The Use of PILA-Pack: Differences in Length of Stay of Hemorrhoidal Patients
Keywords:Hemorrhoids, hemorrhoidectomy, LOS, PILA pack
Hemorrhoids are a common anorectal disease and can affect all ages. This research aims to specify the differences in Length of Stay (LOS) of hemorrhoidal patients who underwent a modified combined method of rubber ligation and sclerotic injection using Paran Injection Ligation for Ambeien pack (PILA pack) compared to a hemorrhoidectomy. This study consisted of 56 respondents who underwent hemorrhoidectomy, and the other 56 respondents experienced a modified combined method of rubber ligation and sclerotic injection using a PILA pack. Data showed the LOS's average of respondents who underwent hemorrhoidectomy was 47.33 hours or 1.97 days. Meanwhile, respondents' average length of stay who underwent a modified combined rubber ligation and sclerotic injection using a PILA pack was 20.44 hours or 0.85 days. Finally, the T-test results showed a p-value of 0.001 (p<0.05), indicating that there was a statistically significant difference in the average LOS between hemorrhoidal patients who underwent hemorrhoidectomy and hemorrhoidal patients who underwent a modified combined method of rubber ligation and sclerotic injection using PILA pack. Based on the result, it can be concluded that the mean LOS for hemorrhoidal patients receiving haemorrhoidectomy vs. hemorrhoidal patients undergoing a modified technique of rubber ligation and sclerotic injection utilizing the Paran Injection Ligation for Ambeien pack was significantly different.
Zagriadskiĭ EA, Bogomazov AM, and Golovko EB. Conservative Treatment of Hemorrhoids: Results of an Observational Multicenter Study. Advances in therapy. 2018; 35(11): 1979-1992.
Wang TH, Kiu KT, Yen MH, and Chang TC. Comparison of the Short-Term Outcomes of Using DST And PPH Staplers in the Treatment of Grade III and IV Hemorrhoids. Scientific Reports. 2020; 10: 1-7.
Sadeghifar J, Ashrafrezaee N, Hamouzadeh P, Shahri MT, and Shams L. Relationship between Performance Indicators and Hospital Evaluation Score at Hospitals Affiliated to Urmia University of Medical Sciences. Nursing and Midwifery Journal. 2011; 9(4): 269-276.
Ravindranath GG and Rahul BG. Prevalence and Risk Factors of Hemorrhoids: A Study in a Semi-Urban Centre. International Surgery Journal. 2018; 5(2): 496-499.
Mott T, Latimer K, and Edwards C. Hemorrhoids: Diagnosis and Treatment Options. American Family Physician. 2018; 97(3): 172-179.
Margetis N. Pathophysiology of Internal Hemorrhoids. Annals of Gastroenterology. 2019; 32(3): 264-272.
Alonso-Coello P, Zhou Q, Martinez-Zapata MJ, et al. Meta-Analysis of Flavonoids for the Treatment of Haemorrhoids. British Journal of Surgery. 2006; 93(8): 909-920.
Amsriza FR and Fakhriani R. Laporan Kasus: Metode Kombinasi Modifikasi Ligasi Rubber Band dan Injeksi Sklerotik pada Hemoroid Derajat 1 dengan Menggunakan Paran Injection Ligation for Ambeien Pack (PILA Pack). Medica Arteriana (Med-Art). 2021; 3(1): 1-8.
Baek H, Cho M, Kim S, Hwang H, Song M, and Yoo S. Analysis of Length of Hospital Stay Using Electronic Health Records: A Statistical and Data Mining Approach. PLoS One. 2018; 13(4): e0195901.
Salim MF, Lubis IK, and Sugeng S. Perbedaan Length of Stay (LOS) Pasien Diabetes Mellitus Berdasarkan Komplikasi di RSUP Dr. Sardjito Yogyakarta. Jurnal Manajemen Informasi Kesehatan Indonesia. 2019; 7(1): 1-8.
Sadeghi PMM, Rabiee M, Darestani NG, Alesaheb F, and Zeinalkhani F. Short Term Results of Stapled Versus Conventional Hemorrhoidectomy Within 1 Year Follow-Up. International Journal of Burns and Trauma. 2021; 11(1): 69-74.
Baniasadi T, Khorrami F, Jabraily M, Khamzade F, and Kisomi FG. Performance Evaluation of Hormozgan University of Medical Sciences (HUMS) Hospitals Based on Pabon Lasso Model. Evidence Based Health Policy, Management & Economics. 2018; 2(4): 249-257.
Riss S, Weiser FA, Schwameis K, et al. The Prevalence of Hemorrhoids in Adults. International Journal of Colorectal Disease. 2012; 27(2): 215-220.
Chong PS and Bartolo DCC. Hemorrhoids and Fissure in Ano. Gastroenterology Clinics of North America. 2008; 37(3): 627-644.
Misauno MA, Usman BD, Nnadozie UU, and Obiano SK. Experience with Rubber Band Ligation of Hemorrhoids in Northern Nigeria. Nigerian Medical Journal. 2013; 54(4): 258-260.
Dziki L, Mik M, Trzcinski R, et al. Surgical Treatment of Haemorrhoidal Disease–The Current Situation in Poland. Przeglad Gastroenterologiczny. 2016; 11(2): 111-114.
Warshaw LJ and Turell R. Occupational Aspects of Proctologic Disease. New York State Journal of Medicine. 1957; 57(18): 3006-3010.
Johanson JF and Sonnenberg A. Constipation is Not a Risk Factor for Hemorrhoids: A Case-Control Study of Potential Etiological Agents. American Journal of Gastroenterology. 1994; 89(11): 1981-1986.
Davis BR, Lee-Kong SA, Migaly J, Feingold DL, and Steele SR. The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Management of Hemorrhoids. Diseases of the Colon & Rectum. 2018; 61(3): 284-292.
Ray-Offor E and Amadi S. Hemorrhoidal Disease: Predilection Sites, Pattern of Presentation, and Treatment. Annals of African medicine. 2019; 18(1): 12-16.
- 2022-04-12 (4)
- 2022-03-01 (3)
- 2022-02-28 (2)
- 2022-02-28 (1)
LicenseAuthors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).