Mixed Hemorrhoids Research Articles

Nursing experience of auricular acupoint combined with manipulative therapy for a patient with hypertension before operation of mixed hemorrhoid

Nursing experience of auricular acupoint combined with manipulative therapy for a patient with hypertension before operation of mixed hemorrhoid

Massage with Chinese herbal medicine compound ointment combined with Traditional Chinese Medicine hot compress in the treatment of urinary retention after operation for mixed hemorrhoids and related nursing measures: A care report

Massage with Chinese herbal medicine compound ointment combined with Traditional Chinese Medicine hot compress in the treatment of urinary retention after operation for mixed hemorrhoids and related nursing measures: A care report

Application of multi-specialty health education platform in perioperative health education for patients undergoing mixed hemorrhoids surgery

Application of multi-specialty health education platform in perioperative health education for patients undergoing mixed hemorrhoids surgery

Effect of psychological nursing combined with medication on postoperative pain in patients with mixed hemorrhoids

The study analyzes the practical effect of applying psychological nursing combined with medication to relieve pain in patients with mixed sore after surgery. A total of 60 patients with mixed sores treated in our hospital from April 2017 to April 2018 were selected as research subjects. All patients were divided into observers and control groups using random number methods. The control group was treated with routine nursing and in the treatment group, the observation group was treated with psychological nursing combined with medication, and the postoperative pain scores, patient satisfaction with pain control, post-anal eczema, and psycho-emotional score were compared between the two groups. In the pain score of 24 hours after surgery and the defecation pain score of 5 days after surgery, the observation group was significantly lower than the control group (P <0.05). In terms of patient satisfaction with pain control, the observation group was significantly better than the control group (P <0.05).), The perianal eczema in the observation group was significantly lower than that in the control group (P <0.05); the psychological and emotional score of the observation group was significantly better than that in the control group (P <0.05), and the differences were statistically significant. For patients with mixed sores, the application of psychological nursing combined with drug treatment has significant effects, significantly reducing the pain of defecation after 24 hours and 5 days after surgery. Patients are more satisfied with pain control, which is worthy of promotion and application in clinical treatment and nursing.

Application of multi-specialty health education platform in perioperative health education for patients undergoing mixed hemorrhoids surgery

Application of multi-specialty health education platform in perioperative health education for patients undergoing mixed hemorrhoids surgery

Massage with Chinese herbal medicine compound ointment combined with Traditional Chinese Medicine hot compress in the treatment of urinary retention after operation for mixed hemorrhoids and related nursing measures: A care report

Massage with Chinese herbal medicine compound ointment combined with Traditional Chinese Medicine hot compress in the treatment of urinary retention after operation for mixed hemorrhoids and related nursing measures: A care report

Nursing experience of auricular acupoint combined with manipulative therapy for a patient with hypertension before operation of mixed hemorrhoid

Nursing experience of auricular acupoint combined with manipulative therapy for a patient with hypertension before operation of mixed hemorrhoid

Massage combined with Traditional Chinese Medicine hot compress in treating urinary retention after mixed hemorrhoids surgery: A case report of nursing experience

Massage combined with Traditional Chinese Medicine hot compress in treating urinary retention after mixed hemorrhoids surgery: A case report of nursing experience

Clinical Effect Observation of Moxibustion Combined with Psychological Nursing Intervention in Improving Defecation Difficulty after Mixed Hemorrhoids Operation

Clinical Effect Observation of Moxibustion Combined with Psychological Nursing Intervention in Improving Defecation Difficulty after Mixed Hemorrhoids Operation

Massage on meridians combined with Traditional Chinese Medicine hot compress for pain in a patient undergoing surgery for mixed hemorrhoids and related nursing management

Massage on meridians combined with Traditional Chinese Medicine hot compress for pain in a patient undergoing surgery for mixed hemorrhoids and related nursing management

Clinical study of herbal mixture "Diding Oral Medicine" as an alternative to preventative antibiotics in perioperative hemorrhoids: A CARE-compliant article.

