[Comparison of efficacy between procedure for prolapse and hemorrhoids and open hemorrhoidectomy].
OBJECTIVE
To compare the results of procedure for prolapse and hemorrhoids (PPH) and open hemorrhoidectomy.


METHODS
A standard questionnaire was given to all patients after PPH or open hemorrhoidectomy from March 2001 to March 2004. In combination with proctological examination, the results including symptoms relief and recurrence were compared between the two groups.


RESULTS
There were 184 effective questionnaires, including 96 cases in PPH group and 88 in open hemorrhoidectomy group. PPH and open hemorrhoidectomy both relieved prolapse (92.7% vs 96.8%, P=0.282), bleeding (91% vs 81%, P=0.241) and pain (91.7% vs 91.5%, P=0.977). There were no statistical differences in the overall complication rate (30.2% and 29.5%, P=0.923) and recurrence rate (21.8% vs 20.5%, P=0.814) between the two groups. The overall satisfactory degree was 87.5% in PPH group and 84.8% in open hemorrhoidectomy group (P=0.218).


CONCLUSIONS
PPH is a safe and effective option for prolapsed hemorrhoids compared with open hemorrhoidectomy.
Chen
Chao-wen
CW
Department of General Surgery, The Third Hospital of Peking University, Beijing 100083, China. ccw0070890@sina.com
Zhan
Xue-bin
XB
Niu
Li-jun
LJ
Zhang
Wei-hua
WH
Tao
Ya-li
YL
Zhao
Fang
F
Zhang
Tong-lin
TL
Lu
Jing-qiao
JQ
D000328:Adult; D000368:Aged; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005260:Female; D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011795:Surveys and Questionnaires; D016896:Treatment Outcome