Updates of surgical treatment in hemorrhoidal disease

Jianan Li , Huangfu Ma , Yue Wang , Lixia Lai , Xuecheng Zhang , Yanmei Wang

Adv. Chi. Med ›› 2024, Vol. 1 ›› Issue (3) : 156 -161.

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Adv. Chi. Med ›› 2024, Vol. 1 ›› Issue (3) :156 -161. DOI: 10.1002/acm4.25
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Updates of surgical treatment in hemorrhoidal disease

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Abstract

Hemorrhoidal disease is one of the most prevalent and frequently occurring conditions worldwide. Treatment modalities for hemorrhoids are multifaceted and tailored according to the severity of the condition. Various surgical procedures and modified approaches had been invented since 1937. Here we review the workflow, advantages, and disadvantages of different types of hemorrhoid surgery (conventional excisional hemorrhoidectomy, modified excisional surgery, stapled/partial stapled hemorrhoidopexy, and Doppler‐guided hemorrhoidal artery ligation). There is no single treatment that fits all hemorrhoid patients. Surgeons should make the operation plan based on patients' conditions and wills.

Keywords

hemorrhoidectomy / hemorrhoids / review / surgical treatment

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Jianan Li, Huangfu Ma, Yue Wang, Lixia Lai, Xuecheng Zhang, Yanmei Wang. Updates of surgical treatment in hemorrhoidal disease. Adv. Chi. Med, 2024, 1(3): 156-161 DOI:10.1002/acm4.25

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References

[1]

van Tol RR , Kleijnen J , Watson AJM , Jongen J , Altomare DF , Qvist N , Higuero T , Muris JWM , Breukink SO . European Society of ColoProctology: guideline for haemorrhoidal disease. Colorectal Dis. 2020; 22 (6): 650- 662.

[2]

Riss S , Weiser FA , Schwameis K , Riss T , Mittlböck M , Steiner G , Stift A . The prevalence of hemorrhoids in adults. Int J Colorectal Dis. 2012; 27 (2): 215- 220.

[3]

Cengiz TB , Gorgun E . Hemorrhoids: a range of treatments. Cleve Clin J Med. 2019; 86 (9): 612- 620.

[4]

Medicine TCSoCAoI . Guidelines for the diagnosis and treatment of hemorrhoids in China (2020). J Colorectal & Anal Surgery. 2020; 26 (05): 519- 533.

[5]

Davis BR , Lee-Kong SA , Migaly J , Feingold DL , Steele SR . The American society of Colon and rectal surgeons clinical practice guidelines for the management of hemorrhoids. Dis Colon Rectum. 2018; 61 (3): 284- 292.

[6]

Gallo G , Martellucci J , Sturiale A , Clerico G , Milito G , Marino F , Cocorullo G , Giordano P , Mistrangelo M , Trompetto M . Consensus statement of the Italian society of colorectal surgery (SICCR): management and treatment of hemorrhoidal disease. Tech Coloproctol. 2020; 24 (2): 145- 164.

[7]

Met C . Surgical anatomy of the anal canal, and the operative treatment of Haemorrhoids. Lancet. 1937; 13: 5959.

[8]

Ferguson JA , Heaton JR . Closed hemorrhoidectomy. Dis Colon Rectum. 1959; 2 (2): 176- 179.

[9]

You SY , Kim SH , Chung CS , Lee DK . Open vs. closed hemorrhoidectomy. Dis Colon Rectum. 2005; 48 (1): 108- 113.

[10]

Uba AF , Obekpa PO , Ardill W . Open versus closed haemorrhoidectomy. Niger Postgrad Med J. 2004; 11 (2): 79- 83.

[11]

Bhatti MI , Sajid MS , Baig MK . Milligan-Morgan (open) versus ferguson haemorrhoidectomy (closed): a systematic review and meta-analysis of published randomized, controlled trials. World J Surg. 2016; 40 (6): 1509- 1519.

