Document Detail

Stapled anopexy: postoperative course and functional outcome in 400 patients.
MedLine Citation:
PMID:  18299926     Owner:  NLM     Status:  MEDLINE    
PURPOSE: We performed a retrospective analysis of postoperative course and functional outcome after at least six months' follow-up in a series of 400 consecutive patients who underwent stapled anopexy. METHODS: All patients were evaluated at one week and one month after surgery and then according to symptoms. A clinical or telephone follow-up was obtained for all patients. The last 50 patients were prospectively evaluated with an obstructive defecation syndrome score and Wexner continence and constipation score before operation and six months after anopexy. RESULTS: There were no intraoperative complications. Postoperative bleeding that requires reoperation was observed in 11 patients, most cases (9/11) occurring in the early experience (first 50 patients). After a median follow-up of 6.1 years, four patients required reoperation. After anopexy, we observed an improvement in patients who present disturbance in defecation. The difference between the median obstructive defecation syndrome score before and after operation was statistically significant. Wexner score showed improvement without significant difference. CONCLUSIONS: Treatment of hemorrhoids with circular stapler seems to be effective with low morbidity and high satisfaction rate because of reduced postoperative pain and rapid recovery. This technique also allows improvement of obstructive defecation symptoms, which are seldom studied in patients with hemorrhoids.
Stefano Bona; Francesco Battafarano; Uberto Fumagalli Romario; Mauro Zago; Riccardo Rosati
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Diseases of the colon and rectum     Volume:  51     ISSN:  1530-0358     ISO Abbreviation:  Dis. Colon Rectum     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-06-03     Completed Date:  2008-07-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372764     Medline TA:  Dis Colon Rectum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  950-5     Citation Subset:  IM    
Department of General and Minimally Invasive Surgery, Istituto Clinico Humanitas IRCCS, Via Manzoni 56, 20089, Rozzano (Milano), Italy.
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MeSH Terms
Aged, 80 and over
Follow-Up Studies
Hemorrhoids / surgery*
Middle Aged
Postoperative Complications
Retrospective Studies
Surgical Stapling*
Treatment Outcome

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

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