Document Detail

The evaluation of CEEA 34 for stapled hemorrhoidectomy: results of a prospective clinical trial and patient satisfaction.
MedLine Citation:
PMID:  18778809     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Stapled hemorrhoidectomy (SH) has routinely been performed using Procedure for Prolapse and Hemorrhoids Proximate Hemorrhoidal Circular Staplers (Ethicon Endo-surgery, Cincinnati, OH). Premium Plus CEEA 34 (Tyco Healthcare, New Haven, CT) has been recently introduced for SH. This study aims to review the effectiveness of CEEA 34 for SH. METHODS: From April to June 2007, the SH procedure was performed or supervised by 5 experienced consultant surgeons. A quality of life telephone survey was performed within 4 to 6 weeks postoperatively. RESULTS: Two hundred thirteen patients (52% men and 48% women) with a median age of 46 years (range 26-78 years) underwent SH during the trial period. Median duration of surgery was 10 minutes (range 5-35 minutes). Ninety-seven percent underwent SH for third- and fourth-degree piles. Ten patients (4.7%) had bleeding postoperatively in the first week that ceased with adrenaline injection or pack, and 2 required transfusions. Eighty-three percent participated in the quality of life survey, and 92% of these patients expressed satisfaction with the outcome of the procedure. CONCLUSION: CEEA 34 for SH is safe and effective with few postoperative complications and high patient satisfaction.
Min-Hoe Chew; Ming-Hian Kam; Jit-Fong Lim; Kok-Sun Ho; Boon-Swee Ooi; Choong-Leong Tang; Kong-Weng Eu
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Publication Detail:
Type:  Clinical Trial; Journal Article     Date:  2008-09-07
Journal Detail:
Title:  American journal of surgery     Volume:  197     ISSN:  1879-1883     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-06-05     Completed Date:  2009-07-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  695-701     Citation Subset:  AIM; IM    
Department of Colorectal Surgery, Singapore General Hospital, Singapore.
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MeSH Terms
Digestive System Surgical Procedures / methods
Hemorrhoids / surgery*
Middle Aged
Patient Satisfaction*
Prospective Studies
Sutures* / adverse effects

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