| Stapled haemorrhoidopexy for prolapsed haemorrhoids: short- and long-term experience. | |
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MedLine Citation:
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PMID: 17337368 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: In prolapsed haemorrhoids, there is a permanent outward displacement of the mucosa of the anal canal, often involving the rectal mucosa. On this background, Longo set up a technique in 1998 to reduce haemorrhoidal prolapse, using a circular stapler. The aim of this study is to report our 7 years of experience on patients treated using this new surgical technique for haemorrhoids. METHODS: Between October 1998 and June 2005, 496 patients were treated by stapled haemorrhoidopexy. We analysed data from 300 of these patients in whom follow-up was longer than 12 months. RESULTS: The duration of the procedure ranged from 12 to 45 minutes. In 184 patients (37%), haemostatic stitches of the suture line were necessary after firing the stapler. Pain score (visual analogue scale, 1-10) after 24 hours ranged from 2 to 4 and after 5 days from 1 to 3. The average length of hospital stay was 2.3 days. Long-term results showed that only 9% of patients required further treatment after long follow-up, while 10.1% complained of some discomfort or residual symptoms in the perianal region. CONCLUSION: Our short- and long-term results show that stapled haemorrhoidopexy for haemorrhoids is a safe procedure with less pain and lower complication rate compared to conventional haemorrhoidectomy. |
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Authors:
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Davide Lomanto; Avinash N Katara |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Asian journal of surgery / Asian Surgical Association Volume: 30 ISSN: 1015-9584 ISO Abbreviation: Asian J Surg Publication Date: 2007 Jan |
Date Detail:
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Created Date: 2007-03-05 Completed Date: 2007-04-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8900600 Medline TA: Asian J Surg Country: China |
Other Details:
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Languages: eng Pagination: 29-33 Citation Subset: IM |
Affiliation:
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Minimally Invasive Surgical Centre, Department of General Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. surdl@nus.edu.sg |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Female Hemorrhoids / pathology, surgery* Humans Male Middle Aged Pain, Postoperative Postoperative Complications Prolapse Surgical Stapling* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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