Comparison of the outcomes of ruiyun procedure for hemorrhoids and PPH in the treatment of grade Ⅱ-Ⅳ hemorrhoids

Purpose: To compare the clinical effect of ruiyun procedure for hemorrhoids (RPH) and procedure for prolapse and hemorrhoids (PPH) for the treatment of mixed hemorrhoids with grade Ⅱ-Ⅳ. Methods: Total 192 patients with hemorrhoids of grade Ⅱ-Ⅳ were retrospectively reviewed in Ninth People’s Hospital (North) Affiliated to Shanghai Jiao Tong University School of Medicine, 80 cases were assigned to RPH group, and 112 cases in PPH group. The primary efficacy outcome was rate of curative at 3 month after operation, and the 1-year recurrence rate. Secondary efficacy outcomes included operation time, operative blood loss, time of hospitalizationand required to resume normal work, patients’ satisfaction, and pain post operation was also evaluated. The safety outcome included postoperative complications. Results: The were no significant differences between the two groups regarding patient demographics. No significant difference between the 2 groups in clinical efficacy, 1-year recurrence, patients’ satisfaction, anal anal pain on the 7th day after operation, and postoperative complications (urinary retention, urgent defecation, postoperative bleeding, and so on) ( p >0.05). RPH can markedly improve postoperative anal pain on the 1st, 3rd day( p ＜0.01). The operation time, operative blood loss sore, time of hospitalization and required to resume normal work were decreased significantly in the RPH group compared with the PPH group ( p ＜0.05). Conclusion RPH is effective and safety in the treatment of grades Ⅱ-Ⅳhemorrhoids, with a better advantage in operation time, operative blood loss sore, postoperative complications and recovery than PPH, which is worthy of clinical application.