Quality of Life among Iraqi Patients Post Hemorrhoid Surgery: A Comparative Study of Surgical Techniques
Keywords:
Patients, BMI, Hemorrhoid, Surgery, Anesthesia, Resection, HF-QoL, Scale, Bleeding, Nausea, Complications, Follow-upAbstract
The objective of this study is to assess the quality of life of patients following hemorrhoid surgery and to evaluate potential complications. A total of 110 patients aged between 20 and 50 were selected from various Iraqi hospitals, with their demographic information duly recorded. The study employed a cross-sectional design, with 80 male and 30 female patients being included. The initial data collected on the patients included their age, body mass index, gender, height, weight, any accompanying diseases, the type of anesthesia administered, and the symptoms they presented with. The quality of life of patients was evaluated before and after surgery using the HF-QoL scale. The study was conducted over a period of one year.
The results which found were age (30.2±3.3), BMI (30.5±3.9), and the patients were distributed according to sex (80 male patients, 30 female patients ); the study identified complications following laser treatment for hemorrhoids, including minor bleeding, urinary retention, inability to urinate normally, fatigue, and nausea due to antibiotic use.
The study found that 6.36% of patients experienced less postoperative pain than expected, and 70% rated the procedure as good or excellent. However, rectal prolapse was observed in one patient, indicating a discrepancy between subjective perception and objective physical examination. This highlights the necessity for enhanced patient satisfaction with follow-up procedures.
Finally, the study identified a significant correlation between surgical resection and a reduction in post-surgical complications, with a higher incidence and improved quality of life compared to other resections.
References
Abramowitz L, Benabderrahmane M, Pospait D, Philip J, Laouenan C. The prevalence of proctological symptoms amongst patients who see general practitioners in France. Eur J Gen Pract. 2014;20 (4):301-6. [PubMed ID: 24702041]. [PubMed Central ID: PMC4438346]. https://doi.org/10.3109/13814788.2014.899578.
Tournu G, Abramowitz L, Couffignal C, Juguet F, Senejoux A, Berger S, et al. Prevalence of anal symptoms in general practice: a prospective study. BMC Fam Pract. 2017;18 (1):78. [PubMed ID: 28774265]. [PubMed Central ID: PMC5543599]. https://doi.org/10.1186/s12875-017-0649-6.
Chuong LCH, Ngau TTH. Hemorrhoids. Ha Noi: Medicine; 2021. p. 421-39.
Johanson JF, Sonnenberg A. The prevalence of hemorrhoids and chronic constipation. An epidemiologic study. Gastroenterology. 1990;98 (2):380-6. [PubMed ID: 2295392]. https://doi.org/10.1016/0016-5085 (90)90828-o.
Loder PB, Kamm MA, Nicholls RJ, Phillips RK. Haemorrhoids: pathology, pathophysiology, and aetiology. Br J Surg. 1994;81 (7):946-54. [PubMed ID: 7922085]. https://doi.org/10.1002/bjs.1800810707.
Lestar B, Penninckx F, Kerremans R. The composition of anal basal pressure. An in vivo and in vitro study in man. Int J Colorectal Dis. 1989;4:118–22.
Haas PA, Haas GP, Schmaltz S, Fox TA. The prevalence of hemorrhoids. Dis Colon Rectum. 1983;26:435–9.
Karimi M, Brazier J. Health, health-related quality of life, and quality of life: what is the difference? Pharmacoeconomics. 2016;34:645–9.
Hays RD, Reeve BB. Measurement and modeling of health-related quality of life. Int. Encycl. Public Heal. Elsevier; 2017. p. 570–8.
Sailer M, Bussen D, Debus ES, Fuchs KH, Thiede A. Quality of life in patients with benign anorectal disorders. Br J Surg. 1998;85:1716–9.
Riss S, Weiser FA, Riss T, Schwameis K, Mittlböck M, Stift A. Haemorrhoids and quality of life. Colorectal Dis. 2011;13: e48–52.
Lee J-H, Kim H-E, Kang J-H, Shin J-Y, Song Y-M. Factors associated with hemorrhoids in korean adults: korean national health and Nutrition examination survey. Korean J Fam Med. 2014;35:227–36.
Trzciński R, Dziki A. If everything we already know about hemorrhoids. Proctology. 2000;1:7–16. [Google Scholar]
Michalak J, Wolski A. Hemorrhoidal disease. Family Medicine. 2001;2:61–3. [Google Scholar]
Wolski A. Pathophysiology of blood nodules. Medycyna Ogólna – Problemy Pracy Lekarza Rejonowego i Zdrowie Populacji. 1996;2:100–10. [Google Scholar]
Friediger J, Borycka-Wąsik K. The disease of blood tumor. Poland Pharmacy. 2004;4:528–35. [Google Scholar]
Gryglewski A, Kosowski K. Treatment of blood the tumor. Res Med. 2006;5:299–303. [PubMed] [Google Scholar]
Kościński T, Malinger ST, Matysiak K. Today's treatment options for hemorrhoidal disease. Pol J Surg. 2000;9:857–60. [Google Scholar]
Szyca R, Leksowski K, Dratwa S, et al. Operational treatment of the disease blood nodules using a system of sealing Liga Sure. Valetudinaria. 2004;1:9. [Google Scholar]
Michalik M, Budziński R, Świątczak Z. Operations of hemorrhoids of way Longo. Pol J Surg. 1999;6:601–3. [Google Scholar]
