A four-year retrospective study and review of selection criteria and post-operative complications of stapled haemorrhoidopexy

Butterworth, James; Peravali, Rajeev; Anwar, Rahij; Ali, Kausar; Bekdash, B.

doi:10.1007/s10151-012-0862-1

Cited by 12 publications

(11 citation statements)

References 14 publications

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“…Nevertheless, the authors were unable to confirm this as they did not observe the anesthetic effect in the subjects. 9,18 This study showed that stenosis post-SH was 0.5%. It was associated with scar retraction and anal sphincter hypertonia.…”

Section: Discussionmentioning

confidence: 79%

“…8 Shanmugam (2010) found that SH controls second-degree internal hemorrhoid better than RBL in one year with no major complications. Butterworth (2012) reported that only 10% of those who underwent SH were re-admitted due to rectal bleeding, postoperative pain, and urinary retention. Sultan (2014) also found that postoperative bleeding that needed further surgery after SH was 3 to 5%.…”

Section: Introductionmentioning

confidence: 99%

“…Sultan (2014) also found that postoperative bleeding that needed further surgery after SH was 3 to 5%. 6,[8][9][10] To date, there is no data focused on the postoperative complications of RBL and SH in those with second-and third-degree internal hemorrhoid. Thus, a study aimed to find out the complication rate of RBL and SH.…”

Section: Introductionmentioning

confidence: 99%

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Comparative Analysis of Post Rubber Band Ligation and Stapled Hemorrhoidopexy Complications of Grade 2 and 3 Internal Hemorrhoids

Mazni

Basir

Sumanto

et al. 2018

NRJS

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Introduction. The management of second-and third-degree internal hemorrhoid consists of non-surgical and surgical treatments. If non-surgical treatment does not succeed, then the recommended therapy is minimal invasive or surgery, depends on the clinical condition. Along with the development of science and technology, a technique known as rubber band ligation (RBL) and stapled hemorrhoidopexy emerges. In Indonesia, there is no data that can describe the distribution of postoperative complication rate. Method. A comparative cross-sectional study was conducted by gathering short term outcomes data from the subjects' medical records that underwent RBL or SH between 2011 to 2014 in three different hospitals in Jakarta. A univariate analysis was conducted to assess postoperative complications of RBL and SH subjects of second-and third-degree internal hemorrhoids. We use chi square test to assess the factors that influence the complications of categorical variables, and Fisher test if the chi square condition is not met. Results. Among 183 subjects, 49.2% underwent RBL and 50.8% SH. Second degree internal hemorrhoids were 40% and third degree were 60%. Postoperative complications consist of pain (RBL 4.4%, SH 8.8%), hemorrhage (RBL 2.3%, SH 4.9%), urinary retention (RBL 0, SH 2.7%), infection (RBL 0.5%, SH 1.6%) and stenosis (RBL 0, SH 0.5%). Postoperative complications on second degree internal hemorrhoidal was 8.2% and third degree 13.1% (p = 0.71). Complication of subject with third degree internal hemorrhoids after RBL 2.8%, SH 19.4% (p = 0.03). Conclusion. Complications of second-and third-degree internal hemorrhoids post RBL are no different with SH while for third degree internal hemorrhoid, complications after RBL ware significantly lower than SH.

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Section: Discussionmentioning

confidence: 79%

Section: Introductionmentioning

confidence: 99%

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Comparative Analysis of Post Rubber Band Ligation and Stapled Hemorrhoidopexy Complications of Grade 2 and 3 Internal Hemorrhoids

Mazni

Basir

Sumanto

et al. 2018

NRJS

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“…In a 12-year follow-up study, the recurrence rate was 40.9% after SH 34 , and in another long-term follow-up study, SH and conventional hemorrhoidectomy have similar rate of additional medical or surgical treatment for recurrence 35 . Many studies have pointed out that patients with grade 2 to 3 hemorrhoidal disease without external prolapsed skin have satisfied therapeutic effect after SH [36][37][38][39] . Kim, et al reported that the recurrence rate is similar in SH and conventional hemorrhoidectomy under appropriate patient selection and resection of excess external prolapsed skin if necessary 38 .…”

