Updates of surgical treatment in hemorrhoidal disease
Jianan Li, Huangfu Ma, Yue Wang, Lixia Lai, Xuecheng Zhang, Yanmei Wang
Updates of surgical treatment in hemorrhoidal disease
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.
hemorrhoidectomy / hemorrhoids / review / surgical treatment
[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.
CrossRef
Google scholar
|
[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.
CrossRef
Google scholar
|
[3] |
Cengiz TB , Gorgun E . Hemorrhoids: a range of treatments. Cleve Clin J Med. 2019; 86 (9): 612- 620.
CrossRef
Google scholar
|
[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.
CrossRef
Google scholar
|
[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.
CrossRef
Google scholar
|
[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.
CrossRef
Google scholar
|
[9] |
You SY , Kim SH , Chung CS , Lee DK . Open vs. closed hemorrhoidectomy. Dis Colon Rectum. 2005; 48 (1): 108- 113.
CrossRef
Google scholar
|
[10] |
Uba AF , Obekpa PO , Ardill W . Open versus closed haemorrhoidectomy. Niger Postgrad Med J. 2004; 11 (2): 79- 83.
CrossRef
Google scholar
|
[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.
CrossRef
Google scholar
|
[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.
CrossRef
Google scholar
|
[13] |
Lohsiriwat V , Jitmungngan R . Strategies to reduce post-hemorrhoidectomy pain: a systematic review. Medicina (Kaunas). 2022; 58 (3): 418.
CrossRef
Google scholar
|
[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.
CrossRef
Google scholar
|
[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.
CrossRef
Google scholar
|
[28] |
Porrett LJ , Porrett JK , Ho YH . Documented complications of staple hemorrhoidopexy: a systematic review. Int Surg. 2015; 100 (1): 44- 57.
CrossRef
Google scholar
|
[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.
CrossRef
Google scholar
|
[30] |
Faucheron JL , Voirin D , Abba J . Rectal perforation with life-threatening peritonitis following stapled haemorrhoidopexy. Br J Surg. 2012; 99 (6): 746- 753.
CrossRef
Google scholar
|
[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.
CrossRef
Google scholar
|
[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.
CrossRef
Google scholar
|
[33] |
Kim JS . Partial stapled hemorrhoidopexy versus circular stapled hemorrhoidopexy. Ann Coloproctol. 2017; 33 (1): 7- 8.
CrossRef
Google scholar
|
[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.
CrossRef
Google scholar
|
[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.
CrossRef
Google scholar
|
[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.
CrossRef
Google scholar
|
[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.
CrossRef
Google scholar
|
[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.
CrossRef
Google scholar
|
[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.
CrossRef
Google scholar
|
[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.
CrossRef
Google scholar
|
[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.
CrossRef
Google scholar
|
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