Observation on the efficacy of ruiyun procedure for hemorrhoids combined with conformal suture in the treatment of severe prolapsed hemorrhoids
10.3969/j.issn.1673-9701.2024.04.003
- VernacularTitle:自动弹力线痔疮套扎术联合适形缝合术治疗重度脱垂性痔的疗效观察
- Author:
Yu ZHANG
1
;
Hongping GAO
1
;
Jiao ZHENG
1
;
Hang SUN
1
;
Keke MA
1
Author Information
1. Department of Proctology, the First People’s Hospital of Xuzhou, Xuzhou 221002, Jiangsu, China
- Publication Type:Journal Article
- Keywords:
Prolapsed hemorrhoids;
Conformal suture;
Ruiyun procedure for hemorrhoids;
Enhanced recovery after surgery
- From:
China Modern Doctor
2024;62(4):11-14
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the efficacy of ruiyun procedure for hemorrhoids(RPH)combined with conformal suture in the treatment of severe prolapsed hemorrhoids.Methods Seventy-eight patients with severe prolapsed hemorrhoids admitted to the First People's Hospital of Xuzhou from June 2021 to August 2022 were selected and divided into observation group and control group according to random number table method,with 39 cases in each group.Patients in observation group were treated with RPH combined with conformal suture,and patients in control group were treated with external peeling and internal ligation.Operation duration,intraoperative blood loss,postoperative complications,wound healing time,anal function and overall satisfaction were compared between two groups.Results The intraoperative blood loss in observation group was significantly less than that in control group,hospital stay was significantly shorter than that in control group(P<0.05).Postoperative pain,bleeding,anal edema and the formation of anal skin pad in observation group were significantly better than those in control group(P<0.05).At 12 weeks after surgery,Wexner anal incontinence scores in both groups were significantly lower than before surgery(P<0.05),and the Wexner anal incontinence score in observation group was significantly lower than that in control group(P<0.05).The cure rate of observation group was significantly higher than that of control group(92.31%vs.74.36%,χ2=55.46,P=0.03),and the overall satisfaction with treatment was significantly higher than that of control group(χ2=58.57,P=0.02).Conclusion RPH combined with conformal suture is effective in treatment of severe prolapsed hemorrhoids,which can reduce the pain of patients,shorten the length of hospital stay,reduce complications,and improve the comfort and satisfaction of patients.
