Abstract:

Objective To investigate the effect of tissue-selecting therapy stapler (TST) and procedure for prolapse and hemorrhoids (PPH) on postoperative defecation in patients with non-circular severe internal hemorrhoids. Method 80 patients with non-circular severe internal hemorrhoids admitted to Xing'an Jieshou Orthopedics Hospital from October 2019 to October 2021 were randomly divided into TST group and PPH group, with 40 cases in each group. TST group was treated with TST, PPH group with PPH. The operation, postoperative defecation and postoperative complications were compared between the two groups. Result The bleeding volume, operation time, hospital stay and wound healing time in TST group were shorter than those in PPH group (P＜0.05); the first postoperative defecation time in TST group was shorter than that in PPH group (P ＜ 0.05); the total

incidence of postoperative complications in TST group was 15.00%, which was lower than 2.50% in PPH group (P＜ 0.05). Conclusion Compared with PPH, TST has lower intraoperative bleeding, shorter operation time, faster postoperative recovery time, better postoperative defecation and lower risk of postoperative complications.

Key words: Tissue-selecting therapy stapler, Procedure for prolapse and hemorrhoids, Non-circular severe internal hemorrhoids, Defecation