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1Proctology and Pelvic Floor Clinical Centre, Cisanello University Hospital, Pisa, Italy
2Department of General and Colorectal Surgery, Yarmouk University, Irbid, Jordan
3Department of Coloproctological Surgery, Hospital de la Fuerza Aerea de Chile, Santiago de Chile, Chile
Copyright © 2023 The Korean Society of Coloproctology
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
CONFLICT OF INTEREST
No potential conflict of interest relevant to this article was reported.
FUNDING
None.
Characteristic | Data |
---|---|
No. of patients | 59 |
Sex | |
Male | 35 (59.3) |
Female | 24 (40.7) |
Age (yr) | 47 (28–78) |
Goligher degree | |
II | 5 (8.5) |
III | 44 (74.6) |
IV | 10 (16.9) |
Previous HP surgery | 4 (6.8) |
RBL | 1 (1.7) |
DGD with mucopexy | 1 (1.7) |
Hemorrhoidectomy | 1 (1.7) |
Stapled hemorrhoidopexy | 1 (1.7) |
Preoperative symptom | |
Prolapse | 59 (100) |
Bleeding | 24 (40.7) |
Burning | 21 (35.6) |
Itching | 19 (32.2) |
Discharge | 17 (28.8) |
Pain | 11 (18.6) |
Feature | Data (n = 59) |
---|---|
Surgical technique | |
Parachute | 27 (45.8) |
Purse-string | 32 (54.2) |
Hemostatic suturing | |
Patient | 33 (55.9) |
Stitch | 2.4 (1–4) |
Additional procedure | |
Skin tags excision | 6 (10.2) |
Skin tags + fissure excision | 1 (1.7) |
Duration of procedure (min) | 28.3 (15–60) |
Specimen | |
Length (cm) | 4.4 (3.5–7) |
Volume (mL) | 12.6 (9–16) |
Hospital stay (day) | 1.7 (1–7) |
Perioperative complication | Data (n = 59) |
---|---|
Total | 10 (16.9) |
Bleeding | 3 (5.1) |
Hematoma | 1 (1.7) |
Urinary retention | 0 (0) |
Anastomotic stenosis | 1 (1.7) |
Persistent anal pain | 1 (1.7) |
Tenesmus | 1 (1.7) |
Urgency | 3 (5.1) |
Impaired anal continence | 0 (0) |
Postoperative FISI | 0 (0) |
Long-term outcome | |
Complete recurrence | 3 (5.1) |
Mild symptoms recurrence | 3 (5.1) |
Single pile prolapse | 2 (3.4) |
Bleeding | 3 (5.1) |
Burning | 1 (1.7) |
Discharge | 2 (3.4) |
Persistent anal pain | 0 (0) |
Tenesmus | 0 (0) |
Urgency | 0 (0) |
Impaired anal continence | 0 (0) |
Postoperative FISI | 0 (0) |
Satisfaction grade (0–10) | |
Mean value | 9.1 (6–10) |
≥8 | 50 (84.7) |
<8 | 9 (15.3) |
Quality of life, CGQL+ | 0.79 (0.71–0.93) |
Need of redo surgery | 3 (5.1) |
Values are presented as number only, number (%), or mean (range). RBL, rubber band ligation; DGD, Doppler-guided dearterialization.
Values are presented as number (%) or mean (range).
Values are presented as number (%) or mean (range). FISI, Fecal Incontinence Score Index; CGQL, Cleveland Global Quality of Life.