Clinical study of use of large C suture in procedure for prolapse and hemorrhoids for treatment of mixed hemorrhoids

Abstract

Objective To investigate the clinical use of a large C suture in the procedure for prolapse and hemorrhoids (PPH) for treatment of mixed hemorrhoids. Methods Patients with mixed hemorrhoids (grade III or IV) who underwent treatment with a large C suture during PPH in the Affiliated Hospital (Group) of Putian University from 1 April 2018 to 31 March 2019 were enrolled in this retrospective study. The incidences of anastomotic stenosis and anastomotic hemorrhage after the operation were observed. Results The study population comprised 126 patients (46 men and 80 women) ranging in age from 30 to 78 years (mean, 46.1 ± 2.5 years). Of these patients, 60 had circular mixed hemorrhoids, 36 had grade III circular internal hemorrhoids, and 30 had grade IV circular internal hemorrhoids. The onset time among all patients ranged from 0.5 to 25 years. All patients underwent 6 months of postoperative follow-up. None of the patients with mixed hemorrhoids developed anastomotic stenosis, although two patients developed secondary anastomotic bleeding. Conclusion Placement of a large C suture during PPH is a reliable technique for treatment of mixed hemorrhoids. It is simple, effective, and applicable and can be helpful for a large number of patients in primary hospitals.

Comparison of the outcomes of hemorrhoidectomy and PPH in the treatment of grades III and IV hemorrhoids

“…[5] In addition, PPH can also reduce operative blood loss, operative time, and wound healing time and decrease the incidence rate of wound infection. [15,16] Hemorrhoids are the most common anorectal disease, and the developmental course of the disease is chronic. If severe hemorrhoids develop, the condition can cause frequent bowel movements, anemia, incarcerated necrosis, and bleeding, signifi-cantly affecting the patient's health.…”

“…[ 5 ] In addition, PPH can also reduce operative blood loss, operative time, and wound healing time and decrease the incidence rate of wound infection. [ 15 , 16 ]…”

Prevention and Treatment of Anastomotic Strictures After Procedure for Prolapse and Hemorrhoids

“…Patients with scar constitutions (unrestrained scar growth) have a higher prevalence of AS. 8 It can have a major effect on defecation after surgery, and in certain cases a second procedure may be necessary to fix the AS. It increases financial burdens, causes more pain, and reduces the quality of life of patients.…”