Copyright
©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Feb 28, 2015; 21(8): 2490-2496
Published online Feb 28, 2015. doi: 10.3748/wjg.v21.i8.2490
Published online Feb 28, 2015. doi: 10.3748/wjg.v21.i8.2490
Clinical observations on the treatment of prolapsing hemorrhoids with tissue selecting therapy
Zhi-Gang Wang, Yong Zhang, Xian-Dong Zeng, Tie-Hui Zhang, Qi-Dong Zhu, De-Long Liu, Yun-Yu Qiao, Nan Mu, Zhi-Tao Yin, The 5th Department of Anorectal Disease, Shenyang Coloproctology Hospital, Shenyang 110002, Liaoning Province, China
Author contributions: Wang ZG performed the majority of the clinical therapy and data analysis, and wrote the paper; Zhang Y advised the design and performance of the study; Zeng XD, Zhang TH and Zhu QD performed ethical supervision and provided the effect evaluation system; Liu DL, Qiao YY and Mu N performed the follow-up and the initial data analysis; Yin ZT designed the study, provided the funding, and is responsible for the paper’s reliability.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Zhi-Tao Yin, MD, PhD, The 5th Department of Anorectal Disease, Shenyang Coloproctology Hospital, No. 9 Nanjingbei Street, Heping District, Shenyang 110002, Liaoning Province, China. yinzitao@163.com
Telephone: +86-24-22511990 Fax: +86-24-22533338
Received: August 24, 2014
Peer-review started: August 24, 2014
First decision: September 27, 2014
Revised: October 29, 2014
Accepted: December 8, 2014
Article in press: December 8, 2014
Published online: February 28, 2015
Peer-review started: August 24, 2014
First decision: September 27, 2014
Revised: October 29, 2014
Accepted: December 8, 2014
Article in press: December 8, 2014
Published online: February 28, 2015
Core Tip
Core tip: Tissue selecting therapy staplers are increasingly used in clinics as a minimally invasive technique for treating hemorrhoids, based on the formation mechanism and physiologic and pathologic structural changes of hemorrhoids. This method protects anal cushions and functions. In this study, 480 patients with severe prolapsing hemorrhoids, who were admitted to the Shenyang Anorectal Hospital, were treated with this method or by Milligan-Morgan hemorrhoidectomy. The efficacy of both methods was assessed one year after the operation. The therapeutic effects, operation security, and postoperative complications from the two treatment methods were compared.