[12]

Shanmugam V , Thaha MA , Rabindranath KS , Campbell KL , Steele RJ , Loudon MA . Systematic review of randomized trials comparing rubber band ligation with excisional haemorrhoidectomy. Br J Surg. 2005; 92 (12): 1481- 1487.

[13]

Lohsiriwat V , Jitmungngan R . Strategies to reduce post-hemorrhoidectomy pain: a systematic review. Medicina (Kaunas). 2022; 58 (3): 418.

[14]

Gu Y . Effect of modified external stripping and internal ligation in circular mixed hemorrhoids and its influence on in flammation indexes. Heilongjiang Medical Journal. 2022; 46 (01): 20- 22 (in Chinese).

[15]

Xiao N . Clinical Observation of Segmental-Suture in the Treatment of Annular Internal Hemorrhoids. Hunan University of Chinese Medicine; 2014: 7- 11 (in Chinese).

[16]

Ding X . Therapeutic effect of Shao Bei injection combined with external stripping and internal ligation on 50 cases of mixed hemorrhoids. Chinese J Coloproctol. 2022; 42 (12): 80 (in Chinese).

[17]

Ni R . Effect of Xiaozhiling injection combined with external stripping and internal ligation on the level of inflammatory factors in patients with mixed hemorrhoids. Mod Med Health Res Electron J. 2020; 4 (20): 86- 88 (in Chinese).

[18]

Cao K . Clinical study of Xiaozhiling injection combined with Milligan-Morgan operation on circular mixed hemorrhoids. Beijing J Tradit Chinese Med. 2013; 32 (05): 328- 330 (in Chinese).

[19]

Wang WG , Lu WZ , Yang CM , Yu KQ , He HB . Effect of lateral internal sphincterotomy in patients undergoing excisional hemorrhoidectomy. Medicine (Baltim). 2018; 97 (32): e11820.

[20]

Wang S . Effect of improved external stripping and internal ligation on wound healing time and recurrence rate after annular mixed hemorrhoids surgery. J Med Theor Pract. 2019; 32 (10): 1542- 1543 (in Chinese).

[21]

Hai Y . Effect of improved external stripping and internal ligation combined with partial amputation of lateral internal sphincter on prognosis of patients with annular mixed hemorrhoids. J Mod Med Health. 2018; 34 (16): 2554- 2556 (in Chinese).

[22]

Ning Z . Improved outer peel internal plunge in joint lateral part sphincter amputation in patients with circumferential mixed hemorrhoid postoperative quality of life and the influence of the incidence of complications. Henan J Surgery. 2018; 24 (06): 46- 48 (in Chinese).

[23]

He H . Effect of modified incision decompression combined with external stripping and internal ligation on circular mixed hemorrhoids and its influence on the quality of life of patients. J Rare Uncommon Dis. 2022; 29 (11): 77- 78 (in Chinese).

[24]

Chen X . Effect of modified open decompression combined with Milligan-Morgan hemor⁃rhoidectomy for circumferential mixed hemorrhoids. J Colorectal & Anal Surg. 2019; 25 (05): 542- 552 (in Chinese).

[25]

Li X . Comparison of the efficacy and safety of transverse division with longitudinal ligation and Milligan-Morgan hemorrhoidectomy for treating circumferential mixed hemorrhoids with grade III~IV internal hemorrhoids. J Colorectal & Anal Surgery. 2020; 26 (03): 298- 302 (in Chinese).

[26]

Li S . Transverse dividing & longitudinal ligature in the treatment of sever circumferential mixed hemorrhoids: clinical effect analysis. Chinese J Coloproctol. 2021; 41 (08): 18- 19 (in Chinese).

[27]

Lohsiriwat V . Treatment of hemorrhoids: a coloproctologist's view. World J Gastroenterol. 2015; 21 (31): 9245- 9252.

[28]

Porrett LJ , Porrett JK , Ho YH . Documented complications of staple hemorrhoidopexy: a systematic review. Int Surg. 2015; 100 (1): 44- 57.

