Long-term Outcomes of Stapled Hemorrhoidopexy vs Conventional Hemorrhoidectomy

Giordano, Pasquale; Gravante, Gianpiero; Sorge, Roberto; Ovens, Lauren; Nastro, Piero

doi:10.1001/archsurg.2008.591

Cited by 158 publications

(144 citation statements)

References 54 publications

Supporting

Mentioning

126

Contrasting

Unclassified

Order By: Relevance

“…The absence of local care and less postoperative pain are clear advantages to the patient. SH results in significantly lesser immediate postoperative pain than conventional excision techniques (by 2 to 3 levels on Visual Analogue Scale) and offers more comfort to the patient [22,23]. Similarly, a high level of patients' satisfaction was achieved in the current study in terms of low incidence of pain and complications.…”

Section: Discussionsupporting

confidence: 64%

Stapled Hemorrhoidectomy; Results of a Prospective Clinical Trial in Saudi Arabia

Guraya

Khairy²

2013

JCDR

View full text Add to dashboard Cite

Objectives: This study was designed to evaluate the effectiveness of stapled hemorrhoidectomy (SH) in terms of cure of the symptoms and post-operative pain control. Material and Methods:In this prospective clinical study, SH (Ethicon Endo-surgery, Cincinnati, OH) was performed for all patients with grade III and grade IV hemorrhoids, presenting to the surgical clinics of Ohud and Meeqat Hospitals Almadinah Almunawwarah Saudi Arabia. The results of SH were evaluated by a questionnaire focusing on the relief of symptoms, severity of post operative pain, and complications of SH.Results: Thirty patients (21 males and 9 females); with a mean age of 39.6 years were recruited in this study. Twenty six (86%) patients had grade III and 4 (14%) presented with grade IV hemorrhoids. Perianal prolapse was the most frequent presentation reported in 23 (76%). Mean operating time was 21.7 minutes (range; 17-36 minutes) whereas mean hospital stay was 1.9 days. Post-operative pain was tolerable (nonpersistent) in 28 (93%) cases whereas 2 (7%) experienced mild pain requiring additional analgesia. Urinary retention was the most common complication found in 5 (16%) patients. All patients were cured of the hemorrhoids Conclusion: SH is a safe, rapid, and convenient surgical remedy for grade III and grade IV hemorrhoids with low rate of complications, minimal postoepative pain, and early discharge from the hospital.

show abstract

Section: Discussionsupporting

confidence: 64%

Stapled Hemorrhoidectomy; Results of a Prospective Clinical Trial in Saudi Arabia

Guraya

Khairy²

2013

JCDR

View full text Add to dashboard Cite

show abstract

“…Other studies observed reduced post-operative pain [19,25] and also, in systematic reviews and meta-analyses relief of postoperative pain was observed after SH procedure [10,11,13]. Similarly, we have observed 96 % pain relief at 1 year follow up.…”

Section: Discussionsupporting

confidence: 85%

“…As mentioned earlier, the early clinical trials have shown the safety and effectiveness of the SH procedure. The clinical effectiveness have been proved by showing minimal post-operative pain, shorter hospital stay, early to resume the work, shorter operative time, and acceptable safety profile [10][11][12][13][14][15][16]. Many of the studies [18][19][20][21][22] reported the average length of operation time was around 25 minutes, highlighting the saving time as compared to conventional surgeries.…”

Section: Discussionmentioning

confidence: 99%

“…The early clinical experience showed better clinical outcome with SH compared to conventional hemorrhoidectomy [4][5][6][7][8]. Subsequently published various randomized controlled clinical studies and systematic reviews have again compared the SH with conventional hemorrhoidectomy to evaluate the short term and long term safety and effectiveness of the procedure [9][10][11][12][13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Untitled

2017

GHOA

View full text Add to dashboard Cite

Introduction: Stapled Hemorrhoidopexy (SH) is relatively less painful surgery and treatment of choice for grade III and IV internal hemorrhoids. The current study reveals the long term effectiveness of modified Longo technique in 3130 patients treated at a single center. Methods:All the patients with complaints of hemorrhoids visited Healing Hands Clinic, Pune during study period were evaluated. Patients diagnosed with grade III and grade IV were operated with modified Longo technique Stapled Hemorrhoidopexy .Follow up was done after 15 days, 1month, 3months & 12months. Telephonic follow up was done in patients who were not available. The minimum follow up period was 1 years and maximum 7 years. The data evaluated for pre-operative and post-operative symptoms improvements, resumption to normal activity, treatment satisfaction and recurrence rate and quality of life. Results:The mean surgery time and hospitalization duration were 20 minutes and 18 hours respectively. Post-operatively mild pain was reported by 57.53% (n=1801) patients, by 19.14% (n=599) on day 15, 4.89% (n=153) at 3 Months and no patient had pain at the end of 1 year. Patient's satisfaction on Day 3, 57.82% (n=1810) patient were very satisfied, 33.04% (n= 1034) were moderately satisfied and 9.14 % (n=286) were not satisfied with the treatment. The immediate complications (all mild) included urinary retention (5.69%, n=178), difficult defecation (11.69%, n=366), anal fissure (3.83% (n=120), postoperative bleeding 1.05%, (n=33), and anal stenosis 0.93 %( n=29). All patients returned to normal work / activities in an average of 5 days. There was significant improvement in overall perception of World Health Organization-Quality of life and social, physical, psychological domains after surgery. The recurrence rate at 1 year was 0.23%. Conclusion:Modified Longo Technique of Stapled hemorrhoidopexy is associated with low complications rate, minimal post-operative pain and negligible recurrence rate.

show abstract

“…A recent meta-analysis of long-term outcomes of SH versus CH demonstrated a significantly higher overall rate of prolapse recurrence in the SH group [8]. The difference was even more significant in the subset of patients with III and IV degree haemorrhoids.…”

mentioning

confidence: 98%

Outcome of stapled haemorrhoidopexy versus doppler-guided haemorrhoidal artery ligation for grade III haemorrhoids

Giordano

2011

Tech Coloproctol

View full text Add to dashboard Cite

Long-term Outcomes of Stapled Hemorrhoidopexy vs Conventional Hemorrhoidectomy

Cited by 158 publications

References 54 publications

Stapled Hemorrhoidectomy; Results of a Prospective Clinical Trial in Saudi Arabia

Stapled Hemorrhoidectomy; Results of a Prospective Clinical Trial in Saudi Arabia

Untitled

Outcome of stapled haemorrhoidopexy versus doppler-guided haemorrhoidal artery ligation for grade III haemorrhoids

Contact Info

Product

Resources

About