Comparative analysis of Ferguson hemorrhoidectomy combined with doppler-guided hemorrhoidal artery ligation and Ferguson hemorrhoidectomy in hemorrhoidal disease treatment

Table 1 Demographic and clinical results

		DG-HAL + hemorrhoidectomy (n = 24)	Ferguson hemorrhoidectomy (n = 21)	P value
Age		51.9 ± 13.7	45.1 ± 14.1	0.08
Gender	Male	18 (75.0)	16 (76.2)	0.63
	Female	6 (25.0)	5 (23.8)

Numerical values are presented as mean ± SD. Categorical values are presented as n (%). DG-HAL: Doppler-guided hemorrhoidal artery ligation.

Table 2 Operative details and follow-up results

		DG-HAL + hemorrhoidectomy (n = 24)	Ferguson hemorrhoidectomy (n = 21)	P value
Intraoperative blood loss (mL)		10 (10-90)	20 (20-80)	0.004
Hospital stays duration (days)		1 (1-3)	1 (1-4)	0.08
Day 1 VAS score		2 (0-8)a	2 (0-10)a	0.06
Day 7 VAS score		0 (0-8)	0 (0-8)	0.85
Postoperative analgesic need (days)		2 (1-10)	4 (2-12)	0.02
Return to normal activity (days)		9.50 (4.00-20.00)	6.00 (1.00-20.00)	0.02
Postoperative complications	Yes	5 (20.8)	2 (9.5)	0.29
	No	19 (79.2)	19 (90.5)
Complication	Urinary retention	4 (16.7)	1 (4.8)	0.45
	Tenesmus	1 (4.2)	1 (4.8)
	None	19 (79.2)	19 (90.5)
Clavien-Dindo Score	0	19 (79.2)	19 (90.5)	0.29
	1	5 (20.8)	2 (9.5)
Recurrence	Yes	4 (16.7)	0 (0)	0.111
	No	20 (83.3)	21 (100)

^aP < 0.05 in Wilcoxon Signed-rank test compared to day 7.

Numerical values are presented as mean ± SD or median (min-max). Categorical values are presented as n (%). DG-HAL: Doppler-guided hemorrhoidal artery ligation; VAS: Visual Analog Scale.