Analysis of factors impacting postoperative pain and quality of life in patients with mixed hemorrhoids: A retrospective study

作者：Xiaowen Sun, Jingyi Xu, Changzhen Zhu, Sijia Li, Lu-Jia Jin, Zhidong Zhu · 发表于：World Journal of Gastrointestinal Surgery · 年份：2024 · DOI：10.4240/wjgs.v16.i3.731 · 被引用次数：19 · 研究领域：Anorectal Disease Treatments and Outcomes、Congenital gastrointestinal and neural anomalies、Diphtheria, Corynebacterium, and Tetanus

BACKGROUND Hemorrhoids are among the most common and frequently encountered chronic anorectal diseases in anorectal surgery. They are venous clusters formed by congestion, expansion, and flexion of the venous plexus in the lower part of the rectum. Mixed hemorrhoids bleed easily and recurrently, and this can result in severe anemia. Hence, they may have a negative effect on the health of the patient and surgical treatment is required. Milligan-Morgan hemorrhoidectomy has been widely used since 1937 for the treatment of grade III and IV hemorrhoids. However, most patients experience different degrees of postoperative pain that may cause anxiety. AIM To assess the factors influencing pain scores and quality of life (QoL) in patients with mixed hemorrhoids post-surgery. METHODS The clinical data of patients with mixed hemorrhoids who underwent Milligan-Morgan hemorrhoidectomy were collected retrospectively. The basic characteristics of the enrolled patients with mixed hemorrhoids were recorded, and based on the Goligher clinical grading system, the hemorrhoids were classified as grades III or IV. The endpoint of this study was the disappearance of pain in all patients. Quantitative data were presented as mean ± SD, such as age, pain score, and QoL score. Student’s t -test was used to compare the groups. RESULTS A total of 164 patients were enrolled. The distribution of the visual analog scale pain scores of all patients at 3, 7, 14 and 28 d after surgery showed that post-surgery...