Characterization of surgical techniques for the treatment of hemorrhoid disease

Authors

Abstract

Introduction: In the distal section of the anal canal, the presence of "cushion"-like structures, mainly made up of vascular tissue, called hemorrhoid plexuses.
Objective: To compare the open and closed surgical techniques in hemorrhoid disease in Camagüey province, in the period from January 2021 to January 2023.
Methods: An observational, analytical, cross-sectional study was carried out. The universe was made up of 135 patients who attended the consultation with the diagnosis of hemorrhoid disease. A simple random sampling was carried out, where 15 patients from each of the groups were taken to form a total sample of 45 patients, each group was treated with a surgical technique.
Results: In relation to sex, the female sex predominated, the surgical time was given at 30 minutes in the open techniques. Postoperative pain as an immediate complication was significant with the use of the classic Whitehead open technique; there were no mediate complications in this study; while in the late ones, anal stenosis was the one that manifested itself the most.
Conclusions: There was a predominance of the female sex, the most frequent surgical time was 30 minutes in patients operated with the open technique, in most patients excessive pain was found as an immediate complication with the Milligan-Morgan and classic Whitehead open techniques, but not so with the closed technique of Ferguson. Anal stenosis was the most frequent late surgical complication associated with the classic Whitehead technique.

DeCS: HEMORRHOIDS/surgery; HEMORRHOIDECTOMY; DIAGNOSTIC TECHNIQUES, SURGICAL; OPERATIVE TIME; ANORECTAL MALFORMATIONS.

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Author Biography

Dayan Cervantes-Peláez, Universidad de Ciencias Médicas. Hospital Provincial Docente Oncológico María Curie. Servicio de Cirugía Esplácnica. Camagüey, Cuba.

Msc. Humanidades medicas. Médico especialista de 1ro y 2do grado en Coloproctología. Especialista de 2do grado en Oncología Profesor .asistente. Investigador agregado

References

1. Long Q, Li J, Li Y. Analgesic effect of subcutaneous injection of different concentrations of methylene blue after hemorrhoidectomy: A retrospective study. Front Surg [Internet]. 2023 Apr [citado 23 Abr 2023];10:[aprox. 3 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10106721/.

2. Sheikh P, Lohsiriwat V, Shelygin Y. Micronized Purified Flavonoid Fraction in Hemorrhoid Disease: A Systematic Review and Meta-Analysis. Adv Ther [Internet]. 2020 May 12 [citado 23 Abr 2023];37(6):[aprox. 20 p.]. Disponible en:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7467450/.

3. Kumar M, Pankaj D, Kumar N, Abhishek K, Bhushan V, Tajdar Y, et al. A Prospective Study Comparing Stapler and Open Surgical Technique of Hemorrhoidectomy. Cureus [Internet]. 2023 Mar 17 [citado 23 Abr 2023];15(3):[aprox. 6 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10108892/.

4. Hernández-Bernal F, Valenzuela-Silva CM, Catasús-Álvarez KM, Lazo-Diago OC, Hernández-Rodríguez R, Bermúdez-Badell CH, et al. Caracterización epidemiológica de la enfermedad hemorroidal aguda en hospitales seleccionados en Cuba (noviembre de 2011 a enero 2012). Rev Cubana Hig Epidemiol [Internet]. 2014 Ene-Abr [citado 23 Abr 2023];52(1):[aprox. 6 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-30032014000100004&lang=es

5. Wang L, Kang M, Duan L, Chang X, Li X, Guo X, et al. Effect of single spinal anesthesia with two doses ropivacaine on urinary retention after hemorrhoidectomy in male patients. Front Surg [Internet]. 2023 [citado 23 Abr 2023];9:[aprox. 8 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9874284/.

6. Abd Maksoud WM, Abbas KS, Bawahab MA, Rayzah F, Alkorbi SM, Alfaifi AG, et al. Prevalence of Obstructed Defecation among Patients Who Underwent Hemorrhoidectomy and Correlation between Preoperative Constipation Score and Postoperative Patients' Satisfaction: A Prospective Study in Two Centers. Healthcare (Basel) [Internet]. 2023 [citado 23 Abr 2023];11(5):[aprox. 6 p.]. Disponible en:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10001578/.

