Chen YY, Cheng YF, Wang QP, Ye B, Huang CJ, Zhou CJ, Cai M, Ye YK, Liu CB. Modified procedure for prolapse and hemorrhoids: Lower recurrence, higher satisfaction. World J Clin Cases 2021; 9(1): 36-46 [PMID: 33511170 DOI: 10.12998/wjcc.v9.i1.36]
Corresponding Author of This Article
Chang-Bao Liu, MD, PhD, Chief Physician, Department of Anorectal Surgery, The 2nd Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, No. 109 Xueyuanxi Street, Lucheng District, Wenzhou 325000, Zhejiang Province, China. liucbwmu@163.com
Research Domain of This Article
Surgery
Article-Type of This Article
Retrospective Cohort Study
Open-Access Policy of This Article
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/
World J Clin Cases. Jan 6, 2021; 9(1): 36-46 Published online Jan 6, 2021. doi: 10.12998/wjcc.v9.i1.36
Modified procedure for prolapse and hemorrhoids: Lower recurrence, higher satisfaction
Yan-Yu Chen, Yi-Fan Cheng, Quan-Peng Wang, Bo Ye, Chong-Jie Huang, Chong-Jun Zhou, Mao Cai, Yun-Kui Ye, Chang-Bao Liu
Yan-Yu Chen, Yi-Fan Cheng, Quan-Peng Wang, Chong-Jie Huang, Chong-Jun Zhou, Mao Cai, Yun-Kui Ye, Chang-Bao Liu, Department of Anorectal Surgery, The 2nd Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang Province, China
Bo Ye, Department of Biostatistics, School of Public Health, State University of New York at Albany, Albany, NY 12206, United States
Author contributions: Chen YY performed most of the data analysis and wrote this paper; Huang CJ , Zhou CJ and Cai M performed the clinical therapy, advised the performance of the study and provided the curative effect evaluation system; Cheng YF and Wang QP completed the postoperative follow-up; Ye B performed the final data review and was responsible for the data’s reliability; Ye YK performed the clinical treatment work; Liu CB designed the study, completed the majority of clinical treatment work and was responsible for the reliability of the paper.
Institutional review board statement: The study was reviewed and approved for publication by the Ethics Committee of the 2nd Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University.
Informed consent statement: Written informed consent was obtained from the study participants.
Conflict-of-interest statement: All of the authors have no conflict of interest related to the manuscript.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE statement—checklist of items, and the manuscript was prepared and revised according to the STROBE statement—checklist of items.
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: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chang-Bao Liu, MD, PhD, Chief Physician, Department of Anorectal Surgery, The 2nd Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, No. 109 Xueyuanxi Street, Lucheng District, Wenzhou 325000, Zhejiang Province, China. liucbwmu@163.com
Received: July 29, 2020 Peer-review started: July 29, 2020 First decision: September 30, 2020 Revised: October 27, 2020 Accepted: November 9, 2020 Article in press: November 9, 2020 Published online: January 6, 2021
ARTICLE HIGHLIGHTS
Research background
Hemorrhoidal prolapse is a common benign disease with a high incidence. The procedure for prolapse and hemorrhoids (PPH) remains the first-line therapy for hemorrhoids. Although it is related to less post-operative pain, faster recovery and shorter hospital stays, the postoperative recurrence rate is higher than that of the Milligan-Morgan hemorrhoidectomy (MMH).
Research motivation
This retrospective cohort study included 1163 patients [modified-PPH (M-PPH), 461; original PPH, 321; MMH, 381] with severe hemorrhoids (stage III/IV) who were admitted to The 2nd Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University from 2012 to 2014. We wanted to compare the early postoperative complications, efficacy, postoperative anal dysfunction and patient satisfaction after M-PPH, PPH and MMH.
Research objectives
To assess the clinic efficacy and patient satisfaction towards treating severe hemorrhoids through M-PPH, PPH and MMH.
Research methods
This retrospective cohort study included 1163 patients with severe hemorrhoids who were admitted to The 2nd Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University from 2012 to 2014. Early postoperative complications, efficacy, postoperative anal dysfunction and patient satisfaction were compared among the three groups. Established criteria were used to assess short- and long-term postoperative complications. A visual analog scale was used to evaluate postoperative pain. Follow-up was conducted 5 years postoperatively.
Research results
M-PPH has many advantages for patients with severe hemorrhoids (Goligher stage III/IV) with a low rate of anastomotic bleeding and recurrence while gaining a very high rate of patient satisfaction.
Research conclusions
The lower anastomosis can pull up the rectal mucosa more effectively resulting in a lower the recurrence rate.
Research perspectives
The prospective randomized controlled trial is a more scientific and rigorous research method and is the best method for the future research.
