Comparison of efficacy and short-term and long-term complications between Milligan-Morgan and procedure of prolapse and hemorrhoids for mixed hemorrhoids

Objective To compare the effect and the short-term and long-term complications of patients with mixed hemorrhoids after Milligan-Morgan (M-M) and procedure for prolapse and hemorrhoids (PPH). Methods A total of 102 patients with mixed hemorrhoids admitted to Datong Hospital of Traditional Chinese Medicine from March 2015 to February 2017 were selected, and they were divided into study group and control group according to random number table method, with 51 cases in each group. Patients in control group were treated by M-M, and patients in study group were treated by PPH. The surgical indexes and short-term and long-term complications of the two groups were recorded. Results The operation time, intraoperative bleeding volume, postoperative pain duration and hospital stay in study group were shorter and less than those in control group, and the difference was statistically significant (P<0.05). The incidence of short-term complications in study group (3.92%) was lower than that in control group (21.57%), and the difference was statistically significant (P<0.05). Both groups were followed up for 12 months, and the success rate of follow-up was 100.00%. The incidence of long-term complications in study group (7.84%) was lower than that in control group (27.45%), and the difference was statistically significant (P<0.05). Conclusions The use of PPH in the treatment of mixed hemorrhoids can significantly reduce the incidence of short-term and long-term complications, which is conducive to the prognosis and quality of life. Key words: Mixed hemorrhoids; Milligan-Morgan; Procedure of prolapse and haemorrhoids; Short-term and long-term complications