Abstract
BackgroundThis study aims to assess the association between age and outcomes in patients undergoing hemorrhoidectomy.MethodsThis is a population-based cohort study. A retrospectively collected database with consecutive patients whose symptomatic prolapsed hemorrhoids managed by the LigaSure hemorrhoidectomy between Jan. 2015 and May 2017 was reviewed. Among 1238 patients, 1075 were under 65 years old (group 1), and 163 were 65 years old or older (group 2). Both groups were compared regarding baseline characteristics and surgical outcomes.ResultsAll patients tolerated the whole course of the operation in the prone jackknife position without anesthetic-associated complications. There was no significant difference between these two groups regarding sex, hemorrhoids grade, operation time, duration of hospital stays, postoperative pain score, analgesic consumption, total postoperative complications, re-admission rate, reoperation rate and follow-up times. The multivariate logistic regression analysis that may contribute to postoperative complications revealed no significant difference for all complications between both groups.ConclusionThe LigaSure hemorrhoidectomy for elderly patients is safe and effective without significant difference in short-term operative outcomes and all complication rates, compared with younger patients.
Highlights
This study aims to assess the association between age and outcomes in patients undergoing hemorrhoidectomy
In the univariable logistic regression, male, Hemorrhoids grade IV, operation time (OR: 1.04, 95% confidence interval (CI): 1.02–1.06), postoperative pain score (OR: 1.26, 95% CI: 1.14–1.40) had significantly higher risk for all complications
Surgeons and elderly patients were most concerned about complications or surgical risk in hemorrhoidectomy
Summary
This study aims to assess the association between age and outcomes in patients undergoing hemorrhoidectomy. Hemorrhoidal disease is one of the most common and annoying disorders worldwide. The prevalence of symptomatic hemorrhoidal disease had been reported around 4% of the population [1,2,3]. The majority of hemorrhoids can be managed with conservative treatment; hemorrhoidectomy is still the definitive treatment for those Grade III or Grade IV hemorrhoids [4,5,6,7]. The incidence of hemorrhoids has been reported to be. Chen et al BMC Gastroenterol (2021) 21:413 are still no articles describing hemorrhoidectomy in the elderly population. The purpose this study aims to assess the safety and effectiveness of hemorrhoidectomy performed in younger and elderly populations
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