Document Detail

Long-term results after stapled haemorrhoidopexy for fourth-degree haemorrhoids: a prospective study with median follow-up of 6 years.
MedLine Citation:
PMID:  17510741     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The aim of our study was to assess our early and long-term results after stapled haemorrhoidopexy for fourth-degree haemorrhoids. METHODS: Our study covers the time period from 1998 to 2002 and consists of 56 consecutive patients (33 men) with fourthdegree haemorrhoids who underwent stapled haemorrhoidopexy. RESULTS: During the postoperative period, 6 patients (10.7%) experienced pain for 7-14 days, which was treated with oral analgesia. Ten patients (17.8%) experienced gas incontinence and two of them also reported soiling. The incontinence subsided within 3-8 weeks. Median follow-up was 72.1 months (range, 55-86 months). Recurrence of the haemorrhoidal disease occurred in 33 patients (58.9%). The overall reintervention rate was 42.8%, as 24 patients required excisional haemorrhoidectomy by the Milligan-Morgan technique at a later stage. CONCLUSIONS: Stapled haemorrhoidopexy seems to be a safe, low-pain but ineffective technique for the treatment of fourth-degree haemorrhoids, as it is accompanied by high recurrence and reintervention rates in the long term.
E Zacharakis; D Kanellos; M G Pramateftakis; I Kanellos; S Angelopoulos; I Mantzoros; D Betsis
Publication Detail:
Type:  Journal Article     Date:  2007-05-25
Journal Detail:
Title:  Techniques in coloproctology     Volume:  11     ISSN:  1123-6337     ISO Abbreviation:  Tech Coloproctol     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-06-18     Completed Date:  2007-07-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9613614     Medline TA:  Tech Coloproctol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  144-7; discussion 147-8     Citation Subset:  IM    
Fourth Academic Surgical Unit, Aristotle University of Thessaloniki, Thessaloniki, Makedonia, Greece.
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MeSH Terms
Digestive System Surgical Procedures / methods*
Follow-Up Studies
Hemorrhoids / surgery*
Middle Aged
Pain, Postoperative / epidemiology
Prospective Studies
Surgical Stapling*
Treatment Outcome

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