A comparison of quality of life and postoperative results from combined PPH and conventional haemorrhoidectomy in different cases of haemorrhoidal disease

Martinsons, A.; Narbuts, Zenons; Bruņenieks, Ints; Pavars, Maris; Lebedkovs, S.; Gardovskis, Jānis

doi:10.1111/j.1463-1318.2006.01169.x

Cited by 23 publications

(30 citation statements)

References 19 publications

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“…In contrast, those who underwent EH the most significant improvement occurred in the early postoperative period at six weeks. (6) This data lead us to assess our patients beyond the six-month period in order to see how patients who undergo SH or EH do in the longer-term. We looked at QOL at a median follow-up of 50 months.…”

Section: Wexner Continence Scores and Long-term Symptom Follow-upmentioning

confidence: 99%

“…(4) However, there is evidence that SH can be associated with higher post operative complication and re-intervention rate compared to conventional EH. (5,6) Despite proven early postoperative advantages for SH the long-term benefits and effect on patients quality of life (QOL) compared to EH still remains to be debated. This has led to further studies comparing longer-term morbidity between both techniques.…”

Section: Introductionmentioning

confidence: 99%

“…This has led to further studies comparing longer-term morbidity between both techniques. (6) Traditionally, surgical outcome has been based on laboratory and clinical data, and, whilst these give important information about the disease process they give little or no information of an individual's personal, functional, social, physical and emotional well…”

Section: Introductionmentioning

confidence: 99%

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Long-Term Functional Outcome After Stapled and Excisional Hemorrhoidectomy

Zahid

Austin

Young

et al. 2016

International Surgery

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Abstract:Background: Stapled haemorrhoidectomy (SH) described by Longo has been a recently added option for hemorrhoid surgery. Interest in SH has been principally driven by the fact that conventional excision haemorrhoidectomy (EH) has been an extremely painful procedure as it involves excision of haemorrhoidal tissue along the extremely sensitive anoderm. SH on the other hand has been shown to be associated with decreased postoperative pain, as it does not involve the sensate anal mucosa below the dentate line.To date there have been many randomized controlled studies comparing circular stapled haemorrhoidectomy with traditional excision techniques. Despite proven early postoperative advantages for SH the long-term benefits and effect on patients quality of life (QOL) compared to EH still remains to be debated. Methods:To evaluate long-term patient outcomes via a validated health related QOL survey.Results: QOL measures were satisfactory in both groups across all subscales of physical health summary measures and mental health summary measures. This coincided with Wexner continence scores, which were also satisfactory with median of 0 in both groups.Conclusion: QOL, continence scores and long term symptom follow-up is similar in patients that undergo SH or EH.

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Section: Wexner Continence Scores and Long-term Symptom Follow-upmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Long-Term Functional Outcome After Stapled and Excisional Hemorrhoidectomy

Zahid

Austin

Young

et al. 2016

International Surgery

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“…Komplikationen nach einer Hämorrhoidentherapie werden abhängig von Defi nition und Verfahren in sehr unterschiedlicher Häufi gkeit beobachtet [68,[77][78][79][80]. Während die einzelnen therapiespezifi schen Komplikationen in den jeweiligen Kapiteln abgehandelt werden, ist es das Ziel dieses Kapitels mögliche Behandlungsvorschläge bei eingetretener Komplikation zu beschreiben.…”

Section: Komplikationsmanagementunclassified

Konsensusbericht Hämorrhoidalleiden

Aigner

Conrad²,

Haunold

et al. 2012

Wien Klin Wochenschr

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Haemorrhoidal disease belongs to the most common benign disorders in the lower gastrointestinal tract. Treatment options comprise conservative as well as surgical therapy still being applied arbitrarily in accordance with the surgeon's expertise. The aim of this consensus statement was therefore to assess a stage-dependent approach for treatment of haemorrhoidal disease to derive evidence-based recommendations for clinical routine. The most common methods are discussed with respect of haemorrhoidal disease in extraordinary conditions like pregnancy or inflammatory bowel disease and recurrent haemorrhoids. Tailored haemorrhoidectomy is preferable for individualized treatment with regard to the shortcomings of the traditional Goligher classification in solitary or circular haemorrhoidal prolapses.

