Evaluation of the treatment of II and III degree hemorrhoids: A comparison of mucosa suspension procedure for prolapse and hemorrhoids, Shenyang city, China, 2006-2009
Article Sidebar
Main Article Content
Methods: We compared the safety, clinical outcome, and cost between PPH and MSP for the surgical treatment of hemorrhoidal disease. A total of 80 patients with II and III degree hemorrhoids were included in the study. MSP group (n=40) and PPH group (n=40) were applied at random.
Results: Both MSP and PPH are safe surgical treatments for patients with II and III degree hemorrhoids. Complications of the patients, such as persistent pain and tenesmus in the MSP group were less than the PPH group. Moreover, MSP had lower costs.
Conclusion: MSP is a safe, effective, and inexpensive procedure for patients with hemorrhoidal disease. We consider that this technique should be widely used.
- Hemorrhoids
- Mucosa
- Suspension
- Prolapse
Chong PS, Bartolo DC. Hemorrhoids and fissure in ano.Gastroenterol Clin North Am. 2008; 37: 627-44.2.Sneider EB, Maykel JA. Diagnosis and management ofsymptomatic hemorrhoids. Surg Clin North Am. 2010; 90:17-32.3.Correa-Rovelo JM, Téllez O, Obregón L, Miranda-Gómez A,Moran S. Stapled rectal mucosectomy vs. closed hemorrhoi-dectomy a randomized, clinical trial. Dis Colon Rectum. 2002;45: 1367-75.4.Longo A. Treatment of haemorrhoid disease by reduction ofmucosa and haemorrhoidal prolapse with a circularstaplingdevice: a new procedure. In Proceedings of the 6thWorldCongress of Endoscopic Surgery, 1998. p. 777-84.5.Cheetham MJ, Mortensen NJ, Nystrom PO, Kamm MA,Phillips RK. Persistent pain and faecal urgency after stapledhaemorrhoidectomy. Lancet. 2000; 356: 730-3.6.Cheetham MJ, Cohen CR, Kamm MA, Phillips RK. Arandomized, controlled trial of diathermy hemorrhoidectomyvs. stapled hemorrhoidectomy in an intended day-care settingwith longer-term follow-up. Dis Colon Rectum. 2003; 46:491-7.7.Oughriss M, Yver R, Faucheron JL. Complications of stapledhemorrhoidectomy: a French multicentric study. GastroenterolClin Biol. 2005; 29: 429-33.8.Ho YH, Cheong WK, Tsang C, Ho J, Eu KW, Tang CL, et al.Stapled hemorrhoidectomy: cost and effectiveness. Rando-mized controlled trial including incontinence scoring, anorectalmanometry, and endoanal ultrasound assessments at up threemonths. Dis Colon Rectum. 2000; 43: 1666-75.9.Khalil KH, O’Bichere A, Sellu D. Randomized clinical trial ofsutured versus stapled closed haemorrhoidectomy. Br J Surg.2000; 87: 1352-5.10. Rowsell M, Bello M, Hemingway DM. Circumferentialmucosectomy (stapled haemorrhoidectomy) versus conven-tional haemorrhoidectomy randomized controlled trial. Lancet.2000; 355: 779-81.11. Hetzer FH, Demartrines N, Handschin AE, Clavien PA.Stapled vs. excision hemorrhoidectomy. Long-term results ofa prospective randomized trial. Arch Surg. 2002; 137: 337-40.
Colombia Médica Vol. 42 Nº 2, 2011 (Abril-Junio)12. Wilson MS, Pope V, Doran HE, Fearn SJ, Brough WA.Objective comparison of stapled anopexy and open hemorrhoi-dectomy: a randomized, controlled trial. Dis Colon Rectum.2002; 45: 1437-44.13. Ortiz H, Marzo J, Armendáriz P, Miguel MD. Stapledhemorrhoidopexy vs. diathermy excision for fourth degreehemorrhoids: a randomized, clinical trial and review of theliterature. Dis Colon Rectum. 2005; 48: 809-15.14. Touzin E, Hegge S, McKinley C. Early experience of stapledhemorrhoidectomy in a community hospital setting. Can JSurg. 2006; 49: 316-20.15. Smith EF, Baker RP, Wilken BJ, Hartley JE, White TJ,Monson JR. Stapled versus excision haemorroidectomy: long-term follow-up of a randomised controlled trial. Lancet. 2003;361: 1437-8
Downloads
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The copy rights of the articles published in Colombia Médica belong to the Universidad del Valle. The contents of the articles that appear in the Journal are exclusively the responsibility of the authors and do not necessarily reflect the opinions of the Editorial Committee of the Journal. It is allowed to reproduce the material published in Colombia Médica without prior authorization for non-commercial use