Impact of Ruiyun Procedure for Hemorrhoid Combined with External Hemorrhoidectomy on Anorectal Function and Postoperative Recovery in Patients with Mixed Hemorrhoids

LI Yuanyuan

doi:10.3969/j.issn.1672-7185.2026.01.007

Abstract：Objective To explore the effect of Ruiyun procedure for hemorrhoid(RPH)combined with external hemorrhoidectomy in the treatment of patients with mixed hemorrhoids.Methods Seventy patients with mixed hemorrhoids who underwent surgical treatment at Sanhe Yanjiao 23 Hospital from January 2023 to December 2024 were selected as the study subjects.All patients were divided into an elastic thread group(44 cases)and a control group(26 cases)according to different treatment plans.The elastic thread group received RPH combined with external hemorrhoidectomy treatment,while the control group received traditional Milligan-Morgan treatment.Compare the surgical time,healing time,hospital stay,efficacy,incidence of complications,as well as anal function,quality of life at baseline and 1 month after surgery,and pain levels at baseline and 48 hours and 7 days after surgery.Results The total effective rate of the elastic thread group was significantly higher than that of the control group,and the surgical time,healing time,and hospitalization time were significantly shorter than those of the control group(all P＜0.05).The total incidence of complications was significantly lower than that of the control group(P＜0.05).One month after surgery,both groups showed improvement in anal function and quality of life compared to before surgery,and the elastic thread group had significantly better anal function and quality of life than the control group(P＜0.05).At 48 hours and 7 days after surgery,both groups showed some relief in pain compared to before surgery,and the pain level in the elastic thread group was significantly milder than that in the control group at 48 hours and 7 days after surgery(P＜0.05).Conclusion The combination of RPH and external hemorrhoidectomy has a good effect on the treatment of mixed hemorrhoids,with minimal impact on the patient's anal function.It can promote recovery,improve pain,enhance quality of life,and reduce complications.It is worth promoting and using.