Evidence map›Paper›PMID 27888438›Full record

SynthesisTechniques in coloproctology2016

Transanal hemorrhoidal dearterialization with mucopexy versus open hemorrhoidectomy in the treatment of hemorrhoids: a meta-analysis of randomized control trials.

L Xu, H Chen, G Lin, Q Ge, H Qi, X He

Abstract readMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in Techniques in coloproctology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 pooled it
6.9field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 4 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. [Rectal bleeding: easy to overcome or still a challenge in proctology?]Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2019
    Review
  15. Article
  16. Article
  17. Rectal perforation secondary to transanal haemorrhoidal dearterialisation.Annals of the Royal College of Surgeons of England · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

L XuDepartment of Coloproctology, First Affiliated Hospital of Zhejiang, Chinese Medical University, No. 54 Youdian Rd, Shangcheng District, Hangzhou, 310006, Zhejiang Province, People's Republic of China. xlzjszyy@163.com.
H ChenDepartment of Gastrointestinal Endoscopy, Sixth Affiliated Hospital, Sun Yat-Sen University, Guangzhou, People's Republic of China.
G LinDepartment of Coloproctology, First Affiliated Hospital of Zhejiang, Chinese Medical University, No. 54 Youdian Rd, Shangcheng District, Hangzhou, 310006, Zhejiang Province, People's Republic of China.
Q GeDepartment of Coloproctology, First Affiliated Hospital of Zhejiang, Chinese Medical University, No. 54 Youdian Rd, Shangcheng District, Hangzhou, 310006, Zhejiang Province, People's Republic of China.
H QiDepartment of Coloproctology, First Affiliated Hospital of Zhejiang, Chinese Medical University, No. 54 Youdian Rd, Shangcheng District, Hangzhou, 310006, Zhejiang Province, People's Republic of China.
X HeDepartment of Coloproctology, First Affiliated Hospital of Zhejiang, Chinese Medical University, No. 54 Youdian Rd, Shangcheng District, Hangzhou, 310006, Zhejiang Province, People's Republic of China.
Zhejiang Chinese Medical University · CNSun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to analyse the outcomes of transanal hemorrhoidal dearterialization with mucopexy (THDm) versus open hemorrhoidectomy (OH) in the management of hemorrhoids.

methodsRandomized controlled trials in English were found by searching PubMed, Web of science, EMBASE, and the Cochrane Library database. Trials that compared THDm with OH were identified. Data were extracted independently for each study, and a meta-analysis was performed using fixed and random effects models.

resultsFour trials, including 316 patients, met the inclusion criteria. No statistically significant differences were noted in either total complications or postoperative bleeding, incontinence, recurrent prolapse, and urinary retention rate. Operative time was significantly longer for THDm with Doppler guidance than for THDm without Doppler guidance. Patients returned to normal activities faster after THDm than after OH. No statistically significant differences between THDm and OH were noted with regard to recurrence and reoperation rates.

conclusionsOur meta-analysis shows that THDm and OH are equally effective and can be attempted for the management of hemorrhoids. However, for THDm with Doppler guidance, more instruments and a longer operative time are required. Future large-scale, high-quality, multicenter trials with long-term outcomes are needed to prove these results and determine whether Doppler guidance in THD is truly necessary or not.

Indexed as

AdultAnal CanalArteriesFemaleHemorrhoidectomyHemorrhoidsHumansLigationMaleMiddle AgedOperative TimeRandomized Controlled Trials as TopicTransanal Endoscopic SurgeryTreatment OutcomeUltrasonography, InterventionalYoung AdultArtery ligationDearterializationHemorrhoidsMeta-analysisMucopexy

Identifiers

PMID27888438
OpenAlexW2551412250

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.