Abstract:

Objective To analyze the effect of external exfoliation combined with automatic hemorrhoid ligation on mixed hemorrhoids. Method Select 50 patients with mixed hemorrhoids admitted to Zhongshan Nanqu Hospital from August 2022 to August 2024, and randomly divide them into two groups of 25 patients each using a random number table method. The control group underwent external stripping and internal ligation, while the observation group underwent external stripping combined with automatic hemorrhoid ligation. The treatment effects of the two groups were compared. Result The observation group had significantly shorter surgical time, first bowel movement time, granulation tissue growth time, wound healing time, and hospitalization time compared to the control group (P ＜ 0.01). The maximum anal sphincter pressure in the observation group was significantly higher than that in the control group in both resting and contracting states after surgery (P ＜ 0.001). The pain scores of the observation group patients at 6 hours, 12 hours, 1 day, and 3 days after surgery were significantly lower than those of the control group (P ＜ 0.01). The patients in the observation group had no complications. The patients in the control group had 2 cases of wound edge edema and 1 case of urinary retention. The total incidence of complications in the observation group was lower than that in the control group, but the difference was not significant (χ2=3.192, P=0.074). Conclusion The implementation of external stripping combined with automatic hemorrhoid ligation can improve the anal function of patients with mixed hemorrhoids, reduce the risk of adverse reactions, and alleviate perioperative pain.

Key words: Exfoliation, Automatic hemorrhoid ligation, Mixed hemorrhoids