Hemorrhoid(Grade II-IV)
Nationwide needing hemorrhoid care
Post-partum with worsening hemorrhoids
diabetes/hypertension comorbidities
fearful of traditional hemorrhoid surgery
rapid return to work
E-DA Hospital's Department of Colorectal Surgery, established over 20 years ago, formed the Precision Minimally Invasive Hemorrhoid Surgery Team in 2021. The team integrates 4 colorectal specialists, 4 nurse practitioners, 1 case manager, clinical/OR nursing teams, dietitians, and the anesthesiology team.
Six key features:
Multiple surgical options with Shared Decision Making (SDM)
Safe anesthesia monitoring (BIS, high-flow nasal cannula, warming blanket);
Comprehensive multimodal post-op pain control (personalized analgesics, ice packs, sitz baths, psychological support)
Detailed wound care education
Post-op follow-up and phone visits
Standardized SOPs. Advanced equipment includes LigaSure Vessel Sealing, Harmonic Scalpel, Laser Diode Surgery, Radiofrequency Ablation (RFA). Also offers outpatient minimally invasive options (Rubber Band Ligation, endoscopic procedures).
Minimally invasive rate 88%(intl 45%); average LOS 1.3 days; post-op pain 2.8(intl 4.0)
complication rate 2.6% (intl 4.5%); post-op bleeding 0.7%(intl 5%)
2024: 2 oral presentations, 1 poster, 2 hemorrhoid papers published.
High-energy MIS equipment (LigaSure, Harmonic, Laser, RFA)
SDM for surgical approach selection
BIS precision anesthesia depth monitoring
Multimodal post-op pain control
Standardized SOP and post-op follow-up
Case manager phone follow-up
Outpatient visits: 2,103
Inpatient admissions: 1,393
Surgical procedures: 1,393
MIS rate: 88% (intl 45%)
Surgical success rate: 98.5%
Average LOS: 1.3 days (intl 2.0)
Immediate surgical success rate: 98.5%
5-year recurrence rate: 14%
Post-op complication rate: 2.6% (intl 4.5%)
Operation time reduced 20%
Intraoperative blood loss reduced 45%
84% of patients exceed recovery expectations
Surgery-related adverse event: 0.5%
Anesthesia complications: 0.1%
Post-op infection rate: <1% (intl 3%)
Post-op bleeding rate: 0.8% (intl 5%)
Unplanned readmission reduced 45%
Post-op pain NRS <3
Overall medical service satisfaction: 90% (↑86%)
Medical outcome satisfaction: 90%
Doctor-patient communication: 92%
Nursing care satisfaction: 91%
Post-op follow-up satisfaction: 93%
Recommendation rate: 87%
MIS rate 88% vs intl 45%
Avg LOS 1.3 days vs intl 2.0
Post-op pain 2.8 vs intl 4.0
Complications 2.6% vs intl 4.5%
Post-op bleeding 0.7% vs intl 5%
Recovery 5 days vs intl 7-10
Transforms public fear of hemorrhoid surgery
Greatly reduces LOS, saves medical resources
Reduces readmissions, saves NHI costs
Leads Taiwan hemorrhoid MIS benchmark
Establishes replicable precision MIS team model
