A comparative clinical study on procedure for prolapse and heamorroids and straight-needle handsewing hemorroidepexv for the treatment of grade Ⅲ - Ⅳ heamorrhoids / 中华普通外科杂志

ABSTRACT

ObjectiveTo compare the short-term and long-term results of hand-sewing heamorroidpexy(HHP) and procedure for prolapse and heamorroids(PPH) in the treatment of grade Ⅲ and Ⅳ heamorrhoids.MethodsEight hundred patients were randomly divided into two groups receiving PPH (n =415) and HHP( n =385 ) respectively.The operative result including postoperative pain,prolapse,total expense,time to return normal work,percentage of satisfaction and other complications were compared between the two groups.ResultThe time of resuming normal work in HHP group was (5.2±2.3) d,in PPH group was ( 10.2 ±2.4) d,P =0.038.Postoperative visual analogue scale ≥5 was found in 45 cases ( 12.1％ ) in HHP group,and in 128 cases(31.8％ ) in PPH group,P =0.018.HHP group was superior to PPH group in patients' satisfaction,inhospital cost,complications,and recurrence,all P ＜ 0.05.Patients were followed up for more than 2 years,long term complication of bleeding,prolapse and anastomtic structure developed less frequently in HHP group than in PPH group (x2 =4.25,P ＜ 0.05 ).ConclusionsHHP is a safe and effective treatment for heamorroids(gradeⅢ - Ⅳ ) with the advantages of less postoperative pain,quicker recovery,lower expenses,shorter hospital stay and higher satisfactory rate.