Related Experiment Video
Updated: Oct 17, 2025
05:39
Acupoint Needle-Embedding Combined with Ironing Therapy for Postoperative Pain After Anal Surgery
Published on: June 23, 2023
1.7K
Interventional treatments for prolapsing haemorrhoids: network meta-analysis.
1Department of Surgery, South Auckland Clinical Campus, University of Auckland, Middlemore Hospital, Auckland, New Zealand.
BJS Open
|October 11, 2021
Summary
For symptomatic hemorrhoids (grade II-III), closed hemorrhoidectomy offers the lowest recurrence but higher pain and complications. Discuss treatment risks and benefits with patients for informed decisions.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Evidence-Based Medicine
Background:
- Hemorrhoid treatment options vary in efficacy and risk.
- Symptomatic hemorrhoids (grade II-III) require effective interventions.
Purpose of the Study:
- To compare clinical outcomes of interventional treatments for grade II-III hemorrhoids.
- To evaluate the relative effectiveness and safety of various hemorrhoid procedures.
Main Methods:
- Systematic review and Bayesian network meta-analysis of RCTs (1980-2020).
- Inclusion of 79 RCTs (9232 patients) comparing 14 treatments.
- Primary outcomes: recurrence, pain (VAS), and complications (bleeding, retention, incontinence).
Main Results:
- Closed hemorrhoidectomy showed lowest recurrence; open hemorrhoidectomy and stapled hemorrhoidopexy had highest recurrence.
- Direct current electrotherapy, DG-HAL with mucopexy, and infrared coagulation had lowest pain scores.
- Open hemorrhoidectomy and stapled hemorrhoidopexy presented higher risks of bleeding, urinary retention, and bowel incontinence.
Conclusions:
- Hemorrhoidectomy (open/closed) and stapled hemorrhoidopexy offer low recurrence but increased pain and complications.
- Treatment decisions require a thorough discussion of risks and benefits with patients.
More Related Videos
Related Concept Videos
01:26Varicose Veins II: Diagnostic Studies and Interprofessional Care
49
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
49
01:21Inflammatory Bowel Disease V: Surgical Management
258
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
258
01:28Esophageal Varices-II: Clinical Features and Management
177
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
177
01:27Peripheral Artery Disease III: Interprofessional Care
64
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
64
01:17Drugs for Treatment of Diarrhea-Predominant IBS
355
Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
355