Document Detail


Videoanoscope-assisted stapled haemorrhoidopexy: analysis of 18 patients.
MedLine Citation:
PMID:  18545879     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
An optimal stapled haemorrhoidopexy requires the purse-string suture to be placed circumferentially at a constant distance from the dentate line and to pass through an appropriate thickness of rectal mucosa. An unsuitable purse-string suture may increase the risk of postoperative complications. We developed a new anoscope (the videoanoscope) to prevent the difficulties during application of the purse-string suture, and we used the videoanoscope in 18 stapled haemorrhoidopexy procedures. The videoanoscope is made up of three pieces. The front part is in the form of an open half-cylinder. The second piece is a sliding lid that covers the front piece. The rear part of the anoscope includes a hollow handle in which a scope can be inserted, and the whole procedure can be transmitted to a monitor via this scope. The opening on the anoscope can be adjusted by sliding the lid. A purse-string suture is placed on the rectal mucosa protruding through this adjustable opening. The anoscope is rotated to apply the subsequent suture bites and when the starting point is reached again the purse-string is completed. Then the stapled haemorrhoidopexy procedure is continued in the usual fashion. Videoanoscope-assisted stapled haemorrhoidopexy was easily performed in 18 patients (12 men, 6 women; mean age 48.9 years). The mean operative time was 32.8 minutes. The excised rectal mucosal rings were complete in all of the patients. Optimal purse-string depth was reflected in the presence of only mucosa and submucosa in all specimens, without incorporation of muscle cells. Postoperative complications were urinary retention in one patient and bleeding in five patients, one of whom requiring sutures for haemostasis. Further studies are required to assess the potential advantages of this technique.
Authors:
A D Bozdag; O Nazli; T Tansug; H Derici; C Kara; A Sozutek
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Publication Detail:
Type:  Journal Article     Date:  2008-06-10
Journal Detail:
Title:  Techniques in coloproctology     Volume:  12     ISSN:  1123-6337     ISO Abbreviation:  Tech Coloproctol     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-07-23     Completed Date:  2008-12-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9613614     Medline TA:  Tech Coloproctol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  123-6     Citation Subset:  IM    
Affiliation:
3rd Surgical Clinic, Izmir Ataturk Training and Research Hospital, Izmir, Turkey. bozdaga@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Equipment Design
Female
Hemorrhoids / surgery*
Humans
Male
Middle Aged
Proctoscopes*
Surgical Stapling*
Treatment Outcome
Video-Assisted Surgery / instrumentation*

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


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