[29]

Sajid MS , Parampalli U , Whitehouse P , Sains P , McFall MR , Baig MK . A systematic review comparing transanal haemorrhoidal de-arterialisation to stapled haemorrhoidopexy in the management of haemorrhoidal disease. Tech Coloproctol. 2012; 16 (1): 1- 8.

[30]

Faucheron JL , Voirin D , Abba J . Rectal perforation with life-threatening peritonitis following stapled haemorrhoidopexy. Br J Surg. 2012; 99 (6): 746- 753.

[31]

Lai HJ , Jao SW , Su CC , Lee MC , Kang JC . Stapled hemorrhoidectomy versus conventional excision hemorrhoidectomy for acute hemorrhoidal crisis. J Gastrointest Surg Off J Soc Surg Aliment Tr. 2007; 11 (12): 1654- 1661.

[32]

Eberspacher C , Magliocca FM , Pontone S , Mascagni P , Fralleone L , Gallo G , Mascagni D . Stapled hemorrhoidopexy: mucosectomy or not only mucosectomy, this is the problem. Front Surg. 2021; 8: 655257.

[33]

Kim JS . Partial stapled hemorrhoidopexy versus circular stapled hemorrhoidopexy. Ann Coloproctol. 2017; 33 (1): 7- 8.

[34]

Morinaga K , Hasuda K , Ikeda T . A novel therapy for internal hemorrhoids: ligation of the hemorrhoidal artery with a newly devised instrument (Moricorn) in conjunction with a Doppler flowmeter. Am J Gastroenterol. 1995; 90 (4): 610- 613.

[35]

Pucher PH , Sodergren MH , Lord AC , Darzi A , Ziprin P . Clinical outcome following Doppler-guided haemorrhoidal artery ligation: a systematic review. Colorectal Dis. 2013; 15 (6): e284.

[36]

Avital S , Inbar R , Karin E , Greenberg R . Five-year follow-up of Doppler-guided hemorrhoidal artery ligation. Tech Coloproctol. 2012; 16 (1): 61- 65.

[37]

Zhai M , Zhang YA , Wang ZY , Sun JH , Wen J , Zhang Q , Li JD , Wu YZ , Zhou F , Xu HL . A randomized controlled trial comparing suture-fixation mucopexy and Doppler-guided hemorrhoidal artery ligation in patients with grade III hemorrhoids. Gastroenterol Res Pract. 2016; 2016: 8143703- 8143708.

[38]

Aibuedefe B , Kling SM , Philp MM , Ross HM , Poggio JL . An update on surgical treatment of hemorrhoidal disease: a systematic review and meta-analysis. Int J Colorectal Dis. 2021; 36 (9): 2041- 2049.

[39]

Simillis C , Thoukididou SN , Slesser AA , Rasheed S , Tan E , Tekkis PP . Systematic review and network meta-analysis comparing clinical outcomes and effectiveness of surgical treatments for haemorrhoids. Br J Surg. 2015; 102 (13): 1603- 1618.

[40]

Bilgin Y , Hot S , Barlas IS , Akan A , Eryavuz Y . Short- and long-term results of harmonic scalpel hemorrhoidectomy versus stapler hemorrhoidopexy in treatment of hemorrhoidal disease. Asian J Surg. 2015; 38 (4): 214- 219.

[41]

Lee KC , Chen HH , Chung KC , Hu WH , Chang CL , Lin SE , Tsai KL , Lu CC . Meta-analysis of randomized controlled trials comparing outcomes for stapled hemorrhoidopexy versus LigaSure hemorrhoidectomy for symptomatic hemorrhoids in adults. Int J Surg. 2013; 11 (9): 914- 918.

[42]

Xu L , Chen H , Lin G , Ge Q , Qi H , He X . Transanal hemorrhoidal dearterialization with mucopexy versus open hemorrhoidectomy in the treatment of hemorrhoids: a meta-analysis of randomized control trials. Tech Coloproctol. 2016; 20 (12): 825- 833.

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The Author(s). Advanced Chinese Medicine published by John Wiley & Sons Australia, Ltd on behalf of Higher Education Press.

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