Objective To compare the efficacy and prognostic impact of ruiyun procedure for hemorrhoid (RPH) and procedure for prolapse and hemorrhoid (PPH) in patients with mixed hemorrhoids.

Methods A total of 218 patients with mixed hemorrhoids who underwent surgical treatment in the Gastrointestinal Surgery Department of our hospital from November 2022 to October 2023 were included in this study. According to differed surgical methods, the patients were divided into RPH group (n=108) and PPH group (n=110). The operative time, intraoperative blood loss, length of hospital stay, surgical treatment outcomes, postoperative complication rates, and recurrence rates were compared between the two groups. The Visual Analogue Scale (VAS) was used to assess pain degree of patients before surgery, 24 hours after surgery, and during the first defecation. The 36-Item Short Form Health Survey (SF-36) was employed to evaluate the quality of life, and the Patient Satisfaction Questionnaire (PSQ) was used to investigate patients′satisfaction with the surgical treatment.

Results The total effective rate of treatment in the RPH group was 88.89%, which was higher than 78.18% in the PPH group (P < 0.05). The operative time, intraoperative blood loss, and length of hospital stay in the RPH group were shorter or less than those in the PPH group (P < 0.05). The VAS scores at 24 hours after surgery and during the first defecation in the RPH group were lower than those in the PPH group, and the differences were statistically significant (P < 0.05). After surgery, the SF-36 and PSQ scores in both the RPH and PPH groups were higher than those before surgery, and the scores in the RPH group were higher than those in the PPH group, with statistically significant differences (P < 0.05). The incidence of postoperative complications in the RPH group was lower than that in the PPH group, and the difference was statistically significant (P < 0.05). Six months after surgery, there was no significant difference in the recurrence rates between the two groups (P>0.05).

Conclusion Both RPH and PPH are effective surgical methods for the treatment of mixed hemorrhoids. RPH is superior to PPH in reducing postoperative complications and shortening the length of hospital stay, but there is no significant difference in the postoperative recurrence rates between the two methods.