Evidence map›Paper›PMID 40634906›Full record

Trial reportBMC surgery2025

Tissue selecting therapy stapler minimally invasive surgery to treat severe hemorrhoids.

Rong Huang, Minghu Fan, Hongwu Lin, Laibin Luo

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. 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

4 authors.

Rong HuangDepartment of General Thoracic Surgery, Yingtan 184 Hospital, Yingtan, 335000, Jiangxi Province, China.
Minghu FanDepartment of General Thoracic Surgery, Yingtan 184 Hospital, Yingtan, 335000, Jiangxi Province, China.
Hongwu LinDepartment of General Thoracic Surgery, Yingtan 184 Hospital, Yingtan, 335000, Jiangxi Province, China.
Laibin LuoDepartment of General Thoracic Surgery, Yingtan 184 Hospital, Yingtan, 335000, Jiangxi Province, China. luolaibin@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSevere hemorrhoids have a serious impact on patients' quality of life. At present, the main method for treating severe hemorrhoids is surgery, but surgical treatment causes greater trauma to patients and has a high degree of complications. There is an urgent need to find new surgical methods to solve these problems. To assess the ability of tissue-selective therapy stapler (TST) minimally invasive surgery to treat severe hemorrhoids by studying the clinical efficacy, postoperative complications, and anal dynamics of selective supramedullary hemorrhoid stomy.

methodsIn our hospital, between March 2015 and February 2018, 141 patients with severe hemorrhoids were included into three groups according to the block randomization method: the TST group, the pieces per hour the PPH group, and the eastern rubber band ligation and coincident of dislocation for prolapse and hemorrhoid (EPH)group. There were 47 patients in each group. The clinical efficacy of the three groups of patients, changes in hospital stay time, operation time, intraoperative blood loss, postoperative complications, and anal dynamic indicators (rectal resting pressure, anal resting pressure, anorectal pressure difference, rectal tolerance, rectal perception threshold and length of the anal high-pressure zone) were observed and compared.

resultsThe total effective rate in the TST group was 93.62%, which was higher than the 74.47% and 72.34% in the PPH and EPH groups, respectively, after treatment. Hospitalization time, operation time, and intraoperative blood loss were lower in the TST group than in the EPH and PPH groups. Three months after surgery, the rectal resting pressure, rectal tolerance, and rectal sensing thresholds of patients in the TST group were lower than those in the PPH and EPH groups, and the anal canal resting pressure, the anorectal pressure difference and the length of the anal high-pressure zone were greater than those in the PPH and EPH groups. After surgery, the complication rate in the TST group was 10.64%, which was lower than the 27.66% and 31.91% reported in the PPH and EPH groups, respectively.

conclusionMinimally invasive TST is effective in treating severe hemorrhoids, can significantly improve anorectal motility, has a low incidence of postoperative complications and is highly safe.

Indexed as

HemorrhoidectomyHemorrhoidsMinimally Invasive Surgical ProceduresSurgical StaplersSurgical StaplingAdultAgedFemaleHumansMaleMiddle AgedOperative TimePostoperative ComplicationsSeverity of Illness IndexTreatment OutcomeAnal dynamicsClinical efficacyComplicationsSelective suprahemorrhoidal mucosa anastomosisSevere hemorrhoids

Identifiers

PMID40634906
PMCPMC12243282

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Registered trials

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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.