Analysis of factors impacting postoperative pain and quality of life in patients with mixed hemorrhoids: A retrospective study

ARTICLE HIGHLIGHTS

Research background

Hemorrhoids are a common chronic anorectal disease characterized by the formation of venous clusters in the lower part of the rectum. Mixed hemorrhoids, in particular, often cause recurrent bleeding and can lead to severe anemia, negatively impacting the patient's health. Surgical treatment, such as Milligan-Morgan hemorrhoidectomy, is often necessary. However, postoperative pain is a common concern for patients undergoing this procedure, which can cause anxiety and affect their quality of life (QoL).

Research motivation

This study provides valuable information on improving surgical outcomes and postoperative care for patients with mixed hemorrhoids.

Research objectives

This study aimed to assess the factors influencing pain scores and QoL in patients with mixed hemorrhoids post-surgery.

Research methods

This retrospective study collected clinical data from patients with mixed hemorrhoids who underwent Milligan-Morgan hemorrhoidectomy. 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.

Research results

The results showed a significant reduction in postoperative pain over time, with some patients experiencing complete pain relief at 14 d and none reporting any pain at 28 d after surgery. Comparing the QoL scores between 14 and 28 d post-surgery, significant improvements were observed in various domains including overall QoL, health condition, physical health, psychological health, social relations, and surrounding environment. Milligan-Morgan hemorrhoidectomy was found to significantly improve the postoperative QoL for patients.

Research conclusions

Milligan-Morgan hemorrhoidectomy offers a promising approach for alleviating the negative impact of mixed hemorrhoids on patients' health and QoL.

Research perspectives

Several perspectives can be considered for future studies on mixed hemorrhoids and Milligan-Morgan hemorrhoidectomy. Firstly, further investigations could focus on optimizing pain management strategies post-surgery to minimize discomfort and anxiety in patients. Exploring alternative analgesic approaches or combination therapies may contribute to even better pain relief outcomes. Secondly, the impact of Milligan-Morgan hemorrhoidectomy on long-term QoL could be explored to assess whether the observed improvements are sustained over an extended period. Longitudinal studies could provide valuable insights into the durability of the procedure's benefits. Additionally, future research could delve deeper into the specific factors that influence the outcomes of Milligan-Morgan hemorrhoidectomy, such as age, sex, and the number of surgical resections. Understanding how these variables interact and affect surgical success could aid in tailoring treatment strategies for individual patients. Lastly, comparative studies could be conducted to evaluate the effectiveness and safety of Milligan-Morgan hemorrhoidectomy in comparison to other surgical techniques or emerging minimally invasive procedures. Such comparative analyses would help guide clinical decision-making and provide a comprehensive understanding of the available treatment options for mixed hemorrhoids. Overall, these research perspectives aim to further enhance the surgical management and overall well-being of patients with mixed hemorrhoids.