Randomized controlled study on the treatment of circumferential mixed hemorrhoids with submucosal hemorrhoidectomy based on the theory of “preserving tissue with minimal damage”

Abstract

[Objectives] To investigate the efficacy of submucosal hemorrhoidectomy (abbreviated as “large C-loop” technique) 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 significantly lower than those in the control group, with statistically significant differences (P0.05). 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, making it worthy of clinical promotion and application.

Keywords

• circumferential mixed hemorrhoids
• procedure for prolapse and hemorrhoids
• anal distension
• eq-5d-5l