Hemorroidectomia convencional versus hemorroidopexia mecânica (PPH): estudo retrospectivo de 253 casos

Marianelli, Raphael; Almeida, Maristela Gomes de; Falleiros, Vinicio; Lolli, R; Vilariño, Tereza de Carvalho

doi:10.1590/s0101-98802009000100004

Cited by 2 publications

(1 citation statement)

References 27 publications

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“…Alterations to the anal canal sensitivity and postoperative complications, such as stenosis and anal incontinence, are due to muscle fiber injury, which may occur during the surgical procedure 49 . Some studies that also report FI after hemorrhoidectomy are: Cruz et al 46 , who obtained 0.2% of fecal incontinence, Marianelli et al 50 , with 0.5% of patients reporting fecal losses after the conventional hemorrhoidectomy technique and 2.4% after mechanical hemorrhoidopexy and Sobrado et al 51 , with 1.9% of incontinence cases after the surgery.…”

Section: Surgeries For Hemorrhoidal Disease: Hemorrhoidectomymentioning

confidence: 99%

Fecal incontinence as consequence of anorectal surgeries and the physiotherapeutic approach

Cortez¹,

Mendonça²,

Figueiroa³

2011

J. Coloproctol. (Rio J.)

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Caused by sphincter injuries in various anorectal procedures, fecal incontinence (FI) is a common complication in some patients undergoing coloproctology surgeries. Objective: Demonstrate the occurrence of FI as a result of anorectal surgeries, present the physiotherapy resources for the treatment of this disorder and, based on that, propose the inclusion of physiotherapy as a routine postoperative practice for these types of interventions. Materials and Methods: An integrative review of databases from the virtual health library (VHL) and the Physiotherapy Evidence Database (PEDro) published between 2000 and 2010, in English and Portuguese. Results: Thirteen articles (one cross-section cohort, two uncontrolled clinical trials and ten retrospective cohorts), with evidence level between 2C and 4C and published between 2001 and 2009, were selected; review articles were excluded. The review demonstrated that FI is an important complication of anorectal surgeries, causing major impacts on the patients' quality of life and that physiotherapy provides effective resources to treat this disorder. Conclusion: Further studies are recommended, in the form of systematic reviews, using a higher number of articles and better scientific evidences.
Causada por lesões esfincterianas em variados procedimentos anorretais, a incontinência fecal (IF) representa uma complicação presente em alguns indivíduos submetidos a cirurgias coloproctológicas. Objetivo: Evidenciar a ocorrência de IF como consequência de cirurgias anorretais e expor os recursos fisioterapêuticos no tratamento desta desordem e, com isso, propor a inclusão da fisioterapia como prática rotineira nos pós-operatórios desses tipos de intervenções. Materiais e Métodos: Revisão integrativa realizada a partir de pesquisas nos bancos de dados da biblioteca virtual em saúde - BVS - e do Physiotherapy Evidence Database - PEDro - publicados no período de 2000 a 2010, nos idiomas inglês e português. Resultados: Foram selecionados 13 artigos publicados entre os anos de 2001 e 2009, sendo um corte transversal, dois ensaios clínicos não controlados e dez coortes retrospectivos, com nível de evidência entre 2C e 4C, artigos de revisão foram excluídos. Foi evidenciado que a IF representa uma complicação importante de cirurgias anorretais, causando grande impacto sobre a qualidade de vida dos portadores e que a fisioterapia dispõe de recursos eficazes para o tratamento dessa disfunção. Considerações Finais: Recomenda-se a continuação do presente estudo, no formato de revisão sistemática, com um maior número de artigos e de melhores evidências científicas

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Section: Surgeries For Hemorrhoidal Disease: Hemorrhoidectomymentioning

confidence: 99%

Fecal incontinence as consequence of anorectal surgeries and the physiotherapeutic approach

Cortez¹,

Mendonça²,

Figueiroa³

2011

J. Coloproctol. (Rio J.)

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Analysis of the main surgical techniques for hemorrhoids

Freitas

Santos

Figueiredo

et al. 2016

Journal of Coloproctology

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Introduction Surgical treatment of hemorrhoidal disease is used in about 5–10% of cases where conservative treatments have not been effective. Objective To learn the surgical techniques used in the treatment of hemorrhoidal disease grades III and IV in the light of literature. Methods This is an exploratory study, with an integrative review of literature published from 2009 to 2015 from databases LILACS, SciELO, MEDLINE, PUBMED and the Portal of CAPES, using the following descriptors: “hemorrhoidectomy” and “hemorrhoids”, in the period from March to May 2015. Results Nineteen articles were selected. In the four more described techniques, the surgical time ranged from 19.58 to 52 min, with relapses from 5%, from 17.5 to 35 min and recurrences of 7.5% to 8.2%, 23–35 min was 20% and 22.5% relapse, 12.5 and 13.2 min, 3.5% of relapses. Conclusion Conventional techniques are still the most commonly performed with a good acceptance on the long-term resolution and low recurrence rate.

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Hemorroidectomia convencional versus hemorroidopexia mecânica (PPH): estudo retrospectivo de 253 casos

Cited by 2 publications

References 27 publications

Fecal incontinence as consequence of anorectal surgeries and the physiotherapeutic approach

Fecal incontinence as consequence of anorectal surgeries and the physiotherapeutic approach

Analysis of the main surgical techniques for hemorrhoids

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