Early complications after stapled hemorrhoidopexy: a retrospective study comparing three different circular staplers

Abstract Aim: The aim of this study is to examine the advantages and disadvantages of the design of the circular stapler device by sharing our hemorrhoidectomy results with circular stapler, and to examine whether changes in the design of the circular stapler device have an effect on these complications. Materials and methods: This study which was planned as retrospective archive search and approved by the Etlik Zubeyde Hanim Gynecology Training and Research Hospital Medical Specialization Education Board (TUEK) with decision number 17 dated November 15, 2019. Moreover, cases with missing or unclear data weren't included to the study. Descriptive patterns were revealed by examining the records of the patients in terms of length of hospital stay, pain level according to Visual Analogue Scale (VAS: 1-10), bleeding and other complications. In terms of descriptive analyses, percentage and frequency values were evaluated with mean and standard deviations in continuous variables. Results: Between January 2014 and July 2018, a total number of 21 hemorrhoid cases were treated with circular stapler hemorrhoidopexy. All of the patients were in the young male age group (21-26), with a mean age of 23.5±1.2. The mean hospital stay was 1.95±0.75 (1-4) days. In the intraoperative period, anal bleeding was observed only in one patient. When the pain occurring in the first 24 hours after surgery was examined according to the VAS, there were 11 patients (52%) painless, 7 patients (33%) had mild pain, 2 patients (10%) were moderate pain and 1 patient (5%) was describing severe pain. Conclusion: The circular stapler is a surgical instrument that stands out with its specific engineering features, and when used in the correct position and in the correct manner, it is an advantageous surgical tool with low complication rates for the surgeon in advanced hemorrhoids and mucosal sagging.

show abstract

Postoperative Pain as a Decision-Making Tool in Treating Hemorrhoids on an In- or Out-Patient Basis After Stapled Mucosectomy (Longo Procedure)

Kovačević

Gubler

Turina³

et al. 2019

International Surgery

View full text Add to dashboard Cite

Objective Stapled mucosectomy (Longo operation) is a frequently used procedure for the treatment of hemorrhoidal disease. It is a simple procedure yet similar to resective techniques for patients who frequently suffer from relevant postoperative pain. The aim of our present study is to examine patient satisfaction based on the operative setting (outpatient versus inpatient treatment) in patients undergoing the Longo operation for Grade III or IV hemorrhoids. Materials and methods Outcomes of all patients undergoing stapled mucosectomy for Grade III and IV hemorrhoids at 3 different Swiss public hospitals was analyzed retrospectively and compared with respect to in- or outpatient treatment. Patient satisfaction was recorded by subsequent telephone interviews. Results From a total of 213 patients with stapled mucosectomies, datasets of 144 patients (67.6%) were available for full analysis. A total of 124 patients (86.1%) were satisfied with the treatment and 110 (76%) would choose to undergo the Longo procedure again (P < 0.01). Recurrence of recurrent hemorrhoidal symptoms is negatively correlated with the willingness of undergoing the Longo procedure again (r = −0.187, P = 0.025). Patient satisfaction was not associated with the operative setting (inpatient vs. out-patient setting). Postoperative pain increased the willingness to be hospitalized overnight (r = 0.227, P < 0.01). Conclusion Patient satisfaction after stapled mucosectomy is mainly related to postoperative pain and recurrence of hemorrhoidal symptoms regardless of inpatient or outpatient treatment.

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

hi@scite.ai

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Early complications after stapled hemorrhoidopexy: a retrospective study comparing three different circular staplers

Abstract: Postoperative anal stenosis was more common after circular stapled hemorrhoidopexy with the ChexTM CPH32 stapler.

Cited by 3 publications

References 12 publications

Severe Postoperative Bleeding After Stapled Hemorrhoidopexy: Incidence and Causes

Severe Postoperative Bleeding After Stapled Hemorrhoidopexy: Incidence and Causes

The Effect of Circular Stapler Design Used in Hemorrhoidopexy on Medical Outcomes in terms of Medical Engineering

Postoperative Pain as a Decision-Making Tool in Treating Hemorrhoids on an In- or Out-Patient Basis After Stapled Mucosectomy (Longo Procedure)

Contact Info

Product

Resources

About