Clinical research of lifting fixation combined with minimally invasive plastic surgery for the treatment of III or IV mixed hemorrhoids
CHEN Peng,HANG Chun-ping
Department of Proctology, Yancheng Dafeng Hospital of Traditional Chinese Medicine, Jiangsu Yancheng 224100,China
Abstract:
Objective To study the clinical efficacy of lifting fixation combined with minimally invasive plastic surgery for the treatment of III or IV mixed hemorrhoids. Methods 80 patients with mixed hemorrhoids in the undergraduate ward from January 2021 to March 2022 were included as research subjects. They were divided into treatment group and control group according to the order of single and double day visits, with 40 cases in each group. Patients in the treatment group received lifting fixation combined with minimally invasive plastic surgery, and milligan-morgan hemorrhoidectomy was performed in the control group. The clinical efficacy, pain scores, perianal edema score, and hematochezia scores on days 1, 3 and 7 after surgery were compared between the two groups. The time of first bowel movement, time to disappearance of defecation pain, disappearance of blood in stool, length of hospital stay, and recovery time of the two groups; Postoperative function evaluation and recurrence. Results The overall efficacy of the treatment group was 95% higher than that of the control group by 90%, but the difference was not statistically significant (P>0.05). The VAS pain score, perianal edema score and hematochezia score in the treatment group were lower than those in the control group at 1, 3 and 7 days after surgery, and the differences were statistically significant (P<0.05). The first bowel movement time, defecation pain disappearance time, blood in the stool disappearance time, length of hospital stay, and recovery time of the treatment group were all lower than those in the control group, and the differences were statistically significant (P<0.05). The Wexner scores of incontinence in the treatment group were significantly lower than those in the control group (P<0.05) at 1 week and 1 month after surgery, while there was no significant difference in the scores between the two groups at 4 months postoperative and 8 months after surgery (P>0.05). At 8 months postoperative telephone follow-up, no recurrence was reported in either group. Conclusion Lifting fixation combined with minimally invasive plastic surgery has a definite effect on the treatment of mixed hemorrhoids, and has obvious advantages in reducing postoperative pain, perianal edema, blood in the stool and lowering the impact of surgery on function.
