Characterisation of Prolapsing Haemorrhoidal Disease in Different Age Groups of Female

Activity: Talk or presentation types › Poster presentation

Description

A major objective of the the study was the comparison of clinical symptoms and surgical treatment techniques in two different age groups of HD patients.. Medical records of 81 female patients stratified into two study groups (under (the 1st group (G1) and over (the 2nd group (G2) 45 years of age) and presented with HD grade III and IV, and treated between September 2022 and November 2022 at Pauls Stradiņš Clinical University Hospital were retrospectively analyzed.. Thirty-four subjects among 81 (42%) HD women patients (median age ‒ 33) constituted G1, whereas 47 (58%) ‒ G2 (median age ‒ 62). Bleeding was found in 27 (80%) and 18 (39%) cases for G1 and G2, respectively. Perianal mass and mucosal prolabation were reported in 4 (12%) and 23 (49%) cases. Defecation disorders were found in 9(26%) of G1 when compared to the 33 (70%) cases in G2. The average duration of symptoms in G1 was 3 years compared to G2 ‒ 12 years. The most common diagnosis in G1 was grade III HD with mucosal prolapse and/or ventral rectocele ‒ 33 (97%) when compared to G2 that commonly presented with grade IV HD with mucosal prolapse, ventral rectocele +/- polyps 39 (83%). Longo hemorrhoidectomy was performed both in G1 ‒ 32 (94%) and G2 ‒ 42 (89%). The Ligasure TM procedure was used only in 5(11%) cases in G2. Complications were registered in 2(6%) and 0(0%) cases for G1 and G2, respectively; specificially for G1 ‒ 1 (3%) reoperation and hemostasis.. In both groups studied, the main HD complaint was discomfort, pain, and bleeding. The duration of symptoms suggests that HD manifests much earlier than described in the literature. The etiology-based Longo technique is still the most suitable treatment for prolapsing HD.
Period29 Mar 2023
Event titleRSU International Research Conference 2023: Knowledge for Use in Practice
Event typeConference
OrganiserRīga Stradiņš University
LocationRiga, LatviaShow on map
Degree of RecognitionInternational

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