THỰC TRẠNG CHUẨN BỊ NGƯỜI BỆNH TRƯỚC MỔ TRĨ BẰNG PHƯƠNG PHÁP KHÂU TREO TRIỆT MẠCH THEO TRỤC DỌC TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI

Abstract

Objectives: To describe the clinical characteristics of hemorrhoids patients treated by TND’s Vertical Ligation-Mucopexy (TVLM ) surgery at Hanoi Medical University Hospital (HMUH) in 2025, and to assess the current status of preoperative preparation for hemorrhoid surgery using the TVLM method as well as investigate associated factors related to the studied patient group. Method: A cross-sectional descriptive study was conducted on 64 patients undergoing TVLM surgery at HMUH from January to July 2025 who met the inclusion criteria. Results: The majority of patients were under 60 years old (76.6%), predominantly male (62.5%), with an average disease duration of 10.8 years. Most cases involved mixed hemorrhoids (57.8%), commonly presenting with prolapsed hemorrhoidal tissue (96.9%) and rectal bleeding (75%). The preoperative preparation was generally well performed, with 92.2% compliance. However, some shortcomings were noted, including failure to inform patients of surgery time (25%), incomplete re-assessment of vital signs (12.5%), and inadequate patient transport by stretcher or wheelchair (59.4%). Patients scheduled for elective surgery showed a significantly lower rate of proper patient transport compared to emergency surgery cases (OR=48.8; 95% CI: 9.2-258.7, p<0.05). Conclusions: Patients undergoing TVLM surgery at HMUH  were mainly working-age adults, with a higher proportion of males, average disease duration of 10.8 years, mostly presenting with mixed hemorrhoids and common symptoms of prolapse and bleeding. Preoperative preparation was satisfactory overall, but further improvements are needed in informing surgery schedules, reassessing vital signs, and patient transport. A statistically significant association was observed between type of surgery and proper patient transport.