Evaluation of the procedure for prolapse and hemorrhoids:three years'experiences

Objective To assess the clinical value of procedure for prolapse and hemorrhoids(PPH). Methods Three hundred and fifty two patients with Ⅲ°and Ⅳ°hemorrhoids underwent PPH from July 2000 to July 2003. Pain,bleeding,prolapse and edema in anus before the procedure,1 day,6 days and 30 days after the procedure, and at the end of the follow up were compared. Results Of the 352 patients, the mean operative time was 9 min. On the first day after the procedure, pain occurred in 20.5%of the cases and bleeding in 5.7%, but 30 days later, both pain and bleeding were relieved. All the patients passed the first tool after (46.9±10.9)h postoperatively. The mean hospital stay was (4.4±1.2)d. Most of the patients resumed work after (8.0±1.7)d postoperatively. Retention of urine(10%) and bleeding(5.7%) were the main complications and other unusual complications included infection,stricture and back pain. After a mean follow up time of (27.0±7.4) months, only 4.5%of the cases had a little bleeding and most recovered well with no recurrence. Conclusion PPH is effective, safe, minimally invasive, and is the first choice to deal with severe hemorrhoids.