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World J Gastrointest Surg. Jan 27, 2025; 17(1): 99464 Published online Jan 27, 2025. doi: 10.4240/wjgs.v17.i1.99464
Clinical observation on prognosis of mixed hemorrhoids treated with polidocanol injection combined with automatic elastic thread ligation operation
Yan-Mei Huang, Dong Ouyang
Yan-Mei Huang, Department of General Surgery III, Pingxiang People's Hospital, Pingxiang 337000, Jiangxi Province, China
Dong Ouyang, Department Market Operations, Pingxiang People's Hospital, Pingxiang 337000, Jiangxi Province, China
Author contributions: Huang YM designed and are the guarantors of this study; Huang YM and Ouyang D participated in the data collection, analysis, and interpretation; Huang YM drafted the initial version; Huang YM and Ouyang D made critical revisions to this article for important intellectual content; All authors participated in this study and jointly reviewed and edited the manuscript.
Institutional review board statement: This study was reviewed and approved by the Institutional Review Committee of Pingxiang People's Hospital in Jiangxi Province, No 2022-283-01.
Clinical trial registration statement: This study is registered at the Clinical Registry: Https://www.researchregistry.com (Researchregistry10783).
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No available data.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (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: https://creativecommons.org/Licenses/by-nc/4.0/
Received: September 25, 2024 Revised: October 27, 2024 Accepted: November 18, 2024 Published online: January 27, 2025 Processing time: 93 Days and 6.3 Hours
Abstract
BACKGROUND
A total of 100 patients diagnosed with mixed hemorrhoids from October 2022 to September 2023 in our hospital were randomly divided into groups by dice rolling and compared with the efficacy of different treatment options.
AIM
To analyze the clinical effect and prognosis of mixed hemorrhoids treated with polidocanol injection combined with automatic elastic thread ligation operation (RPH).
METHODS
A total of 100 patients with mixed hemorrhoids who visited our hospital from October 2022 to September 2023 were selected and randomly divided into the control group (n = 50) and the treatment group (n = 50) by rolling the dice. The procedure for prolapse and hemorrhoids (PPH) was adopted in the control group, while polidocanol foam injection + RPH was adopted in the treatment group. The therapeutic effects, operation time, wound healing time, hospital stay, pain situation (24 hours post-operative pain score, first defecation pain score), quality of life (QOL), incidence of complications (post-operative hemorrhage, edema, infection), incidence of anal stenosis 3 months post-operatively and recurrence rate 1 year post-operatively of the two groups were compared.
RESULTS
Compared with the control group, the total effective rate of treatment group was higher, and the difference was significant (P < 0.05). The operation time/wound healing time/hospital stay in the treatment group were shorter than those in the control group (P < 0.05). The pain scores at 24 hours after operation/first defecation pain score of the treatment group was significantly lower than those in the control group (P < 0.05). After surgery, the QOL scores of the two groups decreased, with the treatment group having higher scores than that of the control group (P < 0.05). Compared with the control group, the incidence of postoperative complications in the treatment group was lower, and the difference was significant (P < 0.05); However, there was no significant difference in the incidence of postoperative bleeding between the two groups (P > 0.05); There was no significant difference in the incidence of anal stenosis 3 months after operation and the recurrence rate 1 year after operation between the two groups (P > 0.05).
CONCLUSION
For patients with mixed hemorrhoids, the therapeutic effect achieved by using polidocanol injection combined with RPH was better. The wounds of the patients healed faster, the postoperative pain was milder, QOL improved, and the incidence of complications was lower, and the short-term and long-term prognosis was good.
Core Tip: Effective surgical and pharmaceutical treatment is particularly important for patients with mixed hemorrhoids, which can achieve better therapeutic effects and good long-term prognosis of patients.
