Randomized controlled study on the treatment of circumferential mixed hemorrhoids with submucosal hemorrhoidectomy based on the theory of"preserving tissue with minimal damage"
Objectives To investigate the efficacy of submucosal hemorrhoidectomy(abbreviated as"large C-loop"tech-nique)for the treatment of circumferential mixed hemorrhoids using a randomized controlled study.Methods A total of 106 patients with circumferential mixed hemorrhoids who visited the People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine from July 2023 to September 2023 were enrolled as study subjects and randomly divided into a control group(treated with procedure for prolapse and hemorrhoids)and an observation group(treated with the"large C-loop"technique).The anal distension(anal distension scores)on postoperative day 1 and day 7,quality of life(measured by the 5-level version of EuroQol five dimensions questionnaire,EQ-5D-5L)on postoperative day 7 and 1 month,and postoperative complications(such as secondary bleeding and anal stenosis)were compared between the two groups.Results The anal distension scores on postoperative day 1 and day 7 in the observation group were signifi-cantly lower than those in the control group,with statistically significant differences(P＜0.05).On postoperative day 7,the EQ-5D-5L scores in the observation group were significantly lower than those in the control group,with a statisti-cally significant difference(P＜0.05).However,there was no statistically significant difference in EQ-5D-5L scores between the two groups at 1 month postoperatively(P＞0.05).No statistically significant difference was found in postoperative complications between the two groups(P＞0.05).Conclusion The"large C-loop"technique has significant advantages in improving early postoperative anal distension and quality of life in patients with circumferential mixed hemorrhoids,mak-ing it worthy of clinical promotion and application.
circumferential mixed hemorrhoidsprocedure for prolapse and hemorrhoidsanal distensionEQ-5D-5L
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