Transanal Suture Mucopexy for Hemorrhoids

Chivate, S. D.; Killedar, Madhura M; Vardhani, Shanthi G; Ladukar, Laxmikant; Kavathe, Sunil; Kanekar, Sripad R

doi:10.1097/dcr.0000000000002191

Cited by 8 publications

(8 citation statements)

References 34 publications

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“…The inclusion criteria are as follows [11]: (1) Age of 18 to 75 years, with no limitation according to sex; (2) grade II-III internal haemorrhoids with accompanying symptoms, such as bleeding, prolapse, or itching; (3) conservative treatment for grade II-III internal haemorrhoids such as diet regulation and drugs has proven ineffective; (4) patients unwilling to undergo haemorrhoidectomy. The exclusion criteria are as follows [12]: (1) Grade IV haemorrhoids, mixed haemorrhoids, or external haemorrhoids; (2) internal haemorrhoids accompanied by incarceration, thrombosis, erosion, or infection; (3) patients with severe systemic diseases who cannot tolerate endoscopic treatment; (4) patients with perianal infectious diseases or anal stulae; (5) patients with active in ammatory bowel disease; (6) patients with coagulation dysfunction or using anticoagulants; (7) pregnant women.…”

Section: Study Populationmentioning

confidence: 99%

“…We mainly focused on white blood cell (WBC) and neutrophil (NEUT) counts among the blood tests. Anal pain intensity was quanti ed by the Visual Analogue Scale (VAS), with scores on a scale of 0-10, where 0-3 indicates mild pain, 4-6 indicates moderate pain, 7-9 indicates severe pain, and 10 indicates excruciating pain [12].…”

Section: Safety Measures (1) Primary Outcome Measures: Postoperative ...mentioning

confidence: 99%

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Evaluation of the safety and effectiveness of the disposable endoscope for endoscopic rubber band ligation of internal hemorrhoids: A prospective randomised controlled trial

Xia

et al. 2023

Preprint

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Purpose We aimed to compare not only the safety and effectiveness of endoscopic rubber band ligation (ERBL) for treating grade II-III internal hemorrhoids using disposable endoscopes versus reusable endoscopes, but also maintenance cost of them. Method This was a prospective randomised controlled trial with 42 patients who underwent ERBL for grade II-III internal hemorrhoids using either a disposable endoscope (n = 21) or a reusable endoscope (n = 21). Safety was assessed by postoperative infection rate, in-procedure vital stability, and incidence of device-related adverse events. Effectiveness was assessed by endoscopic image clarity, flexibility, matching between the endoscope and surgical instrument, and therapeutic effect. Cost accounting of maintenance was also estimated. Results In terms of safety, although neutrophil count on a postoperative day (POD) 1 in the disposable endoscope group was significantly higher than in the reusable endoscope group (P = 0.008), no patients in either group had a postoperative infection. No life-threatening events, equipment failure or device-related adverse effects occurred during the procedures in either group. In terms of effectiveness, image clarity (P = 0.599) and endoscopic flexibility (P = 0.057) were mildly inferior in disposable endoscope group, but no significant differences were found. Matching between the endoscope and ligating device was 100% in both groups. The therapeutic effects on POD 30 were similar in both groups (P = 0.611). The maintenance cost of reusable endoscope was 214.74RMB per case when disposable endoscope was 0. Conclusion Compared with reusable endoscopes, disposable endoscopes are equally safe, feasible, and reliable in ERBL for internal hemorrhoids, and maintenance cost can be totally saved. Clinical trial registration was completed (ChiCTR2200060014) on May 14, 2022.

