ORIGINAL ARTICLE   

Chirurgia 2022 February;35(1):20-3

DOI: 10.23736/S0394-9508.21.05249-9

Copyright © 2021 EDIZIONI MINERVA MEDICA

lingua: Inglese

Clinical study of traditional Chinese medicine fumigation and washing combined with antibiotics in the prevention and treatment of postoperative complications of mixed hemorrhoids

Chun Q. WANG ¹, Li Z. WANG ² ✉

¹ Unit of Anorectal Surgery, Zhejiang Xiaoshan Hospital, Hangzhou, China ; ² Unit of Anorectal Surgery, Shandong Hospital of Traditional Chinese Medicine, Jinan, China

BACKGROUND: The main postoperative complications of mixed hemorrhoids include surgical site infection, edema and pain, which cause postoperative discomfort and affect the quality of life of patients. Symptomatic treatment such as fumigation and washing with traditional Chinese medicine or antibiotic anti-inflammation cannot achieve the desired prevention and treatment effect in many cases. The purpose of this study was to evaluate the efficacy of traditional Chinese medicine fumigation combined with antibiotics in the prevention and treatment of postoperative complications of mixed hemorrhoids.
METHODS: A total of 150 patients with mixed hemorrhoids after Milligan-Morgan operation were randomly divided into three groups: 50 patients were treated with traditional Chinese medicine fumigation and washing (group A), 50 patients were treated with antibiotics only (group B), and 50 patients were treated with traditional Chinese medicine fumigation and washing combined with antibiotics (group C). The wound infection, pain and edema of the three groups were observed on the 4^th day after operation.
RESULTS: In group A, the postoperative infection rate was 12%, the wound edema rate was 12%, and the pain rate was 66%. In group B, the postoperative infection rate was 6%, the edema rate was 26%, and the pain rate was 90%. In group C, the postoperative infection rate was 0%, the edema rate was 6%, and the edema was mainly concentrated in one site, and the size of edema was less than 1cm, and the pain rate was 60%. The pain was mainly concentrated in mild pain and had no effect on sleep and defecation. The treatment group of traditional Chinese medicine fumigation and washing combined with antibiotics was better than that of traditional Chinese medicine fumigation and washing alone and antibiotics alone in the prevention and treatment of wound infection, pain and edema (P<0.05).
CONCLUSIONS: Traditional Chinese medicine fumigation and washing combined with antibiotics is effective in the prevention and treatment of wound infection, pain and edema after operation of mixed hemorrhoids.

KEY WORDS: Medicine, Chinese traditional; Anti-bacterial agents; Hemorrhoids; Postoperative complications