Comparison of clinical effectiveness between stapled transanal rectal resection and procedure for prolapse and hemorrhoids for young male patients with prolapsed hemorrhoids
[Objectives] To compare the clinical effectiveness between stapled transanal rectal resection (STARR) and procedure for prolapse and hemorrhoids (PPH) for young male patients with prolapsed hemorrhoids. [Methods] This was a retrospective analysis of 84 young male patients with prolapsed hemorrhoids...
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Editorial Office of Journal of Colorectal & Anal Surgery
2022-10-01
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| Series: | 结直肠肛门外科 |
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| Online Access: | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=507&cateName=2022%E5%B9%B4%20%E7%AC%AC28%E5%8D%B7%20%E7%AC%AC5%E6%9C%9F |
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| author | Pei Yan Gao Jihua Qi Wenyue Tian Maosheng Wu Qiong Duan Bingqian Wang Ran Liu Ziyi |
| author_facet | Pei Yan Gao Jihua Qi Wenyue Tian Maosheng Wu Qiong Duan Bingqian Wang Ran Liu Ziyi |
| author_sort | Pei Yan |
| collection | DOAJ |
| description | [Objectives] To compare the clinical effectiveness between stapled transanal rectal resection (STARR) and procedure for prolapse and hemorrhoids (PPH) for young male patients with prolapsed hemorrhoids. [Methods] This was a retrospective analysis of 84 young male patients with prolapsed hemorrhoids who were treated at the Department of Colorectal Surgery, The First Affiliated Hospital of Hebei College of Chinese Medicine, between January 2019 and December 2019. Depending on the surgical technique, patients were divided into the treatment group (receiving STARR, n=44) and the control group (receiving PPH, n=40). The followings were compared between the two groups: rate of symptom improvement, postoperative pain, anal function (Wexner anal incontinence score), postoperative complications (anal distension, anal edema, and anal stricture), and quality of life (measured using the SF-36). [Results] At 12 months after surgery, the rate of symptom improvement was significantly higher in the treatment group than in the control group (P<0.05). Pain score of visual analog scale (VAS) at 1 day after surgery did not differ significantly between the two groups (P>0.05); Pain score of VAS at 7 days after surgery was significantly lower in the treatment group than in the control group (P<0.05). Preoperative Wexner anal incontinence score did not differ significantly between the two groups (P>0.05); At 6 months after surgery, Wexner anal incontinence score decreased significantly in both groups and was significantly lower in the treatment group than in the control group (P<0.05). Incidences of anal distension, anal edema, and anal stricture within 3 months after surgery were significantly lower in the treatment group than in the control group (P<0.05). Preoperative SF-36 dimension scores did not differ significantly between the two groups (P>0.05). At 6 months after surgery, SF-36 dimension scores increased significantly in both groups and the treatment group had significantly higher dimension scores of physical function, role physical, vitality, and mental health (P<0.05). [Conclusion] For young males with prolapsed hemorrhoids, STARR has advantages over PPH in improving symptoms, quality of life, and anal function, as well as in reducing postoperative complications and postoperative pain. |
| format | Article |
| id | doaj-art-9cc8e15188b747768d9a1e61b83d6fb3 |
| institution | DOAJ |
| issn | 1674-0491 |
| language | zho |
| publishDate | 2022-10-01 |
| publisher | Editorial Office of Journal of Colorectal & Anal Surgery |
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| series | 结直肠肛门外科 |
| spelling | doaj-art-9cc8e15188b747768d9a1e61b83d6fb32025-08-20T03:10:03ZzhoEditorial Office of Journal of Colorectal & Anal Surgery结直肠肛门外科1674-04912022-10-0128546046410.19668/j.cnki.issn1674-0491.2022.05.007Comparison of clinical effectiveness between stapled transanal rectal resection and procedure for prolapse and hemorrhoids for young male patients with prolapsed hemorrhoidsPei Yan0Gao Jihua1Qi Wenyue2Tian Maosheng3Wu Qiong4Duan Bingqian5Wang Ran6Liu Ziyi7Department of Colorectal Surgery, The First Affiliated Hospital of Hebei College of Chinese Medicine, Shijiazhuang 050011, Hebei, ChinaDepartment of Colorectal Surgery, The First Affiliated Hospital of Hebei College of Chinese Medicine, Shijiazhuang 050011, Hebei, ChinaDepartment of Colorectal Surgery, The First Affiliated Hospital of Hebei College of Chinese Medicine, Shijiazhuang 050011, Hebei, ChinaDepartment of Colorectal Surgery, The First Affiliated Hospital of Hebei College of Chinese Medicine, Shijiazhuang 050011, Hebei, ChinaDepartment of Colorectal Surgery, The First Affiliated Hospital of Hebei College