To study the clinical effects of Diding Oral Medicine as an alternative to preventative antibiotics in perioperative hemorrhoids.From August 2017 to February 2018, a total of 214 patients who were treated with external exfoliation and internal ligation of mixed hemorrhoids in our hospital were divided into the control group and experimental group by way of stratified random (107 cases in each group). Patients in the control group were given antibiotics preventatively before operation, while patients in the experimental group took Diding Oral Medicine before operation, and the white blood cell count, neutrophil count, wound recovery, pain score, anal bulge score, and pathogen culture of wound secretions were compared between the 2 groups.There was no significant difference in white blood cell count and neutrophil count between both groups before and after operation (P > .05). The wound seepage score, wound edema score, and wound area score in the experimental group were lower than those in the control group, and the wound healing in the experimental group was shorter than that in the control group (all P < .05). The pain score and anal bulge score of the experimental group were decreased significantly compared to the control group (P < .05). In addition, the detection rate of pathogenic bacteria in the experimental group was downregulated significantly compared to the control group (P < .05).The Diding Oral Medicine has prominent bacteriostatic and antibacterial effects on patients with hemorrhoids during perioperative period, and promotes wound healing, reduces pain stress, and anal bulge.

Clinical Effect of Mixed Hemorrhoids Modified External Stripping and Internal Ligation Combined with Internal Sphincter Lateral Excision

Clinical Effect of Mixed Hemorrhoids Modified External Stripping and Internal Ligation Combined with Internal Sphincter Lateral Excision

Clinical study of use of large C suture in procedure for prolapse and hemorrhoids for treatment of mixed hemorrhoids.

ObjectiveTo investigate the clinical use of a large C suture in the procedure for prolapse and hemorrhoids (PPH) for treatment of mixed hemorrhoids.MethodsPatients with mixed hemorrhoids (grade III or IV) who underwent treatment with a large C suture during PPH in the Affiliated Hospital (Group) of Putian University from 1 April 2018 to 31 March 2019 were enrolled in this retrospective study. The incidences of anastomotic stenosis and anastomotic hemorrhage after the operation were observed.ResultsThe study population comprised 126 patients (46 men and 80 women) ranging in age from 30 to 78 years (mean, 46.1 ± 2.5 years). Of these patients, 60 had circular mixed hemorrhoids, 36 had grade III circular internal hemorrhoids, and 30 had grade IV circular internal hemorrhoids. The onset time among all patients ranged from 0.5 to 25 years. All patients underwent 6 months of postoperative follow-up. None of the patients with mixed hemorrhoids developed anastomotic stenosis, although two patients developed secondary anastomotic bleeding.ConclusionPlacement of a large C suture during PPH is a reliable technique for treatment of mixed hemorrhoids. It is simple, effective, and applicable and can be helpful for a large number of patients in primary hospitals.

Massage on meridians combined with Traditional Chinese Medicine hot compress for pain in a patient undergoing surgery for mixed hemorrhoids and related nursing management

Massage on meridians combined with Traditional Chinese Medicine hot compress for pain in a patient undergoing surgery for mixed hemorrhoids and related nursing management

Clinical Application Studies of EPH and PPH: Randomized Controlled Trials

Background: Compared with PPH, EPH is effective and safe in the treatment of mixed hemorrhoids caused by anal pad displacement. Objective The purpose of this study was to study the efficacy of EPH and PPH, and to compare the differences in operative time, postoperative pain, intraoperative blood loss, postoperative complications, and medical costs between them. Methods: This study was a randomized controlled trial of 200 patients with mixed hemorrhoids. PPH was performed in 100 cases, and EPH was performed in the other 100 cases. Postoperative follow-up was conducted to evaluate the operative time, postoperative pain, surgical blood loss, postoperative complications, and economic cost of treatment in the two groups. The data was analyzed using SPSS17.0. A P<0.05 was considered statistically significant. Results: There was no statistical significance in age and illness between the two groups. Compared with PPH, EPH had statistical significance in operative time, operative blood loss, surgical complications, and economic cost of treatment, but had no statistical significance in postoperative pain. Conclusion: EPH has fewer complications than PPH, and PPH may have bleeding, metal stapling implantation, stapling anastomotic stenosis, etc. In terms of health economics, the cost of surgical materials for patients was reduced by two groups of surgical materials. Trial Registration: Chinese Clinical Trial Registry ChicTR2000037960. Funding Statement: Shanghai Pudong New Area Science and Technology Development Fund Innovation Fund Project (Project No. : PKJ2010-Y22). Declaration of Interests: No conflict of interest. Ethics Approval Statement: IRB Exemption from the Ethics Society Committee of Punan Hospital. Number: 2010 KT200312.