Section: Discussionmentioning

confidence: 99%

Comparison of the short-term outcomes of using DST and PPH staplers in the treatment of grade III and IV hemorrhoids

Wang

Kiu

Yen

et al. 2020

Sci Rep

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Stapled hemorrhoidopexy has a few advantages such as less postoperative pain and faster recovery compared with conventional hemorrhoidectomy. there are two major devices used for stapled hemorrhoidopexy, ppH stapler (ethicon endoSurgery) and DSt stapler (covidien). this study was conducted to investigate the postoperative outcomes among patients with grade iii and iV hemorrhoids who underwent hemorrhoidopexy with either of these two devices. A total of 242 consecutive patients underwent stapled hemorrhoidopexy with either PPH stapler (110 patients) or DST stapler (132 patients) at a single center in 2017. We performed a retrospective case-control study to compare the short-term postoperative outcomes and the complications between these two groups. After matching the cases in terms of age, gender, and the grade of hemorrhoids, there were 100 patients in each group (PPH versus DST). There were no significant differences in the postoperative visual analog scale (VAS) score and analgesic usage. Among complications, the incidence of anorectal stricture was significantly higher in the DSt group (p = 0.02). Evaluation of the mucosal specimen showed that the total surface area, the muscle/mucosa ratio and the surface area of the muscle were also significantly higher in the DSt group (p = 0.03). Further analysis of the DST group demonstrated that patients with anorectal stricture after surgery are younger than patients without anorectal stricture, and higher muscle/mucosa ratio (p = 0.03) and a higher surface area of the muscle (p = 0.03) also measured in the surgical specimen. the two devices provide similar outcomes of postoperative recovery. patients who underwent DSt stapled hemorrhoidopexy had a higher incidence rate of stricture, larger area of muscle excision, and higher muscle/mucosa ratio in the surgical specimen. further investigation is warranted for a better understanding of the correlation between muscle excision and anorectal stricture.

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“…In short, NIR technology is employed to visually assess the vascular sufficiency of a stapled anastomosis intra-operatively after its construction [2,3]. At this time point, patients are simply administered an intravenous injection (1 ml via a peripheral cannula) of a fluorophore with a long track record of safe clinical use (indocyanine green, 2.5 mg/ml).…”

Section: Author Contributionsmentioning

confidence: 99%

Rectal obliteration following stapled haemorrhoidopexy: a new endoscopic approach to restore luminal continuity

et al. 2014

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4 Almoudaris AM, Burns EM, Bottle A, Aylin P, Darzi A, Faiz O. A colorectal perspective on voluntary submission of outcome data to clinical registries. Br J Surg 2011; 98: 132-9. 5 Raftery J, Roderick P, Stevens A. Potential use of routine databases in health technology assessment. Heal Technol Assess 2005; 9: 1-92.We would like to thank Dr Dahlia AA Hawezy and Robyn Boyle who designed and drawn diagram of the procedure.

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A four-year retrospective study and review of selection criteria and post-operative complications of stapled haemorrhoidopexy

Abstract: With careful selection of patients, PPH may be indicated for prolapsed internal haemorrhoids. More specific national guidelines are required with regard to contraindications to PPH.

Cited by 12 publications

References 14 publications

Comparative Analysis of Post Rubber Band Ligation and Stapled Hemorrhoidopexy Complications of Grade 2 and 3 Internal Hemorrhoids

Comparative Analysis of Post Rubber Band Ligation and Stapled Hemorrhoidopexy Complications of Grade 2 and 3 Internal Hemorrhoids

Comparison of the short-term outcomes of using DST and PPH staplers in the treatment of grade III and IV hemorrhoids

Rectal obliteration following stapled haemorrhoidopexy: a new endoscopic approach to restore luminal continuity

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