- 期刊
Long-and Short-term Results of Stapled Hemorrhoidopexy
吻合器痔瘡手術之短期及長期結果
摘要
Purpose. This study aimed to compare the short- and long-term outcomes of stapled hemorrhoidopexy with the procedure for prolapsed hemorrhoids (PPH) and Milligan-Morgan hemorrhoidectomy (MMH).
Methods. This is a retrospective study of 340 consecutive patients diagnosed with hemorrhoids. 205 patients with grade III and grade IV hemorrhoids were included, 52 of whom underwent PPH and 153 underwent MMH. Pre-and post-operative data were recorded and long-term outcome was followed-up at the out-patient clinic and by phone interview.
Results. There was no pre-operative difference between the PPH and MMH groups. Post-operative pain and time to normal activities were less in the PPH group (p＜0.05). The rate of skin tag one year after surgery and recurrence rates were also higher in the PPH group (p＜0.05). Delayed wound healing and post-operative hemorrhage were higher in the MMH group (p＜0.05). No significant difference in long-term satisfaction was noted between the two groups (80.8% vs. 77.7%).
Conclusions. PPH have many short-term benefits due to the nature of the procedure but has a higher recurrence rate than the MMH group. Further large scale studies on the long-term recurrence of hemorrhoids after PPH is needed.