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“…The quality of life in patients undergoing hemorrhoidectomy is increasing with improvements in surgical technique, less, postoperative complications and shorter length of hospital stay (6,7,(15)(16)(17). In this study there was an increase in the postoperative physical functions (p<0.01) and decrease in, physical role limitation and pain perception (p<0.01) in patients who underwent stapled hemorrhoidectomy for hemorrhoidal disease.…”

Section: Resultsmentioning

confidence: 55%

Quality of life after stapler haemorrhoidectomy evaluated by SF-36 questionnaire

Erdoğdu

Sipahioğlu

Erginöz

et al. 2013

UCD

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Objective: Hemorrhoids are normal elements of the anal canal anatomy and they become symptomatic with potential factors such as gravity or strain. When symptomatic, hemorrhoidal disease can be costly measured in time away from productive activities. The aim of the study was to assess changes in the quality of life of patients after hemorrhoidectomy using Short Form-36. Material and Methods:Thirty patients, 24 male and 6 female (age 28 to 65), who were diagnosed with grade III and IV internal hemorrhoidal disease at the general surgery outpatient clinic and treated with stapled hemorrhoidectomy were enrolled in the study. They filled out Short Form-36 a week before surgery and four weeks after surgery. Post-Hoc tests were evaluated with Bonferroni correction after Kruskal Wallis analysis. Wilcoxon test, Student-t-test and Mann-Whitney U test were used for statistical analysis using SPSS 15.Results: Physical health (Physical functioning, Physical role restriction, Bodily pain) scores were significantly improved after surgery. Conclusion:Success of hemorrhoidectomy operations can be evaluated by postoperative recovery, incidence of complications or relapses. Quality of life questionnaires are another method to evaluate the success of the treatment from the patient's perspective.Key Words: Hemorrhoidectomy, quality of life, Short Form-36 INTRODUCTIONHemorrhoidal disease is a frequent disease of the anal canal.Hemorrhoids are important vascular cushions located in the anal canal as part of the normal anatomy. These cushions are composed of arteries, veins, smooth muscle fibers and connective tissue embedded in thickened submucosa (1).They are located in three main positions; left lateral, right anterior and right posterior. Internal hemorrhoids are located above the dentate line and external hemorrhoids are located in the distal part of the dentate line. The etiology is not clear, within some factors are gravity, straining, irregular bowel habits. Other causes are pregnancy, birth, spicy food, chronic cough, obesity, alcohol, benign prostate hyperplasia, cirrhosis, intra-abdominal tumors and some activities that require long periods of immobility (2, 3).Many surgical techniques are applied for the treatment of hemorrhoidal disease. It is widely accepted to treat grade 1 and 2 patients medically (diet and medication) and minor procedures (band ligation, sclerotherapy) and grade 3 and 4 patients with surgery (2, 4, 5).Currently stapled hemorrhoidopexy is the preferred technique by patients, due to decreased postoperative pain and other complications, and shorter length of hospital stay (6-8). The success and efficacy of hemorrhoidectomy procedures can be evaluated based on postoperative healing duration, complications and recurrence as well as questionnaires that reveal patient's perspective.Short Form-36 (SF-36) is distinguished from other scales (Nottingham Health Profile) by being a selfassessment scale that is easily filled by the patient in a short time, evaluating the positive sides of the health status as well a...

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A comparison of quality of life and postoperative results from combined PPH and conventional haemorrhoidectomy in different cases of haemorrhoidal disease

Cited by 23 publications

References 19 publications

Long-Term Functional Outcome After Stapled and Excisional Hemorrhoidectomy

Long-Term Functional Outcome After Stapled and Excisional Hemorrhoidectomy

Konsensusbericht Hämorrhoidalleiden

Quality of life after stapler haemorrhoidectomy evaluated by SF-36 questionnaire

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