Clinical Observation on 80 Cases of Anal Edema after Mixed Hemorrhoids Operation with Chinese Medicine Hot Election Package

The subjects of this study were 80 patients who underwent mixed hemorrhoids surgery in our hospital from January to October 2020 (mixed hemorrhoids external and internal ligation, internal hemorrhoids ligation or Xiaozhiling injection) and developed anal edge edema after surgery. According to the order of hospitalization, the patients were randomly divided into treatment group and control group, with 40 cases each. In the control group, blank hot pack was applied on the basis of anorectal No. 1 lotion for prevention and treatment of anal edge edema after operation; in the treatment group, hot pack of Traditional Chinese medicine was applied on the basis of anorectal No. 1 lotion for prevention and treatment of anal edge edema. The course of treatment was 7 days. The edema subsidence and postoperative pain scores were observed in both groups. Results: The scores of anal edema and pain in the treatment group were significantly lower than those in the control group (P Conclusion: Chinese medicine hot election package is effective in treating postoperative anal edema of mixed hemorrhoids, and the method is simple and suitable for clinical promotion.

A NEW MIXED SURGICAL TREATMENT FOR GRADES III AND IV HEMORRHOIDS: MODIFIED SELECTIVE HEMORRHOIDECTOMY COMBINED WITH COMPLETE ANAL EPITHELIAL RETENTION.

ABSTRACT Background: Varicose veins appear above and below the dentate line in mixed hemorrhoids, which seriously affects anal function and quality of life. Aim: To propose an improvement in tissue-selecting therapy repair of anal pad combined with complete anal canal epithelial retention comparing with Milligan-Morgan surgery. Methods: A prospective randomized controlled study was designed enrolling 200 patients with grade III and IV hemorrhoids. They were divided into control and observation groups. The control received Milligan-Morgan surgery, and the observation the modified tissue-selecting therapy stapler combined with complete anal canal preservation surgery. All patients were followed for six months to evaluate the treatment differences. Results: In final, control group included 82 and observation 87. The average operation time of the control group was significantly lower than that of the observation, while the bleeding volume was significantly lower in control group. The control group VAS score was 3 (1, 4), and observation 4 (2, 5). There was no significant difference in the incidence of urinary retention, bleeding and wound margin edema after surgery at one month postoperatively. Digital incidence of anal stenosis in the observation group was significantly lower than in control; the same occurred with residual anal margins. The postoperative anal canal diameter was significantly larger than the control group. Wexner anal incontinence score showed that no anal incontinence occurred in both groups, and the control group scored was significantly higher than observation. In final six months follow-up, the observation group did not experience any relapse and four cases were found among controls. The treatment satisfaction of the observation group was better. Conclusions: In grades III and IV hemorrhoids, modified tissue-selecting therapy combined with complete anal canal preservation had better prognosis and treatment satisfaction than Milligan-Morgan procedure, and it is a new surgical method for patients with advanced mixed hemorrhoids.

Management of intractable pain in patients treated with hemorrhoidectomy for mixed hemorrhoids.

Post-hemorrhoidectomy pain is common, usually temporary, and responsive to analgesics. However, some patients experience prolonged, intractable anal pain, which is refractory to conventional analgesics and adversely effects quality of life. We aimed to evaluate the efficacy of a combination injection containing local anesthesia and steroids for the treatment of intractable post-hemorrhoidectomy anal pain. This study included five patients with intractable post-hemorrhoidectomy anal pain who presented between July 2015 and November 2018. Milligan-Morgan hemorrhoidectomy (M-M) with a sclerosant injection had been performed in three patients and stapled hemorrhoidectomy (SH) along with external hemorrhoidectomy in two. For the purpose of this study, all patients received local combination injections containing ropivacaine and triamcinolone acetonide. The primary outcome was the visual analogue scale (VAS) score, and secondary outcomes included the Pittsburgh Sleep Quality Index (PSQI) score, adverse reactions, and recurrence. Prior to treatment, the VAS score was 8 in one patient and 5-7 in four, and the PSQI score was ≥16 in all patients. The injection was administered once (n=4) or twice (n=1). Rapid pain resolution was achieved on the day of treatment (VAS scores 0-3), and patients reported undisturbed sleep the same night. VAS scores were 0-2 (n=4) and 1-3 (n=1), and the PQSI scores were 0-6 (n=4) and 11-15 (n=1) at the 6-month follow-up. No patient reported significant pain or adverse reaction. Intractable post-hemorrhoidectomy anal pain is rare but significantly effects quality of life. While conventional analgesia may be ineffective, the local injection of anti-inflammatory and analgesic drugs may be a useful treatment strategy.

