Document Detail


Stapled haemorrhoidopexy: 6 years' experience of a referral centre.
MedLine Citation:
PMID:  19508528     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To prospectively evaluate the long-term results and assess patient satisfaction after stapled haemorrhoidopexy (HS).
METHOD: A total of 150 patients (121 male patients) with symptomatic grade II (n = 50) or III (n = 100) haemorrhoids underwent stapled HS. Patients were followed up during consultations at regular intervals, allowing prospective data collection. A final telephone follow up was also undertaken.
RESULTS: Follow up data were obtained for 130 of 150 patients (86.6%). After a median follow up of 39 months (range, 12-72), 90% of the patients were fully satisfied and 92% were free of haemorrhoidal symptoms. There were no intraoperative complications. Postoperative bleeding that required operation was observed in five patients (3.3%). Most late postoperative complications were benign and easily resolved: unexplained pain for over a month (n = 1), external haemorrhoidal thrombosis (n = 2), anal fissure (n = 6) one with hypertrophic papilla, anal fistula (n = 1), rectal stenosis (n = 1), anal incontinence for (n = 1). Eight patients needed rubber band ligation to treat persistent or recurrent symptomatic prolapse. Four patients (2.6%) were reoperated on during the follow up period but none for haemorrhoidal pathology.
CONCLUSION: Stapled HS procedure is effective and has low morbidity, high patient satisfaction and provided good long-term control of haemorrhoidal symptoms in the treatment of second and third-degree haemorrhoids.
Authors:
S Sultan; N Rabahi; I Etienney; P Atienza
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Publication Detail:
Type:  Journal Article     Date:  2009-04-13
Journal Detail:
Title:  Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland     Volume:  12     ISSN:  1463-1318     ISO Abbreviation:  Colorectal Dis     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-19     Completed Date:  2010-12-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883611     Medline TA:  Colorectal Dis     Country:  England    
Other Details:
Languages:  eng     Pagination:  921-6     Citation Subset:  IM    
Affiliation:
Service de proctologie interventionnelle, Groupe hospitalier Diaconesses-Croix, Saint Simon, Paris, France. samy.sultan@wanadoo.fr
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Female
Follow-Up Studies
Hemorrhoids / surgery*
Humans
Interviews as Topic
Male
Middle Aged
Patient Satisfaction*
Patient Selection
Postoperative Hemorrhage*
Prospective Studies
Surgical Stapling / adverse effects*,  methods*
Young Adult

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


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