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[Post-operative evaluation of 1000 consecutive hemorrhoid cases]
1Department of Surgery, Taichung Veterans General Hospital, Taiwan, Republic of China.
Gaoxiong Yi Xue Ke Xue Za Zhi = the Kaohsiung Journal of Medical Sciences
|October 1, 1991
Summary
For hemorrhoid treatment, simpler surgical procedures like hemorrhoidectomy are better than anoplasty. Simpler operations reduce patient discomfort and shorten hospital stays.
Area of Science:
- Colorectal Surgery
- Surgical Outcomes Research
Context:
- Retrospective analysis of 1000 hemorrhoid patients treated between 1983-1988.
- Comparison of wedge hemorrhoidectomy and anoplasty surgical procedures.
Purpose:
- To compare the efficacy and patient outcomes of wedge hemorrhoidectomy versus anoplasty.
- To identify factors influencing post-operative pain and complications in hemorrhoid surgery.
Summary:
- Larger operative areas and increased suture knots correlate with increased post-operative pain.
- Anoplasty showed higher rates of urine retention (78.1%) and stool impaction (79.4%) compared to hemorrhoidectomy.
- Early complications were more frequent with anoplasty, while late complications showed no significant difference between procedures.
Impact:
- Wedge hemorrhoidectomy is associated with reduced patient discomfort and shorter hospitalization.
- Recommends simpler surgical approaches for hemorrhoid treatment to improve patient outcomes.
- Highlights the importance of operative area size and suture technique in managing post-operative pain.