Clinical observations on the treatment of prolapsing hemorrhoids with tissue selecting therapy

Table 1 Patient and case characteristics

Characteristic	TST group(n = 240)	M-M group(n = 240)	t orχ2	P value
Age	44.2 ± 16.5	45.7 ± 15.6	0.682	0.891
Gender (male/female)	123/117	119/121	0.133	0.715
Hemorrhoids grading (III/IV)	155/85	171/69	2.448	0.118
Case history (yr)	7.2 (0.5-17.0)	6.8 (0.4-20)	0.591	0.895
Completed follow-up (n)	218	221

TST: Tissue selecting therapy stapler; M-M: Milligan-Morgan hemorrhoidectomy.

Table 2 Efficacies of tissue selecting therapy stapler and Milligan-Morgan hemorrhoidectomy, n

Group	Recovery	Effectiveness	Ineffectiveness
Tissue selecting therapy stapler	210	7	1.000
Milligan-Morgan hemorrhoidectomy	208	10	3.000
χ2			0.982
P value			0.322

Table 3 Immediate complications

Complication	TST group(n = 240)	M–M group(n = 240)	t orχ2	P value
Postoperative pain (VAS)
12 h after the surgery	5.08 ± 1.62	7.19 ± 2.01	9.451	0.000
During first dressing change	2.64 ± 0.87	4.34 ± 1.15	11.231	0.000
During first defecation	3.91 ± 1.47	5.63 ± 1.98	4.211	0.001
Intraoperative blood loss	2.45 ± 0.57	5.07 ± 1.14	13.246	0.000
Urine retention after the surgery (n)	22	47	10.579	0.001
Anal pendant expansion after the surgery (VAS)	2.35 ± 0.56	5.16 ± 1.42	12.781	0.000
Operation time (min)	18.3 ± 5.6	29.5 ± 8.2	7.439	0.000
The length of hospital stay (d)	5.3 ± 0.6	11.4 ± 1.8	11.651	0.000

TST: Tissue selecting therapy stapler; M-M: Milligan-Morgan hemorrhoidectomy; VAS: Visual analogue scale.

Table 4 Long-term complications, n

Complication	TST Group(n = 218)	M-M Group(n = 221)	χ2	P value
Rectal and vaginal fistula	0	0
Fecal incontinence	3	16	9.110	0.003
Difficult bowel movement	1	9	6.438	0.011
Intractable pain	2	12	7.285	0.007
Anal discharge	3	23	16.065	0.000

TST: Tissue selecting therapy stapler; M-M: Milligan-Morgan hemorrhoidectomy.

Table 5 Results of satisfaction survey, n

Group	Satisfied	Somewhat satisfied	Not satisfied
Tissue selecting therapy stapler	212	4	2
Milligan-Morgan hemorrhoidectomy	173	35	13
χ2			8.197
P value			0.004

The total satisfaction rate = satisfied rate + somewhat satisfied rate.