![]() ![]() Among them, 702 patients underwent PPH, and other 709 patients MMH. Sixteen RCTs recruiting 1411 patients were identified. Meta-analysis was performed using RevMan 5.3 software. The methodological quality of enrolled trials was evaluated according to the Cochrane handbook for systematic reviews of interventions. Associated reference documents in enrolled trials were reviewed. Hand search was applied in Chinese Journal of Gastrointestinal Surgery, Chinese Journal of Coloproctology and Journal of Colorectal and Anal Surgery from the library of Chengdu University of Traditional Chinese Medicine. All the randomized controlled trials (RCT) comparing PPH with MMH in the treatment of prolapsed hemorrhoids published between January 1998 and January 2015 were retrieved from PubMed, Embase, Cochrane Library, CBM, CNKI, Wangfang, VIP databases. To compare the safety and efficacy of procedure for prolapse and hemorrhoids ( PPH) with Milligan-Morgan hemorrhoidectomy (MMH) in the treatment of prolapsed hemorrhoids. The multipoint umbrella suture showed better clinical outcomes because of its targeted suture according to the extent of hemorrhoid prolapse. The operative time in Group A was significantly shorter than that in Group B (P  0.05 for all comparisons) was observed. There were no significant differences in sex, age, course of disease, and degree of prolapse of hemorrhoids between the two groups. Statistical analysis was conducted by t-test and χ2 test. Operation time, width of the specimen, hemorrhoids retraction extent, postoperative pain, postoperative bleeding, and length of hospitalization were recorded and compared. All operations were performed by an experienced surgeon. Ninety patients were randomly divided into a PPH plus single-purse suture group (Group A) and a PPH plus multipoint umbrella suture (Group B). To compare the clinical outcomes of multipoint umbrella suture and single-purse suture with two-point traction after procedure for prolapse and hemorrhoids surgery ( PPH) for the treatment of mixed hemorrhoids. Jiang, Huiyong Hao, Xiuyan Xin, Ying Pan, Youzhen PPH appears to be a safe technique for patients with circular internal hemorrhoids and circular mixed hemorrhoids.Ĭomparison of clinical outcomes of multi-point umbrella suturing and single purse suturing with two-point traction after procedure for prolapse and hemorrhoids ( PPH) surgery. Postoperative recurrence developed in 82 patients(4.6%), 28 of whom were managed by repeat PPH and 54 by conservative treatment. Long-term postoperative complications were reported including mild fecal incontinence(n=112, 6.3%), postoperative recurrence(n=82, 4.6%), anal distention and defecatory urgency(n=50, 2.8%), anastomotic stenosis(n=4, 0.2%). Perioperative complications and adverse events were reported including acute urinary retention(n=360, 16.7%) which was managed by temporary cathether indwelling, anastomotic bleeding(n=45, 2.1%) managed by surgical or endoscopic procedures, chronic anoperineal sustained pain(n=30, 1.4%) managed by local treatment or stapler removal, and thrombosed external hemorrhoid(n=28, 1.2%) managed by conservative treatment or resection. The median length of follow-up was 73 months. The perioperative and postoperative long-term complications were recorded and assessed. A retrospective study was performed in 2152 patients with circular internal hemorrhoids and circular mixed hemorrhoids eligible for PPH from January 2002 to December 2011. To investigate the perioperative and postoperative long-term complications of procedure for prolapse and hemorrhoids(PPH) for the treatment of circular internal hemorrhoids and circular mixed hemorrhoids. ![]() Zhu, Jun Ding, Jian-hua Zhao, Ke Zhang, Bin Zhao, Yong Tang, Hai-yan Zhao, Yu-juan ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |