Modified procedure for prolapse and hemorrhoids: Lower recurrence, higher satisfaction

Table 1 Demographic and clinical characteristics of patients

Variable	MMH, n = 381	PPH, n = 321	M-PPH, n = 461	P value
Male/Female	190/191	153/168	261/200	0.770
Age in yr	46 (17-84)	46 (18-87)	46 (17-86)	0.357
Grade of hemorrhoids
III	321 (81.9)	263 (81.9)	394 (85.5)	0.219
IV	69 (18.1)	58 (18.1)	67 (14.5)	0.152

Age is shown as median (range) and grade of hemorrhoids is shown as a number (percentage). MMH: Milligan‒Morgan hemorrhoidectomy; M-PPH: Modified procedure of prolapse and hemorrhoids; PPH: Procedure of prolapse and hemorrhoids.

Table 2 Comparison of visual analog score for pain between the Milligan-Morgan hemorrhoidectomy, procedure of prolapse and hemorrhoids, and modified procedure of prolapse and hemorrhoids groups

Variable	MMH, n = 381	PPH, n = 321	M-PPH, n = 461	P value1
First defecation	5 (4-6)	3 (2-6)	4 (3-7)	< 0.001
Day 1	3 (2-6)	2 (1-5)	3 (2-7)	< 0.001
Day 3	3 (2-5)	2 (1-4)	2 (2-5)	< 0.001
Day 5	2 (2-5)	1 (1-3)	2 (2-5)	< 0.001

¹Among each group at each time period after operation, the differences were statistically significant. Visual analog scale scores are expressed as medians (ranges). MMH: Milligan-Morgan hemorrhoidectomy; M-PPH: Modified procedure of prolapse and hemorrhoids; PPH: Procedure of prolapse and hemorrhoids.

Table 3 Results of the preoperative patient satisfaction survey, n (%)

Group	Very satisfied	Satisfied	Poorly satisfied	Dissatisfied
MMH, n = 381	236 (61.9)	54 (14.2)	38 (10.0)	53 (13.9)
PPH, n = 321	105 (32.7)	95 (29.6)	89 (27.7)	32 (10.0)
M-PPH, n = 461	266 (57.7)	117 (25.4)	46 (10.0)	32 (6.9)

MMH: Milligan-Morgan hemorrhoidectomy; M-PPH: Modified procedure of prolapse and hemorrhoids; PPH: Procedure of prolapse and hemorrhoids.