Abstract:

Objective To study the effect of external stripping and internal ligation combined with stapled hemorrhoidectomy for the treatment of patients with mixed hemorrhoids and its impact on anal function. Method 60 patients with circular mixed hemorrhoids admitted to Mishan Traditional Chinese Medicine Hospital from January to December 2023 were randomly divided into two groups using a random number table. The control group (n=30) underwent external stripping and internal ligation treatment, while the observation group (n=30) received combined treatment with stapled hemorrhoidectomy on the basis of the control group. The clinical efficacy, recurrence rate, surgical indicators, postoperative complications, postoperative pain and anal function recovery, and anorectal motility indicators at different postoperative times were compared between the two groups of patients. Result The total clinical effective rate of the observation group was higher than that of the control group, the recurrence rate within 1 year was lower than that of the control group, and the postoperative visual analogue scale score and Williams standard rating were both lower than those of the control group, with significant differences (P ＜ 0.05). The surgical time, hospitalization time, and wound healing time of the observation group patients were shorter than those of the control group, and the intraoperative blood loss was less than that of the control group, with significant differences (P ＜ 0.001). One month after surgery, there was no significant difference in anorectal motility indicators between the two groups (P ＞ 0.05); Three months after surgery, both groups showed improvement in anorectal motility indicators compared to one month after surgery, and all indicators in the observation group were better than those in the control group, with significant differences (P ≤ 0.001). The total incidence of postoperative complications in the observation group was 3.33%, which was lower than that in the control group (23.33%), and the difference was significant (P ＜ 0.05). Conclusion Patients with mixed hemorrhoids can improve clinical outcomes, effectively improve anal function, and have a low incidence of complications when treated with external dissection and internal ligation combined with stapled mucosal excision.

Key words: External peeling and internal ligation technique, Stapler assisted hemorrhoidectomy, Circular mixed hemorrhoids, Anal function