Title: Milligan-Morgan hemorrhoidectomy combined with non-Doppler hemorrhoidal artery
ligation for the treatment of grade III/IV hemorrhoids: A single centre retrospective study
Version: 2 Date: 09 Jul 2023
Reviewer's report:
First, authors should be congratulated for this work. Hemorrhoids commonly presents with
painless rectal bleeding with or without prolapse. Herein, the proposed work compares the
open hemorrhoidectomy alone with open hemorrhoidectomy + hemorrhoidal artery ligation
(manually identified; non doppler).
Introduction: language edit "was the main reason why patients were afraid of this surgery and
unwilling to undertake it "
Methods
Results: how the patient satisfaction was assessed ?questionnaire; I feel that telephonic
conversation will be more about constipation, bleeding but not about recurrence as it may need
examination.
Discussion: would you cite a reference/s for "These results indicated that the combined operation
on the basis of hemorrhoid resection and HAL could block the hemorrhoid blood supply, locally
cause a chronic inflammatory reaction, produce tissue fibrosis, make the mucous membrane and
submucosal supporting tissue adhesion and fixation, and reduce the postoperative recurrence
rate, and improve patient satisfaction. At the same time, this combined operation can reduce
postoperative pain, which may be related to lifting the rectal mucosa above the internal
hemorrhoids after HAL, reducing the degree of prolapse of internal hemorrhoids, and thus
reducing the surgical incision for MMH."
One of the limitations should be being a "retrospective" study.
Title: Milligan-Morgan hemorrhoidectomy combined with non-Doppler hemorrhoidal artery
ligation for the treatment of grade III/IV hemorrhoids: A single centre retrospective study
Version: 2 Date: 09 Jul 2023
Reviewer's report:
First, authors should be congratulated for this work. Hemorrhoids commonly presents with
painless rectal bleeding with or without prolapse. Herein, the proposed work compares the
open hemorrhoidectomy alone with open hemorrhoidectomy + hemorrhoidal artery ligation
(manually identified; non doppler).
Introduction: language edit "was the main reason why patients were afraid of this surgery and
unwilling to undertake it "
Methods
Results: how the patient satisfaction was assessed ?questionnaire; I feel that telephonic
conversation will be more about constipation, bleeding but not about recurrence as it may need
examination.
Discussion: would you cite a reference/s for "These results indicated that the combined operation
on the basis of hemorrhoid resection and HAL could block the hemorrhoid blood supply, locally
cause a chronic inflammatory reaction, produce tissue fibrosis, make the mucous membrane and
submucosal supporting tissue adhesion and fixation, and reduce the postoperative recurrence
rate, and improve patient satisfaction. At the same time, this combined operation can reduce
postoperative pain, which may be related to lifting the rectal mucosa above the internal
hemorrhoids after HAL, reducing the degree of prolapse of internal hemorrhoids, and thus
reducing the surgical incision for MMH."
One of the limitations should be being a "retrospective" study.
Please review this paper.
user
Title: Milligan-Morgan hemorrhoidectomy combined with non-Doppler hemorrhoidal artery
ligation for the treatment of grade III/IV hemorrhoids: A single centre retrospective study
Version: 2 Date: 09 Jul 2023
Reviewer's report:
First, authors should be congratulated for this work. Hemorrhoids commonly presents with
painless rectal bleeding with or without prolapse. Herein, the proposed work compares the
open hemorrhoidectomy alone with open hemorrhoidectomy + hemorrhoidal artery ligation
(manually identified; non doppler).
Introduction: language edit "was the main reason why patients were afraid of this surgery and
unwilling to undertake it "
Methods
Results: how the patient satisfaction was assessed ?questionnaire; I feel that telephonic
conversation will be more about constipation, bleeding but not about recurrence as it may need
examination.
Discussion: would you cite a reference/s for "These results indicated that the combined operation
on the basis of hemorrhoid resection and HAL could block the hemorrhoid blood supply, locally
cause a chronic inflammatory reaction, produce tissue fibrosis, make the mucous membrane and
submucosal supporting tissue adhesion and fixation, and reduce the postoperative recurrence
rate, and improve patient satisfaction. At the same time, this combined operation can reduce
postoperative pain, which may be related to lifting the rectal mucosa above the internal
hemorrhoids after HAL, reducing the degree of prolapse of internal hemorrhoids, and thus
reducing the surgical incision for MMH."
One of the limitations should be being a "retrospective" study.
assistant