7. Gambardella C, Brusciano L, Brillantino A, Parisi S, Lucido FS, Del Genio G, et al. Mid-term efficacy and postoperative wound management of laser hemorrhoidoplasty (LHP) vs conventional excisional hemorrhoidectomy in grade III hemorrhoidal disease: the twisting trend. Langenbecks Arch Surg [Internet]. 2023 [citado 23 Abr 2023];408(1):[aprox. 5 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10076349/.

8. Yu Q, Zhi C, Jia L, Li H. Efficacy of Ruiyun procedure for hemorrhoids combined simplified Milligan-Morgan hemorrhoidectomy with dentate line-sparing in treating grade III/IV hemorrhoids: a retrospective study. BMC Surg [Internet]. 2021 [citado 23 Abr 2023];21(1):[aprox. 7 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8139094/.

9. Manzanilla SM. Historia de las hemorroides y su tratamiento quirúrgico. Rev Mex Coloproctol. [Internet] 2005 [citado 23 Abr 2023];11(1):[aprox. 4 p.]. Disponible en: https://www.medigraphic.com/pdfs/proctologia/c-2005/c051b.pdf.

10. Jaramillo LI, Beltrán MA, Bozzo I, Larrachea P, González F. Estudio comparativo entre hemorroidectomía cerrada de Ferguson y hemorroidectomía con LigaSure™. Rev colomb Cir [Internet]. 2011 [citado 23 Abr 2023];26:171-79. Disponible en: https://www.revistacirugia.org/index.php/cirugia/article/view/180/166

11. De Loach LJ, Higgins MS, Caplan AB, Stiff JL. The visual analog scale in the immediate postoperative period: intrasubject variability and correlation with a numeric scale. Anesth Analg [Internet]. 1998 [citado 12 Abr 2023];86:[aprox. 5 p.]. Disponible en: https://www.redalyc.org/pdf/2390/239024339005.pdf

12. Nieto Andrade ND, Moyón Amaguaya ME. Factores vinculados a complicaciones postquirúrgicas de hemorroidectomía. Riobamba, 2021 [tesis]. Ecuador: Universidad Nacional de Chimborazo; 2022 [citado 12 Abr 2023]. Disponible en: http://dspace.unach.edu.ec/bitstream/51000/9682/1/Moyon%20E._Nieto%20N.%20%282022%29%20Factores%20vinculados%20a%20complicaciones%20postquirurgicas%20de%20hemorroidectomia.%20Riobamba%2C%202021.pdf

13. Declaración de Helsinski de la Asociación Médica Mundial [Internet]. Finlandia: Asamblea Médica General; 2008 [citado 12 Feb 2019]. Disponible en: http://www.wma.net/es/30publications/10policies/b3/17c_es.pdf

14. Fulle CA, Moreno LP, Quezada DP, Carvajal GG, Briones NP, Kusanovich BR, et al. Evolución de síntomas a corto plazo y grado de satisfacción del paciente tras hemorroidectomía convencional. Rev Chil Cir [Internet]. 2018 [citado 18 May 2023];70(3):[aprox. 7 p.]. Disponible en: https://scielo.conicyt.cl/pdf/rchcir/v70n3/0718-4026-rchcir-70-03-0233.pdf

15. Mala TA, Malla SA, Shah AA, Kapoor M, Gupta VB. Comparative study of harmonic scalpel haemorrhoidectomy versus conventional (milligan and morgan) haemorrhoidectomy. J Surg Arts [Internet]. 2018 [citado 23 Abr 2023];11(1):[aprox. 6 p.]. Disponible en: https://www.msjonline.org/index.php/ijrms/article/view/4298

