A Systematic Review of Stapled Hemorrhoidectomy

Sutherland, Leanne M.

doi:10.1001/archsurg.137.12.1395

Cited by 147 publications

(149 citation statements)

References 30 publications

(119 reference statements)

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“…In the literature, different rates, such as 0.6-10%, associated with postoperative bleeding were reported. 6,20 In our study, there was no bleeding requiring intervention in any case after operation. As the reason of no bleeding, we consider that the additional suture performed for bleedings like a leakage during the control of stapler line after operation.…”

Section: Discussionsupporting

confidence: 47%

“…6,[21][22][23][24][25] Because anal region that is sensitive is not touched in the stapler technique and wound healing is faster than the classical method, pain is lesser and lasts for a short time. 6,26 In order to achieve this, Longo suggested sac suture 3 or 4 cm above the dentate line and it was also defended by many authors. 6 In the literature, various rates related to pain between 4% and 7.5% were reported.…”

Section: Discussionmentioning

confidence: 99%

“…6,26 In order to achieve this, Longo suggested sac suture 3 or 4 cm above the dentate line and it was also defended by many authors. 6 In the literature, various rates related to pain between 4% and 7.5% were reported. It is considered that postoperative pain mostly depends on working close to the dentate line, stenosis in the anal canal, mucosal injury, excessive increase in sphincter tonus, and external hemorrhoidal thrombosis.…”

Section: Discussionmentioning

confidence: 99%

“…However, no difference was reported to be with excisional techniques in terms of postoperative complications and recurrences. [2][3][4][5][6] Nonetheless, studies reporting serious complications such as rectal perforation, chronic anal pain, anal stenosis, sepsis, and hematoma after Longo's method are also present. [7][8][9][10][11][12] The aim in our study was to present results of 3 rd and 4 th degree hemorrhoid patients in whom we performed stapled hemorrhoidopexy and to discuss in accompaniment of the literature.…”

Section: Introductionmentioning

confidence: 99%

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Stapled hemorrhoidopexy: clinical results for 65 cases

Pergel

Yücel²,

Aydın³

et al. 2012

J Clin Exp Invest

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ÖZETAmaç: Hemoroidal hastalık sebebiyle stapler hemoroidopeksi uyguladığımız hastalarımızın sonuçlarını sunmak ve literatür eşliğinde tartışmak. Gereç ve yöntem:Ocak 2009-Nisan 2011 tarihleri arasında 3-4. derece hemoroidal hastalık tanısı konan ve Longo yöntemiyle hemoroidopeksi uygulanan hastalar çalışmaya dahil edildi. Tüm veriler prospektif toplanıp retrospektif olarak incelendi. Hastalar; demografik özellikler, başvuru sırasındaki şikayetler, ameliyat sonrası komplikasyonlar açısından değerlendirildi. Bulgular:Toplam 65 hastadan 43 (% 66)'ü erkek, 22 (% 34)'si kadındı. Ortalama yaş 38±11.9 (23-76) yıl idi. Olguların en sık başvuru şikayetleri sıklık sırasına göre kanama, şişlik, kaşıntı, ağrı, kabızlık şeklinde idi. Elli sekiz (% 89) hastada 3. derece, 7 (%11) hastada 4. derece hemoroid mevcuttu. Ortalama ameliyat süresi 37.6±8.1(24-55) dakika, ortalama yatış süresi 27±7.8 (20-76) saat idi. Toplam 17 (% 26) hastada bir ya da daha fazla komplikasyon gelişti. Komplikasyon olarak 13 (% 20) hastada kanama, 6 (%9)'sında ağrı, 2 (% 3)'sinde idrar retansiyonu, 3 (% 5)'ünde tenezm, 1 (% 2)'inde eksternal hemoroidal tromboz, 4 (%6)'ünde ise nüks saptandı. Sonuç:Stapler hemoroidopekside ağrının az ve iyileşme sürecinin hızlı olması nedeniyle hastalar günlük aktivitelerine erken dönebilmektedirler. Bu yöntemin başarısında uygun hasta seçimi ve tekniğin doğru uygulanmasının önemli olduğunu düşünmekteyiz. Özellikle 3.derece hemoroidal hastalıkta Longo tekniği klasik yöntemlere alternatif olarak önerilebilir.Anahtar kelimeler: Hemoroidal hastalık, stapler hemoroidopeksi, Longo yöntemi ABSTRACT Objectives: To present results of our patients underwent stapled hemorrhoidopexy due to hemorrhoidal disease and discuss in accompaniment with the literature. Material and methods:The patients, who diagnosed by 3 rd -4 th degree hemorrhoidal disease and underwent hemorrhoidopexy with Longo method between January, 2009 and April, 2011, were included. All data were prospectively collected and retrospectively examined. The patients were evaluated in terms of demographic properties, complaints on admission, and postoperative complications.Results: Forty-three (66%) of 65 patients were male, 22 (34%) were female. The mean age was 38±11.9 (range:23-76) years. The most frequent complaints were bleeding, swelling, itching, pain, constipation respectively. Third degree hemorrhoid was present in fifty-eight (89%) patients, 4 th degree hemorrhoid was in 7 (11%) patients. The mean operation duration was 37.6±8.1(range:24-55) minutes, the mean hospitalization duration was 27±7.8 (range:20-76) hours. One or more complication developed in total 17 (26%) patients. As complication, bleeding was determined in 13 (20%) patients, pain was in 6 (9%), urinary retention was in 2 (3%), tenesmus was in 3 (5%), external hemorrhoidal thrombosis was in 1 (2%), and recurrence was in 4 (6%). Conclusions:The patients can return their daily activities early with stapled hemorrhoidopexy because of less pain and quick recovery period. We consider that appropriate p...

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Section: Discussionsupporting

confidence: 47%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Stapled hemorrhoidopexy: clinical results for 65 cases

Pergel

Yücel²,

Aydın³

et al. 2012

J Clin Exp Invest

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“…The patients avoid not only surgery but also the surgeons. Stapled haemorrhoidopexy, developed by Longo in the 1990s, reduces prolapse by a circular stapled mucosectomy 4 cm above the dentate line [18,19]. The procedure is confined to the area above the dentate line, should give no pain.…”

Section: Discussionmentioning

confidence: 99%