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Related Experiment Video

Updated: Nov 19, 2025

Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy
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Modified procedure for prolapse and hemorrhoids: Lower recurrence, higher satisfaction.

Yan-Yu Chen1, Yi-Fan Cheng1, Quan-Peng Wang1

  • 1Department of Anorectal Surgery, The 2 Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang Province, China.

World Journal of Clinical Cases
|January 29, 2021
PubMed
Summary

Modified-PPH (M-PPH) offers superior outcomes for severe hemorrhoids compared to traditional PPH and Milligan-Morgan hemorrhoidectomy (MMH). This surgical technique demonstrates reduced recurrence and higher patient satisfaction, making it a preferred option for treating prolapsed hemorrhoids.

Keywords:
HemorrhoidsMilligan-Morgan hemorrhoidectomyPatient satisfactionPostoperative complicationsProcedure for prolapse and hemorrhoidsRecurrence

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Area of Science:

  • Colorectal surgery
  • Surgical innovation
  • Hemorrhoid treatment

Background:

  • Hemorrhoidal prolapse is a prevalent condition requiring effective treatment.
  • The procedure for prolapse and hemorrhoids (PPH) is common but has a high recurrence rate.
  • Modified-PPH (M-PPH) was developed to improve the efficacy of PPH by enhancing the pulling-up effect.

Purpose of the Study:

  • To compare the therapeutic effectiveness and patient satisfaction of M-PPH, PPH, and Milligan-Morgan hemorrhoidectomy (MMH).
  • To evaluate postoperative complications, anal dysfunction, and recurrence rates among the three surgical methods.

Main Methods:

  • A retrospective cohort study involving 1163 patients with severe hemorrhoids (Stage III/IV).
  • Patients were treated with M-PPH (n=461), PPH (n=321), or MMH (n=381) between 2012 and 2014.
  • Outcomes including complications, pain, anal function, and patient satisfaction were assessed over a 5-year follow-up period.

Main Results:

  • M-PPH showed a significantly lower recurrence rate (8.7%) compared to PPH (18.8%).
  • Postoperative anastomotic bleeding was lowest with M-PPH (1.9%).
  • Patient satisfaction was significantly higher following M-PPH compared to PPH and MMH.

Conclusions:

  • M-PPH is a highly advantageous procedure for severe hemorrhoids (Goligher Stage III/IV).
  • The technique offers a low incidence of anastomotic bleeding and recurrence.
  • M-PPH achieves very high patient satisfaction rates.