| Purposes: DG-HAL is a new approach for treating hemorrhoids. The objective of this article was to evaluate the efficiency of procedure for DG-HAL in treatment of hemorrhoids and compared with those of Milligan-Morgan hemorrhoidectomy in a prospective randomized study.Methods: The 80 patients with the symptomatic hemorrhoids were randomized into two groups: group A (n=40) was treated with standardized Milligan-Morgan hemorrhoidectomy and group B (n=40) with DG-HAL.The data of operating period of time, postoperative freqency of analgosic drug, days of postoperative hospital stay, the time of returming his/her work, postoperative complications and degree of patients' satisfaction in the two groups were analized and compared.Results: (1)The operation time was 27.4 ±13.2minutes in group A and 26.5 ±14.7minutes in group B. They have no significantly difference (P >0.05). (2)The postoperative freqency of analgosic is 4.7±5.2 doses in group A and 0.1±0.9doses in group B. The data increased significantly in group A than in group B (P <0.01). (3)The postoperative hospital stay was 172.9±16.4 hours in group A and 29.7±36.9 hours in group B, the data increased significantly in group A than in group B (P <0.01). (4) The time of returning to work was 11.1±13.6days in group Aand2.2±3.1 days in group B, and the data increased significantly in group A than in group B (P <0.01). (5) Overall 8 patients developed some negative reaction in group A and only 4 in group B , they have significantly difference (P<0.05). (6) 85% of patients in group A and 82.5% in group B were satisfied with the results. They have no significantly difference (P >0.05).Conclusions: Results show that DG-HAL for symptomatic hemorrhoids is a safe procedure with good results, low complications ,shorter hospital stay and earlier recovery. DG-HAL seems to fulfill the requirement of minimally invasive surgery. But long-term effect is to be investigated. |
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