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Abstract:
BACKGROUND:There is limited evidence on the long-term efficacy of transanal hemorrhoidal dearterialization compared with hemorrhoidectomy. Most studies investigated short-term effects with postoperative pain as the primary outcome. Being a benign disease the long-term goal of treatment for hemorrhoids is the resolution of symptoms and improvement of quality of life. OBJECTIVE:To compare the effect of minimal open hemorrhoidectomy versus transanal hemorrhoidal dearterialization on patient-reported symptoms. DESIGN:Open-label randomized controlled trial. SETTINGS:Single-center study. PATIENTS:Patients with symptomatic hemorrhoids grade II-IV (Goligher's classification). INTERVENTIONS:Patients were randomly allocated to minimal open hemorrhoidectomy or transanal hemorrhoidal dearterialization. MAIN OUTCOME MEASURES:Primary outcome was symptoms assessed by the Hemorrhoidal Disease Symptom Score one year postoperatively. Secondary outcomes included health-related quality of life, patient satisfaction, postoperative pain and recovery, adverse events, recurrence and hospital costs. RESULTS:Forty-eight patients received minimal open hemorrhoidectomy and fifty patients received transanal hemorrhoidal dearterialization. No difference in symptom score at one-year follow-up was found. Median (range) symptom score was 3 (0-17) after Minimal Open Hemorrhoidectomy and 5 (0-17) after transanal hemorrhoidal dearterialization (median difference [CI95%]: -1.0 [-3.0-0.0], p=0.15). Residual hemorrhoidal prolapse was reported more frequently (p=0.008) and more patients had treatment for recurrence after transanal hemorrhoidal dearterialization (7 vs. 0 patients, p=0.013). Patient satisfaction was higher after minimal open hemorrhoidectomy (p=0.049). No differences were found in the impact on health-related quality of life, average and peak postoperative pain, recovery, or adverse events (p>0.05). Transanal hemorrhoidal dearterialization was more expensive (median difference [CI95%]: &OV0556; 555 [472-693], p
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最新影响因子:4.412 | 期刊ISSN:0012-3706 | CiteScore:2.57 |
出版周期:Monthly | 是否OA:YES | 出版年份:1958 |
期刊官方网址:http://link.springer.com/journal/10350
期刊投稿地址:https://www.springer.com/medicine/surgery/journal/10350
自引率:9.80% | 研究方向:医学-外科 |
出版地区:UNITED STATES |
SCI期刊coverage:Science Citation Index Expanded(科学引文索引扩展)
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Diseases of the Colon and Rectum is published monthly for the American Society of Colon and Rectal Surgeons. It is designed for the publication of original papers that constitute significant contributions to the advancement of knowledge within the special field designated by the name of this journal. Discontinued in 2004.
《结肠直肠疾病》是美国结肠直肠外科学会出版的月刊。它旨在发布原始论文,这些论文对本期刊所指定的特殊领域内的知识进步做出了重大贡献。于2004年停产。
大类(学科) | 小类(学科) | 学科排名 |
医学 |
GASTROENTEROLOGY & HEPATOLOGY (胃肠肝病学) 3区 SURGERY (外科) 2区 |
26/80 26/200 |
年度总发文量 | 年度论文发表量 | 年度综述发表量 |
135 | 131 | 4 |
引文计数(2018)
文献(2015-2017)
1825次引用
711篇文献
序号 | 类别 | 排名 | 百分位 |
1 |
大类(学科):Medicine
小类(学科):Gastroenterology
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#34/128
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发表一篇学和医学成像类SCI论文
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