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Abstract：
UNASSIGNED: Ligation and excision remain the commonly recognized standard surgical modality for treating hemorrhoids. Further, impediments to surgical treatment owing to social factors and the need for minimally invasive procedures and other confounders have resulted in the adoption of the mucopexy-recto anal lifting (MuRAL) method which is associated with favorable outcomes. The objective of this study was to describe the procedure and report the outcomes in patients who underwent MuRAL.
UNASSIGNED: Between March 2016 and February 2018, 55 patients (26 males and 29 females) underwent MuRAL for hemorrhoids and rectal mucosal prolapse. The duration of the surgical procedure and hospitalization, postoperative complications, and satisfaction were evaluated.
UNASSIGNED: The mean age of the male patients (n = 26) was 61.5 ± 4.9 years and that of the female patients (n = 29) was 61.5 ± 3.2 years. The mean duration of surgery was 46 ± 23 minutes for males and 53 ± 28 minutes for females, and the mean observation duration was 317 ± 186 days. Intraoperative hemorrhage was low for males and females. The mean hospitalization period was 3.2 ± 1.5 days for males and 4.3 ± 2.1 days for females. Differences in several postoperative complications were observed between male and female patients. Postoperative satisfaction was rated high by the patients.
UNASSIGNED: Risks of hemorrhage and pain associated with the MuRAL method were low because the procedure does not involve incision or excision. Other than ligation and excision, recurrence is favorable compared with that of other surgical modalities for the treatment of hemorrhoids.
UNASSIGNED: Between March 2016 and February 2018, 55 patients (26 males and 29 females) underwent MuRAL for hemorrhoids and rectal mucosal prolapse. The duration of the surgical procedure and hospitalization, postoperative complications, and satisfaction were evaluated.
UNASSIGNED: The mean age of the male patients (n = 26) was 61.5 ± 4.9 years and that of the female patients (n = 29) was 61.5 ± 3.2 years. The mean duration of surgery was 46 ± 23 minutes for males and 53 ± 28 minutes for females, and the mean observation duration was 317 ± 186 days. Intraoperative hemorrhage was low for males and females. The mean hospitalization period was 3.2 ± 1.5 days for males and 4.3 ± 2.1 days for females. Differences in several postoperative complications were observed between male and female patients. Postoperative satisfaction was rated high by the patients.
UNASSIGNED: Risks of hemorrhage and pain associated with the MuRAL method were low because the procedure does not involve incision or excision. Other than ligation and excision, recurrence is favorable compared with that of other surgical modalities for the treatment of hemorrhoids.
摘要：
■结扎和切除仍然是通常公认的治疗痔疮的标准手术方式。Further,由于社会因素以及对微创手术和其他混杂因素的需要，手术治疗的障碍导致采用了粘膜切除-直肠肛门抬高（MuRAL）方法，该方法与良好的结果相关。这项研究的目的是描述接受MuRAL的患者的手术方法并报告结果。
■在2016年3月至2018年2月期间，55例患者（男性26例，女性29例）因痔疮和直肠粘膜脱垂接受MuRAL治疗。手术时间和住院时间,术后并发症,并对满意度进行了评价。
■男性患者（n=26）的平均年龄为61.5±4.9岁，女性患者（n=29）的平均年龄为61.5±3.2岁。男性平均手术时间为46±23分钟,女性为53±28分钟,平均观察时间为317±186天。男性和女性术中出血少。男性平均住院时间为3.2±1.5天，女性为4.3±2.1天。在男性和女性患者之间观察到几种术后并发症的差异。患者对术后满意度评价较高。
■与MuRAL方法相关的出血和疼痛风险较低，因为该手术不涉及切口或切除。除了结扎和切除，与其他治疗痔疮的手术方式相比，复发是有利的。
■在2016年3月至2018年2月期间，55例患者（男性26例，女性29例）因痔疮和直肠粘膜脱垂接受MuRAL治疗。手术时间和住院时间,术后并发症,并对满意度进行了评价。
■男性患者（n=26）的平均年龄为61.5±4.9岁，女性患者（n=29）的平均年龄为61.5±3.2岁。男性平均手术时间为46±23分钟,女性为53±28分钟,平均观察时间为317±186天。男性和女性术中出血少。男性平均住院时间为3.2±1.5天，女性为4.3±2.1天。在男性和女性患者之间观察到几种术后并发症的差异。患者对术后满意度评价较高。
■与MuRAL方法相关的出血和疼痛风险较低，因为该手术不涉及切口或切除。除了结扎和切除，与其他治疗痔疮的手术方式相比，复发是有利的。
