Document Detail


Circular stapled hemorrhoidopexy: experience of a single center with 445 cases.
MedLine Citation:
PMID:  18553195     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study was designed to review the results of circular stapled hemorrhoidopexy (CSH) in the management of second-, third-, and fourth-degree hemorrhoidal disease. The medical records of 483 patients who had undergone circular stapled hemorrhoidopexy for symptomatic hemorrhoidal disease from June 2001 to September 2006 were evaluated. Data regarding complications, residual symptoms, and recurrence were collected. The study included 445 patients (283 men, 162 women) between 22 and 74 years old (median age 39 years). This constituted 92% of all patients. Concomitant lateral internal sphincterotomy, skin tags' excision, and thrombus removal were done in 106 (24.0%), 83 (18.5%), and 20 (4.5%) patients, respectively. The median operating time was 24 minutes (10-45 minutes). The median hospital stay was 40 hours (11-72 hours). Complications during the first 24 hours were fecal urgency (25%), urinary retention (8%), and rectal bleeding (1%). Pruritus ani (21%), thrombosed external hemorrhoids (4%), staple line stenosis (2%), rectal bleeding (2%), anal fissure (1%), and persistent skin tags (3%) were the symptoms seen during the long-term follow-up. The median follow-up was 23 months (6-70 months). The recurrence rate was 1%. Circular stapled hemorrhoidopexy can be safely performed with low recurrence and complication rates while offering a relatively painless postoperative period for the patient.
Authors:
Cihan Uras; Bilgi Baca; Deniz Eren Boler
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Publication Detail:
Type:  Journal Article     Date:  2008-06-14
Journal Detail:
Title:  World journal of surgery     Volume:  32     ISSN:  0364-2313     ISO Abbreviation:  World J Surg     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-07-30     Completed Date:  2009-01-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7704052     Medline TA:  World J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1783-8     Citation Subset:  IM    
Affiliation:
Department of Surgery, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Female
Hemorrhoids / surgery*
Humans
Length of Stay / statistics & numerical data
Male
Middle Aged
Pain Measurement
Postoperative Complications
Recurrence
Retrospective Studies
Sutures*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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