Main Disadvantages of Stapled Hemorrhoidopexy

Visconte, Michele Schiano di; Pasquali, Arianna; Mis, Tommaso Cipolat

doi:10.1007/978-3-319-53357-5_32

Cited by 1 publication

(1 citation statement)

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“…Anal sub-stenosis occurred in two patients, and both were treated successfully with periodic digital dilations. In the literature, this complication has been reported in 0.8-5% of patients after SH 9 . It is defined as circumferential narrowing of the distal rectum that cannot be transposed by a digital rectal examination.…”

Section: Discussionmentioning

confidence: 95%

Stapled Hemorrhoidopexy: Results, Late Complications, and Degree of Satisfaction After 16 Years of Follow-Up

Sobrado

Obregon

et al. 2022

ABCD, arq. bras. cir. dig.

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BACKGROUND: Stapled hemorrhoidopexy has been widely used for the treatment of hemorrhoids, but concerns about complications and recurrences after prolonged follow-up are still under debate. AIMS: The aim of this study was to evaluate the very long-term results of the stapled hemorrhoidopexy technique. METHODS: Stapled hemorrhoidopexy was performed on 155 patients between 2000 and 2003, and the early results have already been published. In this study, we evaluated the same patients after a very long follow-up. Data were collected with regard to late complications, rate and timing of recurrences, and patients' degree of satisfaction. RESULTS: From a total of 155 patients, 98 patients were evaluated: 59 (60.2%) were interviewed by telephone and 39 (39.8%) were evaluated by outpatient consultation. The mean follow-up was 193 months (range: 184-231), 52 were female, 52 were grade III hemorrhoids, and 46 were grade IV. Recurrence was higher in grade IV (26.1%) than in grade III (7.7%) (p=0.014). Recurrence after prolonged follow-up was seen in 16 patients (16.3%) and 11 (11.2%) required reoperations. The complications were skin tags (3.1%), anal sub-stenosis (2.1%), and fecal incontinence (2.1%). After a prolonged follow-up, 82.5% of patients were either very satisfied or satisfied with the surgery. CONCLUSIONS: Stapled hemorrhoidopexy is a safe and effective treatment for hemorrhoidal disease grades III and IV. Recurrence is higher for grade IV hemorrhoids and may occur up to 9 years of follow-up. Reoperations were infrequent and there is a high patient's degree of satisfaction associated with this technique.

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Section: Discussionmentioning

confidence: 95%