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ORIGINAL RESEARCH article

Front. Med.

Sec. Gastroenterology

Volume 12 - 2025 | doi: 10.3389/fmed.2025.1653122

This article is part of the Research TopicAdvances in Medical Imaging for Precision Diagnostic and Therapeutic Applications in Digestive DiseasesView all 18 articles

Comparison between day surgery and non-day surgery in the Procedure for Prolapse and Hemorrhoids (grades III-IV) with MRI-Assisted Diagnosis: A retrospective cohort study

Provisionally accepted
Shaoting  ZhangShaoting Zhang1*Shaohua  ZhangShaohua Zhang2Yanbin  ZhaoYanbin Zhao2Guodong  JingGuodong Jing2Yifan  WeiYifan Wei2Youyu  LuoYouyu Luo2Liqiang  HaoLiqiang Hao2*Yonggang  HongYonggang Hong2*
  • 1Shandong Tumor Hospital, Jinan, China
  • 2Changhai Hospital, Shanghai, China

The final, formatted version of the article will be published soon.

Background: To evaluate the clinical value of day surgery with MRI-assisted diagnosis for the procedure for prolapse and hemorrhoids (PPH) through a retrospective cohort study. MRI was included in the preoperative protocol for surgical planning. Methods: A total of 107 patients who underwent day surgery PPH with preoperative perianal magnetic resonance imaging (MRI) for mixed hemorrhoids from October 2021 to July 2023 and 234 patients who underwent non-day surgery from April 2008 to April 2023 were included in this retrospective analysis. Outcomes of the two groups were compared, including intraoperative blood loss, post-discharge pain scale, time to resume normal activities, postoperative complications, healing of the anastomosis and wounds, discharge satisfaction rate, and short-term recurrence rate.Results: The day surgery group experienced significantly less intraoperative blood loss compared to the non-day surgery group [10 (5-20) ml vs. 20 (20-50) ml, p < 0.01]. The post-discharge pain scale was slightly higher in the day surgery group (p = 0.041). The discharge satisfaction rate was higher in the day surgery group (97.2% vs. 90.6%, p = 0.030). Patients in the day surgery group resumed normal activities earlier than those in the non-day surgery group [20 (14-30) days vs. 30 (14-30) days, p = 0.003]. The rate of postoperative residual tissue prolapse was lower in the day surgery group (0.9% vs. 6.0%, p = 0.035). No significant differences were observed between the groups in terms of anastomosis and wound healing, short-term recurrence rates, or other postoperative complications (all p > 0.05).Conclusions: Day surgery with MRI-assisted diagnosis for mixed hemorrhoids is effective, feasible, and associated with shorter hospitalization times, higher patient satisfaction, faster recovery, improved resource efficiency, and enhanced bed turnover. It is a promising model worthy of clinical adoption.

Keywords: :mixed hemorrhoids, PPH, day surgery, Ambulatory surgery, feasibility

Received: 24 Jun 2025; Accepted: 23 Jul 2025.

Copyright: © 2025 Zhang, Zhang, Zhao, Jing, Wei, Luo, Hao and Hong. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Shaoting Zhang, Shandong Tumor Hospital, Jinan, China
Liqiang Hao, Changhai Hospital, Shanghai, China
Yonggang Hong, Changhai Hospital, Shanghai, China

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