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Knowledge structure and paradigm evolution in anal fistula diagnosis and treatment: a bibliometric analysis based on PubMed.

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Global knowledge mapping and technological evolution in hemorrhoid therapy: a multi-tool bibliometric analysis.

XiaoJuan Chen1

  • 1Department of Anorectal, Zhongshan City People's Hospital, Zhongshan, 528400, Guangdong Province, China. forgoodla2008@hotmail.com.

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Summary
This summary is machine-generated.

Research on hemorrhoid therapy shows increasing interest, with a shift towards minimally invasive techniques and outpatient care. Key knowledge gaps remain in long-term outcomes and standardized guidelines for effective management.

Keywords:
Bibliometric analysisCiteSpaceGlobal researchHemorrhoid therapyHemorrhoidsMinimally invasive proceduresResearch trendsSurgical innovationTechnological evolutionTreatment outcomesVOSviewer

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Area of Science:

  • Gastroenterology and Surgical Innovation
  • Bibliometrics and Health Services Research

Background:

  • Hemorrhoidal disease presents a substantial global healthcare challenge.
  • A comprehensive understanding of its research landscape and technological advancements is currently lacking.

Purpose of the Study:

  • To analyze the knowledge structure, collaborative networks, research hotspots, and emerging trends in hemorrhoid therapy over the past two decades.
  • To provide an evidence-based roadmap for future research and clinical practice in hemorrhoidal disease management.

Main Methods:

  • Bibliometric analysis of 2764 publications from the Web of Science Core Collection (WoSCC) over 20 years.
  • Utilized VOSviewer, CiteSpace, and Bibliometrix for analyzing publication trends, country/institutional contributions, collaboration networks, keyword co-occurrence, thematic evolution, and burst detection.

Main Results:

  • Annual publications show a steady increase, indicating growing research interest, with China and the United States as leading contributors.
  • Core research areas include Rubber Band Ligation, hemorrhoidectomy, laser therapy, pain management, and quality of life.
  • Emerging trends focus on minimally invasive techniques (DG-HAL, laser hemorrhoidoplasty), ambulatory management, evidence-based guidelines, and comparative effectiveness.

Conclusions:

  • The study maps the global research architecture and evolution of hemorrhoid therapy, confirming conventional techniques while highlighting a trend towards minimally invasive and outpatient approaches.
  • Significant knowledge gaps persist in long-term efficacy comparisons and standardized guideline development.
  • Findings offer guidance for researchers, clinicians, and policymakers to optimize hemorrhoidal disease management.