of Chinese Medicine, Shijiazhuang 050011, Hebei, ChinaDepartment of Colorectal Surgery, The First Affiliated Hospital of Hebei College of Chinese Medicine, Shijiazhuang 050011, Hebei, ChinaDepartment of Colorectal Surgery, The First Affiliated Hospital of Hebei College of Chinese Medicine, Shijiazhuang 050011, Hebei, ChinaDepartment of Colorectal Surgery, The First Affiliated Hospital of Hebei College of Chinese Medicine, Shijiazhuang 050011, Hebei, China[Objectives] To compare the clinical effectiveness between stapled transanal rectal resection (STARR) and procedure for prolapse and hemorrhoids (PPH) for young male patients with prolapsed hemorrhoids. [Methods] This was a retrospective analysis of 84 young male patients with prolapsed hemorrhoids who were treated at the Department of Colorectal Surgery, The First Affiliated Hospital of Hebei College of Chinese Medicine, between January 2019 and December 2019. Depending on the surgical technique, patients were divided into the treatment group (receiving STARR, n=44) and the control group (receiving PPH, n=40). The followings were compared between the two groups: rate of symptom improvement, postoperative pain, anal function (Wexner anal incontinence score), postoperative complications (anal distension, anal edema, and anal stricture), and quality of life (measured using the SF-36). [Results] At 12 months after surgery, the rate of symptom improvement was significantly higher in the treatment group than in the control group (P<0.05). Pain score of visual analog scale (VAS) at 1 day after surgery did not differ significantly between the two groups (P>0.05); Pain score of VAS at 7 days after surgery was significantly lower in the treatment group than in the control group (P<0.05). Preoperative Wexner anal incontinence score did not differ significantly between the two groups (P>0.05); At 6 months after surgery, Wexner anal incontinence score decreased significantly in both groups and was significantly lower in the treatment group than in the control group (P<0.05). Incidences of anal distension, anal edema, and anal stricture within 3 months after surgery were significantly lower in the treatment group than in the control group (P<0.05). Preoperative SF-36 dimension scores did not differ significantly between the two groups (P>0.05). At 6 months after surgery, SF-36 dimension scores increased significantly in both groups and the treatment group had significantly higher dimension scores of physical function, role physical, vitality, and mental health (P<0.05). [Conclusion] For young males with prolapsed hemorrhoids, STARR has advantages over PPH in improving symptoms, quality of life, and anal function, as well as in reducing postoperative complications and postoperative pain.https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=507&cateName=2022%E5%B9%B4%20%E7%AC%AC28%E5%8D%B7%20%E7%AC%AC5%E6%9C%9Fprolapsed hemorrhoidsstapled transanal rectal resectionprocedure for prolapse and hemorrhoidsclinical effectiveness |
| spellingShingle | Pei Yan Gao Jihua Qi Wenyue Tian Maosheng Wu Qiong Duan Bingqian Wang Ran Liu Ziyi Comparison of clinical effectiveness between stapled transanal rectal resection and procedure for prolapse and hemorrhoids for young male patients with prolapsed hemorrhoids 结直肠肛门外科 prolapsed hemorrhoids stapled transanal rectal resection procedure for prolapse and hemorrhoids clinical effectiveness |
| title | Comparison of clinical effectiveness between stapled transanal rectal resection and procedure for prolapse and hemorrhoids for young male patients with prolapsed hemorrhoids |
| title_full | Comparison of clinical effectiveness between stapled transanal rectal resection and procedure for prolapse and hemorrhoids for young male patients with prolapsed hemorrhoids |
| title_fullStr | Comparison of clinical effectiveness between stapled transanal rectal resection and procedure for prolapse and hemorrhoids for young male patients with prolapsed hemorrhoids |
| title_full_unstemmed | Comparison of clinical effectiveness between stapled transanal rectal resection and procedure for prolapse and hemorrhoids for young male patients with prolapsed hemorrhoids |
| title_short | Comparison of clinical effectiveness between stapled transanal rectal resection and procedure for prolapse and hemorrhoids for young male patients with prolapsed hemorrhoids |
| title_sort | comparison of clinical effectiveness between stapled transanal rectal resection and procedure for prolapse and hemorrhoids for young male patients with prolapsed hemorrhoids |
| topic | prolapsed hemorrhoids stapled transanal rectal resection procedure for prolapse and hemorrhoids clinical effectiveness |
| url | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=507&cateName=2022%E5%B9%B4%20%E7%AC%AC28%E5%8D%B7%20%E7%AC%AC5%E6%9C%9F |
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