Clinical observations on the treatment of prolapsing hemorrhoids with tissue selecting therapy

World Journal of Gastroenterology : WJG
Zhi-Gang WangZhi-Tao Yin

Abstract

To compare the effects and postoperative complications between tissue selecting therapy stapler (TST) and Milligan-Morgan hemorrhoidectomy (M-M). Four hundred and eighty patients with severe prolapsing hemorrhoids, who were admitted to the Shenyang Coloproctology Hospital between 2009 and 2012, were randomly divided into observation (n=240) and control (n=240) groups. Hemorrhoidectomies were performed with TST in the observation group and with the M-M technique in the control group. The therapeutic effects, operation security, and postoperative complications in the two groups were compared. The immediate and long-term complications were assessed according to corresponding criteria. Pain was assessed on a visual analogue scale. The efficacy was assessed by specialized criteria. The follow-up was conducted one year after the operation. The total effective rates of the observation and control groups were 99.5% (217/218) and 98.6% (218/221) respectively; the difference was not statistically significant (P=0.322). Their were significant differences between observation and control groups in intraoperative blood loss (5.07±1.14 vs 2.45±0.57, P=0.000), pain (12 h after the surgery: 5.08±1.62 vs 7.19±2.01, P=0.000; at first dressing cha...Continue Reading

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Citations

Nov 7, 2015·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Sergio Solorio-LópezClotilde Fuentes Orozco
Mar 16, 2017·Annals of Coloproctology·Jin Sub Kim
Aug 3, 2017·Revista do Colégio Brasileiro de Cirurgiões·Marllus Braga SoaresKarin Guterres Lohmann Hamada
Mar 31, 2017·Gastroenterology Research and Practice·Zhe Fan, Yingyi Zhang
Jan 30, 2021·World Journal of Clinical Cases·Yan-Yu ChenChang-Bao Liu

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