Recurrent Hemorrhoids—Efficacy, Utility and Initial Experience with the Use of Stapled Hemorrhoidopexy in Recurrent Hemorrhoids

Abstract

Overview Hemorrhoidal disease (HD) is a common surgical disorder. The treatment modalities can be surgical or nonsurgical. Every surgical option has its own indications and limitations. Postsurgical symptomatic recurrence rates are low and vary between different techniques. The ideal way to deal with recurrent HD is not clear. Material and Methods The present prospective case series enrolled a total of 87 patients (54 male/33 female). Thirteen out of 87 patients (15%) had history of previous intervention for HD. A modification of the standard technique was adopted for patients with recurrent HD. A mean follow-up of 22 months was achieved. Results Stapled hemorrhoidectomy (SD) was performed in 13 patients who had history of previous surgical intervention for HD. There were no adverse events related to the technique. Patients with recurrent HD had severe pain scores with SH as compared to patients who underwent SH at the first time. There were no wound related complications. Conclusion Stapled hemorrhoidectomy can be performed easily and offers good results in patients with recurrent HD.

Efficiency of Closed Hemorrhoidectomy in the Treatment of Third-Degree Hemorrhoids

“…High-grade symptomatic haemorrhoids, low-grade haemorrhoids that are resistant to nonsurgical treatment, and haemorrhoids with complications like strangulation and thrombosis typically necessitate surgery 7 . If additional anorectal diseases are present that necessitate surgery in addition to the haemorrhoids, the patient may need surgery 8 . Dependent on whether the post-operative defects are left closed or open, hemorrhoidectomy can be either open or closed.…”