Procedure for prolapse and hemorrhoids(PPH) in the treatment of prolapsed hemorrhoids:a report of 30 cases

Objective:To evaluate the efficacy of the procedure for prolapse and hemorrhoids(PPH) in the treatment of patients with prolapsed hemorrhoids.Methods:30 patients with Ⅲ or Ⅳ degree of circular prolapsed hemorrhoids were operated on by PPH and were analysed retrospectively.Results:The mean operation time was 15 minutes and mean postoperative hospital stay was 4 days.Hemorrhoids in 26 of the 30 patients disappeated immediately after operation and 4 days.Hemorrhoids in 26 of the 30 patients disappeared immediately after operation and 4 disappeared on the second day postoperatively.Postoperative bleeding was noted in 3 cases at the first and sixth day after operation,which was cured by conservative methods.3 patients complained local pain and 5 patients suffered from temporary urine retention after operation.Follow-upperiod lasting for 10 months showed no recurrence.Conclusion:PPH is a safe and effective treatment for severely prolapsed circular hemorrhoids at the third or fourth degree with the advantages of shorter hospitalization time and quicker recvery.However,thd long-term outcome remains to be identified.