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Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse
Published on: October 25, 2024
Ligation and mucopexy for prolapsing hemorrhoids--a ten year experience
Pravin J Gupta1, Surekha Kalaskar
1Fine Morning Hospital and Research Center Gupta Nursing Home, Laxminagar, Nagpur-440022, India. drpjg@yahoo.co.in
Annals of Surgical Innovation and Research
|November 29, 2008
Summary
This study shows that suture ligation and mucopexy is an effective and well-accepted treatment for symptomatic prolapsing hemorrhoids, with high success rates and patient satisfaction.
Area of Science:
- Colorectal Surgery
- Gastroenterology
Background:
- Hemorrhoids are a common condition causing significant patient discomfort.
- Prolapsing hemorrhoids require effective and minimally invasive treatment options.
Purpose of the Study:
- To evaluate the clinical efficacy of suture ligation and mucopexy for symptomatic prolapsing hemorrhoids.
- To assess patient outcomes, including symptom resolution, complication rates, and satisfaction.
Main Methods:
- A prospective study included 616 patients with symptomatic hemorrhoids.
- Hemorrhoids were treated using suture ligation with absorbable suture material under vision.
- Outcomes analyzed included operating time, complications, return to work, and patient satisfaction at 1 month, 6 months, and 1 year.
Main Results:
- The mean procedure time was 8 minutes, with a 12-hour admission period.
- Postoperative complications included perianal thrombosis and skin tags.
- At 1-year follow-up, 89% of patients were asymptomatic, with 98% experiencing no prolapse and 96% reporting no pain after defecation. Patient satisfaction was high (8.2/10).
Conclusions:
- Suture ligation and mucopexy is a simple, well-tolerated technique for prolapsing hemorrhoids.
- The procedure demonstrates excellent efficacy in resolving symptoms and improving patient quality of life.
