Tao L, Wei J, Ding XF, Ji LJ. Evaluation of the clinical efficacy and safety of TST33 mega hemorrhoidectomy for severe prolapsed hemorrhoids. World J Clin Cases 2022; 10(18): 6060-6068 [PMID: 35949822 DOI: 10.12998/wjcc.v10.i18.6060]
Corresponding Author of This Article
Li-Jiang Ji, MD, Chief Doctor, Department of Anorectal Surgery, Changshu Hospital Affiliated to Nanjing University of Chinese Medicine, No. 6 Huanghe Road, Changshu 215500, Jiangsu Province, China. ji512@163.com
Research Domain of This Article
Surgery
Article-Type of This Article
Randomized Controlled Trial
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. Jun 26, 2022; 10(18): 6060-6068 Published online Jun 26, 2022. doi: 10.12998/wjcc.v10.i18.6060
Table 1 Comparison of baseline data between group A and group B, n (%)
Basic information
Group A (n = 102)
Group B (n = 102)
t/χ2 value
P value
Age (yr)
46.9 ± 8.1
45.0 ± 9.0
1.585
0.115
Height (cm)
168.1 ± 4.1
166.8 ± 5.4
1.936
0.054
Weight (kg)
66.3 ± 6.4
67.8 ± 7.8
-1.501
0.135
Course of disease (yr)
10.91 ± 1.20
11.15 ± 0.98
-1.564
0.119
Sex
1.012
0.314
Male
59 (57.84)
66 (64.71)
Female
43 (42.16)
36 (35.29)
Degree of hemorrhoid prolapse
1.357
0.244
III stage
69 (67.65)
61 (59.8)
IV stage
33 (32.35)
41 (40.2)
Constipate
3.526
0.060
Yes
41
43
No
61
59
Bleeding
1.225
0.268
Yes
88 (86.27)
93 (91.18)
No
14 (13.73)
9 (8.82)
Pain
1.079
0.299
Yes
84 (82.35)
78 (76.47)
No
18 (17.65)
24 (23.53)
Table 2 Comparison of surgery-related indicators between group A and group B (mean ± SD)
Groups
Operation time (min)
Intraoperative blood loss (mL)
Hospital stay (d)
Group A (n = 102)
17.94 ± 3.60
4.81 ± 1.03
5.8 ± 1.2
Group B (n = 102)
26.40 ± 4.11
10.52 ± 2.50
7.0 ± 1.4
t value
-6.396
-21.328
-7.668
P value
0.000
0.000
0.000
Table 3 Comparison of cure rate between group A and group B, n (%)
Groups
Cure
Get better
Group A (n = 102)
100 (98.04)
2 (1.96)
Group B (n = 102)
97 (95.10)
5 (4.90)
t value
1.331
P value
0.249
Table 4 Postoperative visual analogue scale scores of patients in groups A and B (mean ± SD, scores)
Groups
12 h after operation
24 h after operation
48 h after operation
72 h after operation
96 h after operation
Group A (n = 102)
3.11 ± 0.98
3.30 ± 0.85
2.40 ± 0.76
1.48 ± 0.50
0.81 ± 0.30
Group B (n = 102)
3.61 ± 1.00
3.59 ± 0.98
2.58 ± 0.65
1.62 ± 0.66
0.88 ± 0.28
t value
-3.607
-2.258
-1.818
-1.708
-1.723
P value
0.000
0.025
0.071
0.089
0.086
Table 5 Comparison of the degree of perianal edema between group A and group B, n (%)
Groups
I stage
II stage
III stage
IV stage
1st day after operation
Group A (n = 102)
91
6
3
2
Group B (n = 102)
76
15
6
5
Z value
-1.128
P value
0.259
7th day after operation
Group A (n = 102)
93
6
2
1
Group B (n = 102)
80
14
5
3
Z value
-2.286
P value
0.022
Table 6 Comparison of anal Wexner scores between the two groups (mean ± SD, scores)
Groups
Preoperative
1 mo after surgery
3 mo after surgery
6 mo after surgery
Group A (n = 102)
22.67 ± 3.70
14.38 ± 3.36
8.74 ± 2.60
6.16 ± 1.84
Group B (n = 102)
23.25 ± 3.98
15.24 ± 3.62
9.40 ± 2.74
6.63 ± 1.81
t value
-1.078
-1.759
-1.765
-1.839
P value
0.282
0.080
0.079
0.067
Table 7 Comparison of surgical complication rates between the two groups, n (%)
Group
Anus drop
Anastomotic stenosis within 3 mo
Perianal infection
Urinary retention
Complication rate
Group A (n = 102)
3
0
0
0
3 (2.94)
Group B (n = 102)
7
3
0
2
12 (11.76)
χ2 value
5.829
P value
0.016
Citation: Tao L, Wei J, Ding XF, Ji LJ. Evaluation of the clinical efficacy and safety of TST33 mega hemorrhoidectomy for severe prolapsed hemorrhoids. World J Clin Cases 2022; 10(18): 6060-6068