Table 2.
Outcomes of hemorrhoidectomy in the GAL and SA groups.
| Hemorrhoidectomy | Multiple hemorrhoidectomies | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| GAL (n = 220) | SA (n = 330) | P-value | GAL (n = 188) | SA (n = 261) | P-value | |||||
| Pain symptoms | 20 | (9.1%) | 0 | (0.0%) | <0.001** | 19 | (10.1%) | 0 | (0.0%) | <0.001** |
| Pain grade | <0.001** | <0.001** | ||||||||
| 0 | 28 | (12.7%) | 87 | (26.4%) | 20 | (10.6%) | 54 | (20.7%) | ||
| 1 | 172 | (78.2%) | 243 | (73.6%) | 149 | (79.3%) | 207 | (79.3%) | ||
| 2 | 20 | (9.1%) | 0 | (0.0%) | 19 | (10.1%) | 0 | (0.0%) | ||
| AUR | 34 | (15.5%) | 106 | (32.1%) | <0.001** | 33 | (17.6%) | 93 | (35.6%) | <0.001** |
| AUR grade | <0.001** | <0.001** | ||||||||
| 0 | 186 | (84.5%) | 224 | (67.9%) | 155 | (82.4%) | 168 | (64.4%) | ||
| 1 | 2 | (0.9%) | 0 | (0.0%) | 2 | (1.1%) | 0 | (0.0%) | ||
| 2 | 32 | (14.5%) | 106 | (32.1%) | 31 | (16.5%) | 93 | (35.6%) | ||
| Constipation | 14 | (6.4%) | 19 | (5.8%) | 0.769 | 12 | (6.4%) | 18 | (6.9%) | 0.830 |
| Constipation grade | 0.718 | 0.789 | ||||||||
| 0 | 206 | (93.6%) | 311 | (94.2%) | 176 | (93.6%) | 243 | (93.1%) | ||
| 1 | 1 | (0.5%) | 3 | (0.9%) | 1 | (0.5%) | 3 | (1.1%) | ||
| 2 | 13 | (5.9%) | 16 | (4.8%) | 11 | (5.9%) | 15 | (5.7%) | ||
| Nausea | 0.909 | 0.543 | ||||||||
| 0 | 215 | (97.7%) | 322 | (97.6%) | 184 | (97.9%) | 253 | (96.9%) | ||
| 1 | 5 | (2.3%) | 8 | (2.4%) | 4 | (2.1%) | 8 | (3.1%) | ||
| Headache | 0 | (0.0%) | 3 | (0.9%) | 0.279 | 0 | (0.0%) | 3 | (1.1%) | 0.268 |
| Wound bleeding | 0.044* | 0.167 | ||||||||
| 0 | 197 | (89.5%) | 313 | (94.8%) | 169 | (89.9%) | 246 | (94.3%) | ||
| 1 | 21 | (9.5%) | 14 | (4.2%) | 17 | (9.0%) | 12 | (4.6%) | ||
| 2 | 2 | (0.9%) | 3 | (0.9%) | 2 | (1.1%) | 3 | (1.1%) | ||
| Any of the symptoms above | 0.317 | 0.098 | ||||||||
| 0 | 140 | (63.6%) | 196 | (59.4%) | 117 | (62.2%) | 142 | (54.4%) | ||
| 1 | 80 | (36.4%) | 134 | (40.6%) | 71 | (37.8%) | 119 | (45.6%) | ||
| ED readmission | 2 | (0.9%) | 4 | (1.2%) | 1.000 | 2 | (1.1%) | 4 | (1.5%) | 1.000 |
The six most frequent complications after hemorrhoidectomy were pain (VAS ≥4) in 24 h, AUR, constipation, nausea, headache, and bleeding. The ED readmission rate was defined as symptomatic pain within 7 days. AUR was defined as grade 1 (feeling full of urine) and grade 2 (requiring catheterization). Constipation was defined as grade 1 (occasional symptoms) and grade 2 (persistent symptoms requiring laxatives). Bleeding was defined as grade 1 (mild symptoms without intervention) and grade 2 (symptoms requiring interventions).
Chi-square test or Mann-Whitney U test, median (IQR). *P<0.05, **P<0.01. AUR: acute urinary retention