Document Detail


Stapled haemorrhoidopexy for prolapsed haemorrhoids: short- and long-term experience.
MedLine Citation:
PMID:  17337368     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Davide Lomanto; Avinash N Katara
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Asian journal of surgery / Asian Surgical Association     Volume:  30     ISSN:  1015-9584     ISO Abbreviation:  Asian J Surg     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2007-03-05     Completed Date:  2007-04-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8900600     Medline TA:  Asian J Surg     Country:  China    
Other Details:
Languages:  eng     Pagination:  29-33     Citation Subset:  IM    
Affiliation:
Minimally Invasive Surgical Centre, Department of General Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. surdl@nus.edu.sg
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MeSH Terms
Descriptor/Qualifier:
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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