared between 5 types of surgeries.

RESULTS

The efficacy rate was the highest in patients who received RPH+sMMH and decreased in the following order: patients who received RPH alone, MMH alone, procedure for prolapse and hemorrhoids (PPH) alone, and PPH+sMMH (P < .05). The operation time was the shortest in patients who received RPH alone and increased in the following order: patients who received RPH+sMMH, PPH alone, MMH alone, and PPH+sMMH (P < .01). The duration of postoperative hospitalization stay was the shortest in patients who received RPH alone and increased in the following order: PPH alone, RPH+sMMH, PPH+sMMH, and MMH alone (P < .01). The incidence of postoperative hemorrhage, uroschesis, anal fissure, crissum hematoma or thrombosis, and anorectal stenosis was significantly lower in patients who received RPH+sMMH than in patients who received the other 4 types of surgical treatments (P < .05, P < .01). No significant differences in postoperative rectovaginal fistula and anal incontinence were observed between the 5 groups of patients.

CONCLUSIONS

RPH with or without simplified MMH can reduce the incidence of postoperative complications and improve the curative efficacy in the treatment of patients with mixed hemorrhoids.

Authors+Show Affiliations

1 The Second Affiliated Hospital of Hunan University of Traditional Chinese Medicine, Changsha, Hunan, China.2 Changde Hospital of Hunan University of Traditional Chinese Medicine, Hunan, China.3 Xuzhou Hospital of Nanjing University of Traditional Chinese Medicine, Jiangsu, China.4 Teaching Hospital of Chengdu University of Traditional Chinese Medicine, Hunan, China.5 Changsha Hospital of Hunan University of Traditional Chinese Medicine, Hunan, China.6 Chenzhou Hospital of Southern Medical University, Hunan, China.7 The Third Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Jiangsu, China.8 Eighth Hospital of Wuhan City, Hubei, China.9 Yueyang Hospital of Hunan University of Traditional Chinese Medicine, Hunan, China.10 Hebei Province Cangzhou Hospital of Integrated Traditional and Western Medicine, China.1 The Second Affiliated Hospital of Hunan University of Traditional Chinese Medicine, Changsha, Hunan, China.1 The Second Affiliated Hospital of Hunan University of Traditional Chinese Medicine, Changsha, Hunan, China.2 Changde Hospital of Hunan University of Traditional Chinese Medicine, Hunan, China.3 Xuzhou Hospital of Nanjing University of Traditional Chinese Medicine, Jiangsu, China.4 Teaching Hospital of Chengdu University of Traditional Chinese Medicine, Hunan, China.5 Changsha Hospital of Hunan University of Traditional Chinese Medicine, Hunan, China.6 Chenzhou Hospital of Southern Medical University, Hunan, China.7 The Third Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Jiangsu, China.8 Eighth Hospital of Wuhan City, Hubei, China.9 Yueyang Hospital of Hunan University of Traditional Chinese Medicine, Hunan, China.

Pub Type(s)

Journal Article
Multicenter Study
Randomized Controlled Trial

Language

eng

PubMed ID

28918703

Citation

He, Yong-Heng, et al. "A Randomized Multicenter Clinical Trial of RPH With the Simplified Milligan-Morgan Hemorrhoidectomy in the Treatment of Mixed Hemorrhoids." Surgical Innovation, vol. 24, no. 6, 2017, pp. 574-581.
He YH, Tang ZJ, Xu XT, et al. A Randomized Multicenter Clinical Trial of RPH With the Simplified Milligan-Morgan Hemorrhoidectomy in the Treatment of Mixed Hemorrhoids. Surg Innov. 2017;24(6):574-581.
He, Y. H., Tang, Z. J., Xu, X. T., Huang, D. Q., Zhang, L. S., Tang, Q. Z., Fan, Z. M., Zou, X. J., Zou, G. J., Zhang, C. Y., Hu, F., Xie, B., Li, Y. H., Tong, Y., Liu, H. C., Li, K., Luo, Y. L., Liu, F., Situ, G. W., & Liu, Z. L. (2017). A Randomized Multicenter Clinical Trial of RPH With the Simplified Milligan-Morgan Hemorrhoidectomy in the Treatment of Mixed Hemorrhoids. Surgical Innovation, 24(6), 574-581. https://doi.org/10.1177/1553350617731205
He YH, et al. A Randomized Multicenter Clinical Trial of RPH With the Simplified Milligan-Morgan Hemorrhoidectomy in the Treatment of Mixed Hemorrhoids. Surg Innov. 2017;24(6):574-581. PubMed PMID: 28918703.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A Randomized Multicenter Clinical Trial of RPH With the Simplified Milligan-Morgan Hemorrhoidectomy in the Treatment of Mixed Hemorrhoids. AU - He,Yong-Heng, AU - Tang,Zhi-Jun, AU - Xu,Xiang-Tong, AU - Huang,De-Quan, AU - Zhang,Li-Shun, AU - Tang,Qing-Zhu, AU - Fan,Zhi-Min, AU - Zou,Xian-Jun, AU - Zou,Guo-Jun, AU - Zhang,Chong-Yang, AU - Hu,Fan, AU - Xie,Biao, AU - Li,Yan-Hua, AU - Tong,Yao, AU - Liu,Hong-Chang, AU - Li,Ke, AU - Luo,Yu-Lian, AU - Liu,Fei, AU - Situ,Guang-Wei, AU - Liu,Zuo-Long, Y1 - 2017/09/16/ PY - 2017/9/19/pubmed PY - 2018/8/7/medline PY - 2017/9/19/entrez KW - cuff-ligating therapy KW - hemorrhoids KW - ligature therapy KW - postoperative complications SP - 574 EP - 581 JF - Surgical innovation JO - Surg Innov VL - 24 IS - 6 N2 - PURPOSE: To explore the safety and efficacy of Ruiyun procedure for hemorrhoids (RPH) or RPH with the simplified Milligan-Morgan hemorrhoidectomy (sMMH) in the treatment of mixed hemorrhoids. METHODS: This is a randomized, controlled, balanced, multicenter study of 3000 patients with mixed hemorrhoids. The outcomes and postoperative complications were compared between 5 types of surgeries. RESULTS: The efficacy rate was the highest in patients who received RPH+sMMH and decreased in the following order: patients who received RPH alone, MMH alone, procedure for prolapse and hemorrhoids (PPH) alone, and PPH+sMMH (P < .05). The operation time was the shortest in patients who received RPH alone and increased in the following order: patients who received RPH+sMMH, PPH alone, MMH alone, and PPH+sMMH (P < .01). The duration of postoperative hospitalization stay was the shortest in patients who received RPH alone and increased in the following order: PPH alone, RPH+sMMH, PPH+sMMH, and MMH alone (P < .01). The incidence of postoperative hemorrhage, uroschesis, anal fissure, crissum hematoma or thrombosis, and anorectal stenosis was significantly lower in patients who received RPH+sMMH than in patients who received the other 4 types of surgical treatments (P < .05, P < .01). No significant differences in postoperative rectovaginal fistula and anal incontinence were observed between the 5 groups of patients. CONCLUSIONS: RPH with or without simplified MMH can reduce the incidence of postoperative complications and improve the curative efficacy in the treatment of patients with mixed hemorrhoids. SN - 1553-3514 UR - https://www.unboundmedicine.com/medline/citation/28918703/A_Randomized_Multicenter_Clinical_Trial_of_RPH_With_the_Simplified_Milligan_Morgan_Hemorrhoidectomy_in_the_Treatment_of_Mixed_Hemorrhoids_ L2 - https://journals.sagepub.com/doi/10.1177/1553350617731205?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -