Published online Mar 27, 2024. doi: 10.4240/wjgs.v16.i3.731
Peer-review started: January 12, 2024
First decision: January 31, 2024
Revised: February 5, 2024
Accepted: February 27, 2024
Article in press: February 27, 2024
Published online: March 27, 2024
Processing time: 70 Days and 7.5 Hours
Hemorrhoids are among the most common and frequently encountered chronic anorectal diseases in anorectal surgery. They are venous clusters formed by con
To assess the factors influencing pain scores and quality of life (QoL) in patients with mixed hemorrhoids post-surgery.
The clinical data of patients with mixed hemorrhoids who underwent Milligan-Morgan hemorrhoidectomy were collected retrospectively. The basic characteristics of the enrolled patients with mixed hemorrhoids were recorded, and based on the Goligher clinical grading system, the hemorrhoids were classified as grades III or IV. The endpoint of this study was the disappearance of pain in all patients. Quantitative data were presented as mean ± SD, such as age, pain score, and QoL score. Student’s t-test was used to compare the groups.
A total of 164 patients were enrolled. The distribution of the visual analog scale pain scores of all patients at 3, 7, 14 and 28 d after surgery showed that post-surgery pain was significantly reduced with the passage of time. Fourteen days after the operation, the pain had completely disappeared in some patients. Twenty-eight days after the surgery, none of the patients experienced any pain. Comparing the World Health Or
Milligan-Morgan hemorrhoidectomy can significantly improve the postoperative QoL of patients. Age, sex, and the number of surgical resections were important factors influencing Milligan-Morgan hemorrhoidectomy.
Core Tip: Milligan-Morgan hemorrhoidectomy improves postoperative quality of life in patients with mixed hemorrhoids. Factors such as age, sex, and number of surgical resections influence the outcome of the procedure. Post-surgery pain decreases over time, with complete pain disappearance observed in some patients after 14 d. Quality-of-life scores significantly improve after surgery, particularly in physical and psychological health, social relations, and surrounding environment. This study highlights the positive impact of Milligan-Morgan hemorrhoidectomy on patients' quality of life and emphasizes the importance of considering various factors during the procedure.