Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Gastrointest Surg. Jul 27, 2026; 18(7): 120492
Published online Jul 27, 2026. doi: 10.4240/wjgs.v18.i7.120492
Published online Jul 27, 2026. doi: 10.4240/wjgs.v18.i7.120492
Effects of modified Milligan-Morgan hemorrhoidectomy with acupuncture on postoperative wound healing and pain in mixed hemorrhoids
Yong-Jiao Zhao, Department of Anorectal Surgery, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 101100, China
Qian-Yu Xu, Department of Traditional Chinese Medicine, Taikang Tongji (Wuhan) Hospital, Wuhan 430000, Hubei Province, China
Ying Shi, Department of Rehabilitation Medicine, Jiangqiao Town Community Health Service Center, Shanghai 201800, China
Wei-Na Guo, Department of Medical Affairs, Jiangqiao Town Community Health Service Center, Shanghai 201803, China
Co-first authors: Yong-Jiao Zhao and Qian-Yu Xu.
Author contributions: Zhao YJ and Xu QY contributed equally to this article, they are the co-first authors of this manuscript; Zhao YJ, Xu QY, and Shi Y contributed to research design, data collection, data analysis, and paper writing; Guo WN was responsible for research design, funding application, data analysis, reviewing and editing, communication coordination, ethical review, copyright and licensing, and follow-up; and all authors thoroughly reviewed and endorsed the final manuscript.
Institutional review board statement: This study was approved by the Medical Ethics Committee of the Jiading Branch of Shanghai General Hospital, approval No. [2025] 019.
Informed consent statement: All research participants or their legal guardians provided written informed consent prior to study registration.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Data sharing statement: No other data available.
Corresponding author: Wei-Na Guo, Associate Chief Physician, Department of Medical Affairs, Jiangqiao Town Community Health Service Center, No. 100 Jinyao Road, Jiading Distirct, Shanghai 201803, China. drweinaguo@163.com
Received: February 27, 2026
Revised: March 20, 2026
Accepted: May 9, 2026
Published online: July 27, 2026
Processing time: 150 Days and 1.8 Hours
Revised: March 20, 2026
Accepted: May 9, 2026
Published online: July 27, 2026
Processing time: 150 Days and 1.8 Hours
Core Tip
Core Tip: This study demonstrates that combining modified Milligan-Morgan hemorrhoidectomy (M-MMH) - featuring “V”-shaped incisions and figure-of-eight ligation - with early postoperative acupuncture significantly accelerates wound healing and reduces pain in patients with grade III-IV mixed hemorrhoids. The adjunctive acupuncture protocol targeting Changqiang (GV1), Chengshan (BL57), and Erbai markedly lowered visual analog scale scores, shortened edema and exudate resolution times, and reduced overall complications compared to M-MMH alone. This integrative approach offers a safe, effective strategy for enhanced recovery after hemorrhoid surgery.