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Section: Study Populationmentioning

confidence: 99%

Section: Safety Measures (1) Primary Outcome Measures: Postoperative ...mentioning

confidence: 99%

Evaluation of the safety and effectiveness of the disposable endoscope for endoscopic rubber band ligation of internal hemorrhoids: A prospective randomised controlled trial

Xia

et al. 2023

Preprint

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“…Genetic predispositions also play a role, suggesting that familial history can be indicative of one likelihood to develop this ailment. [7,8] Severe cases of hemorrhoidal disease present a major clinical concern, often characterized by excruciating pain, rectal bleeding, and prolapsed hemorrhoidal tissue, which can severely impede normal bowel function and significantly deteriorate the quality of life of the affected individuals. [9–11]…”

Section: Introductionmentioning

confidence: 99%

“…Genetic predispositions also play a role, suggesting that familial history can be indicative of one likelihood to develop this ailment. [7,8] Severe cases of hemorrhoidal disease present a major clinical concern, often Written informed consent for publication was obtained from all patients and their families included in this retrospective study.…”

Section: Introductionmentioning

confidence: 99%

Clinical efficacy of ultrasound doppler-guided hemorrhoidal artery ligation combined with procedure for prolapse and hemorrhoids in treatment of severe hemorrhoids

He,

Zhang,

et al. 2023

Medicine

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Hemorrhoids are a prevalent anorectal condition that affects a wide range of adult populations. The severity of this condition was graded using a validated hemorrhoidal grading system, specifically focusing on grade III and IV cases. This retrospective study aimed to compare the clinical efficacy of a standard Procedure for Prolapse and Hemorrhoids (PPH) with a combined Doppler-guided Hemorrhoidal Artery Ligation (DG-HAL) and a PPH approach in patients with severe hemorrhoids. Conducted from May 2021 to January 2023, the study included patients aged 18–65 with confirmed diagnosis of Grade III or Grade IV hemorrhoids. Patients with a history of anorectal surgery and significant comorbidities were excluded. The control group underwent standard PPH, whereas the observation group received DG-HAL followed by PPH. Clinical outcomes were measured using variables such as the operative duration, intraoperative blood loss, postoperative wound healing time, and length of hospital stay. Efficacy was evaluated using a hierarchical scale and a visual analog scale (VAS) for postoperative pain. The complication rates were also assessed. baseline characteristics were homogeneous between the 2 groups. The observation group demonstrated significantly faster postoperative wound healing and shorter hospital stay (P < .01). The overall therapeutic efficacy in the observation group was 90.0%, which was higher than that of the control group (75.0%; P = .025). The VAS pain scores were also significantly lower in the observation group (P = .002). A marked decrease in complication rates was observed in the observation group (3.3%) compared with that in the control group (17.9%) (P < .05). The combined DG-HAL and PPH surgical approach exhibited superior clinical efficacy in treating severe hemorrhoids. This technique offers high effectiveness, reduced postoperative VAS pain scores, and lower complication rates. The long-term efficacy requires further observation.

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“…TSM was first published in 2012 [1]. A recent large multicentric study has shown the success rate of 98.6% in 5541 patients with a median follow‐up of 6 years [2]. There is minimal pain after the procedure (analogue score 1–2 in 97.8% and 2–3 in 2.2% patients) [2].…”

mentioning

confidence: 99%

Transanal suture mucopexy – A nonexcisional cost effective procedure for advanced haemorrhoids: A video vignette

Chivate¹,

Garg

2021

Colorectal Disease

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Transanal suture mucopexy (TSM) is a simple, nonexcisional cost effective procedure to treat advanced haemorrhoids (late grade II, III and IV). No costly gadgets are required.The procedure is done under saddle (spinal) anesthesia and has the following steps:1. The haemorrhoids are manually reduced inside the anus. The repositioned mucosa is fixed to internal anal sphincter (IAS)muscle in two circumferential rows of sutures with 2-0 polyglycolic acid, on a tapered, 30 mm. half circle needle.3. The first circumferential row is taken 2 cm above the dentate line.4. The second circumferential row is taken 2 cm above the first

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Transanal Suture Mucopexy for Hemorrhoids

Cited by 8 publications

References 34 publications

Evaluation of the safety and effectiveness of the disposable endoscope for endoscopic rubber band ligation of internal hemorrhoids: A prospective randomised controlled trial

Evaluation of the safety and effectiveness of the disposable endoscope for endoscopic rubber band ligation of internal hemorrhoids: A prospective randomised controlled trial

Clinical efficacy of ultrasound doppler-guided hemorrhoidal artery ligation combined with procedure for prolapse and hemorrhoids in treatment of severe hemorrhoids

Transanal suture mucopexy – A nonexcisional cost effective procedure for advanced haemorrhoids: A video vignette

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