16. Pokharel N, Chhetri R, Malla B, Joshi H, Shrestha R. Haemorrhoidectomy: Ferguson’s (closed) vs Milligan Morgan’s technique (open). Nepal Med Coll J [Internet]. 2009 [citado 23 Abr 2023];11(2):[aprox. 5 p.]. Disponible en: https://nmcth.edu/images/gallery/Editorial/P1WKwn_pokhrel.pdf

17. Jin JZ, Bhat S, Lee KT, Xia W, Hill AG. Interventional treatments for prolapsing haemorrhoids: network meta-analysis. BJS Open [Internet]. 2021 [citado 23 Abr 2023];5(5):[aprox. 8 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8504447/.

18. Erzurumlu K, Karabulut K, Özbalcı GS, Tarım İA, Lap G, Güngör B. The Whitehead operation procedure: Is it a useful technique? Turk J Surg [citado 23 Abr 2023];33:190-4. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5602311/pdf/ucd-33-3-190.pdf

19. Lohsiriwat V, Jitmungngan R. Strategies to Reduce Post-Hemorrhoidectomy Pain: A Systematic Review. Medicina (Kaunas) [Internet]. 2022 [citado 23 Abr 2023];58(3):418. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8955987/.

20. Yamamoto M, Ikeda M, Matsumoto T, Takemoto M, Sumimoto R, Kobayashi T, et al. Hemorrhoidectomy for elderly patients aged 75 years or more, before and after studies. Ann Med Surg (Lond) [Internet]. 2020 Jul [citado 23 Abr 2023];55:88-92. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7251490/.

21. Güemes-Quinto A, Pichardo-Cruz DA, Luján-Mendoza KI, Jiménez-Bobadilla B, Villanueva-Herrero JA. Emergency surgical treatment for active bleeding and anemia in patients with hemorrhoidal disease. Cir cir [Internet]. 2022 [citado 23 Abr 2023];90:[aprox: 8 p.]. Disponible en:

http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2444-054X2022000700077&lang=es

22. Dekker L, Bak MTJ, Bemelman WA, Felt-Bersma RJF, Han-Geurts IJM. Hemorrhoidectomy versus rubber band ligation in grade III hemorrhoidal disease: a large retrospective cohort study with long-term follow-up. Ann Coloproctol [Internet]. 2022 [citado 23 Abr 2023];38(2):146-52. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9021858/.

23. Ray-Offor E, Amadi S. Hemorrhoidal disease: Predilection sites, pattern of presentation, and treatment. Ann Afr Med [Internet]. 2019 Jan-Mar [citado 23 Abr 2023];18(1):[aprox. 5 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380113/.

24. Piccinini P, Avellaneda N, Carrie A, Serrano ME. Prolapso hemorroidal circunferencial mixto. Tratamiento combinado con sutura mecánica y fotocoagulación con láser. Rev argent cir [Internet]. 2023 May [citado 07 Jun 2023];115(1):42-51. Disponible en: http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S2250-639X2023000100042&lng=es

25. Gallo Arriaga B, Salazar Hoerner L, Ruíz Velázquez FA, Gallo Chico B, Hidalgo Valadez C, Andrade Aguilar B. Experiencia con la desarterialización hemorroidal transanal como abordaje de mínima invasión para el tratamiento de la enfermedad hemorroidal. Acta méd GÁ [Internet]. 2022 Jun [citado 07 Jun 2023];20(2):145-50. Disponible en: https://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S1870-72032022000200145&lng=es&nrm=iso&tlng=es

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Published

2023-12-19

How to Cite

1.
Cervantes-Peláez D, Matos-Lora L, Maestre-Ramos OM, Consuegra-Roman G, Bembibre-Mozo D, González-Basulto MJ. Characterization of surgical techniques for the treatment of hemorrhoid disease. Arch méd Camagüey [Internet]. 2023 Dec. 19 [cited 2025 Jul. 17];27:e9738. Available from: https://revistaamc.sld.cu/index.php/amc/article/view/9738

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Vol. 27 (2023): Publicación continua

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