Clinical Applications, Active Components and Mechanisms of Haemostatic Effects of Charred Chinese Medicines

Charred traditional Chinese medicines have been used to stop bleeding since ancient times. To date, they are often applied to treat purpura, metrorrhagia, upper gastrointestinal bleeding, postoperative hemorrhage of mixed hemorrhoids, and hemorrhoids bleeding. Conventional oral decoction is still a predominate application form. It is noteworthy that a new and original application form of charred herbs has occurred in the treatment of upper gastrointestinal bleeding. Different from the conventional oral decoction, the micron-sized rhei radix et rhizome carbonisatus was sprayed on the surface of the lesion through gastroscopy to stop upper gastrointestinal bleeding. Active tannins, calcium ions, flavonoids and anthraquinones play a role in a part of charred herbs to stop bleeding. The emergence or increase of active components may lead charred herbs to significantly better haemostatic effects than uncharred ones, especially the emergence of activated carbon and novel carbon dots. This underlines a big need to char herbs at first before their clinical use. It leads to a new issue how to char herbs properly for maximum active components, which is related to the quality control of charred herbs. Hence, the optimum charring methods should be explored in depth for different herbs in the future. Furthermore, modern research indicates the haemostatic mechanisms of charred herbs are related to their ability to activate coagulation pathways, enhance platelet systems and/or inhibit fibrinolysis systems.

Anorectal diseases in patients with Antiphospholipid syndrome: a cross-sectional study

BackgroundHemorrhoid disease (HD) is one of the most common gastrointestinal complaints worldwide, affecting 4.4% of the general population in the United States. Since antiphospholipid syndrome (APS) may lead to intra-abdominal thrombosis, one may expect that this condition can impact the risk for HD development. Additionally, as APS patients are more prone to thrombosis and treatment with anticoagulants may increase risk of bleeding, one may also infer that rates of HD complications may be higher in this scenario. Nevertheless, no data in these regards have been published until now. The objective of the present study is to evaluate frequency of HD and describe its complications rates in antiphospholipid syndrome APS patients.MethodsWe consecutively invited patients who fulfilled APS criteria to undergo proctological examination. After examination, patients were divided in two groups, based on the presence of HD, and compared regarding different clinical manifestations and antiphospholipid profile. We performed the analysis of the data, using chi-square and Mann Whitney U when applicable and considering a significance level of 0.05. Multivariate regression analysis included age and variables with p < 0.10 in the bivariate analysis.ResultsForty-one APS patients agreed to undergo proctological examination. All were female and overall median age was 43 (36–49). Seventeen (41.4%) patients were diagnosed with HD, with the following frequency distribution: 7 internal (41.2%), 4 external (23.5%) and 5 mixed hemorrhoids (29.4%). Of the internal hemorrhoids, 5 patients were classified as grade I (71.4%), 1 grade II (14.3%), and 1 grade IV (14.3%). Prior gestation (p = 0.067) and constipation (p = 0.067) correlated with a higher frequency of HD. In multivariate analysis, constipation remained as an important risk factor (OR 3.92,CI95% 1.03–14.2,p = 0.037). Five out of 17 patients (29.4%) reported anal bleeding, but it did not correlate with warfarin dose (p = 0.949). Surgical treatment was indicated for 10 patients (58.8%). Other anorectal findings were anal fissure, plicoma, condyloma and one chlamydial retitis.ConclusionWe found an unexpected high frequency of hemorrhoids in APS patients, with a great proportion requiring surgical treatment.