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[Comparison of efficacy between procedure for prolapse and hemorrhoids and open hemorrhoidectomy]

Chao-wen Chen1, Xue-bin Zhan, Li-jun Niu

  • 1Department of General Surgery, The Third Hospital of Peking University, Beijing 100083, China. ccw0070890@sina.com

Zhonghua Wei Chang Wai Ke Za Zhi = Chinese Journal of Gastrointestinal Surgery
|May 25, 2006
PubMed

Insights

The Procedure for Prolapse and Hemorrhoids (PPH) and open hemorrhoidectomy offer comparable relief for prolapse, bleeding, and pain. Both surgical options demonstrate similar safety and effectiveness for treating prolapsed hemorrhoids.

Area of Science:

  • Colorectal surgery
  • Surgical outcomes research

Background:

  • Hemorrhoids and rectal prolapse are common conditions requiring surgical intervention.
  • Traditional open hemorrhoidectomy is a widely used treatment.
  • The Procedure for Prolapse and Hemorrhoids (PPH) is an alternative surgical technique.

Purpose of the Study:

  • To compare the clinical outcomes of PPH and open hemorrhoidectomy.
  • To evaluate symptom relief, complication rates, and recurrence between the two procedures.

Main Methods:

  • A prospective study comparing PPH and open hemorrhoidectomy.
  • Patient data collected via questionnaires and proctological examinations.
  • Comparison of symptom relief, complications, and recurrence rates over a three-year period.

Main Results:

  • Both PPH and open hemorrhoidectomy showed high rates of prolapse (92.7% vs 96.8%), bleeding (91% vs 81%), and pain relief (91.7% vs 91.5%).
  • No significant differences were observed in overall complication rates (30.2% vs 29.5%) or recurrence rates (21.8% vs 20.5%).
  • Patient satisfaction was high in both groups, with 87.5% for PPH and 84.8% for open hemorrhoidectomy.

Conclusions:

  • PPH is a safe and effective surgical option for prolapsed hemorrhoids.
  • Outcomes of PPH are comparable to open hemorrhoidectomy in terms of symptom relief, complications, and recurrence.
Abstract

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