{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T07:16:47Z","timestamp":1761895007303},"reference-count":37,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2009,12,12]],"date-time":"2009-12-12T00:00:00Z","timestamp":1260576000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2010,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The aim of this study was to compare the incidence of recurrence and residual skin tag after the procedure for prolapse and hemorrhoids (PPH) versus conventional hemorrhoidectomy (CH) in the Chinese\u2010 and English\u2010language literature to explore the definition of recurrence after PPH.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Related Chinese\u2010 and English\u2010language literature was collected by several methods. Meta\u2010analysis was used to compare the incidence of recurrence and residual skin tag of PPH versus CH.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In China, 13.94% of hemorrhoids had a skin tag after PPH. The mean recurrence rate after PPH was 3.23% (range 0.40\u201326.44%). Our meta\u2010analysis of PPH versus CH of the Chinese studies showed that PPH had a significantly lower recurrence rate\u201413 studies, odds ratio (OR) 0.27, 95% confidence interval (CI) 0.17\u20130.42, <jats:italic>p<\/jats:italic> &lt; 0.00001\u2014and a higher incidence of skin tags with no significance\u20146 studies, OR 3.42, 95% CI 0.49\u201324.04, <jats:italic>p<\/jats:italic> = 0.22. Our meta\u2010analysis of PPH versus CH among the English\u2010language studies showed that PPH had a significantly higher recurrence rate\u201417 studies, 636 patients in the PPH group vs. 625 patients in the CH group, OR 2.96, 95% CI 1.57\u20135.56, <jats:italic>p<\/jats:italic> = 0.0008\u2014and a significantly higher incidence of residual skin tags\u20148 studies, 297 patients in the PPH group vs. 289 patients in the CH group, OR 1.88, 95% CI 1.15\u20133.05, <jats:italic>p<\/jats:italic> = 0.01. However, the recurrence of prolapse was stated to be ascertained by anorectal examination in only six studies; meta\u2010analysis of the six studies showed that PPH was not associated with a higher recurrence\u2014six studies, 230 patients in the PPH group vs. 220 patients in the CH group; OR 1.87, 95% CI 0.70\u20135.00, <jats:italic>p<\/jats:italic> = 0.22.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>PPH is not associated with a higher recurrence rate but is associated with a higher incidence of skin tags compared with CH. The reported high recurrence rates are probably caused by improper inclusion of residual skin tags into the recurrence data. Surgeons should perform anorectal examinations to differentiate a residual skin tag from a recurrence.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-009-0295-9","type":"journal-article","created":{"date-parts":[[2009,12,11]],"date-time":"2009-12-11T16:15:50Z","timestamp":1260548150000},"page":"344-352","source":"Crossref","is-referenced-by-count":20,"title":["Residual Skin Tags Following Procedure for Prolapse and Hemorrhoids: Differentiation from Recurrence"],"prefix":"10.1002","volume":"34","author":[{"given":"Xian Hua","family":"Gao","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery of Changhai Hospital Second Military Medical University 200433 Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chuan Gang","family":"Fu","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery of Changhai Hospital Second Military Medical University 200433 Shanghai 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