Results of 666 consecutive patients treated with LigaSure hemorrhoidectomy for symptomatic prolapsed hemorrhoids with a minimum follow-up of 2 years

Chen, Chuang-Wei; Lai, Chieh-Wen; Chang, Yao-Jen; Chen, Chung-Ming; Hsiao, Koung-Hong

doi:10.1016/j.surg.2012.06.035

Cited by 29 publications

(14 citation statements)

References 27 publications

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“…1,3,4,6,[8][9][10][11][12][13][14][15][16][17][18] Anal/rectal stenosis observed was about five times higher in EH group in spite of leaving islands of normal skin and mucosa to avoid stricture formation, which was managed conservatively. Recurrence, residual skin tags and prolapse were observed to be three times higher in SH group, comparable results were observed by Yang J et al [1][2][3][4][5] …”

Section: Discussionmentioning

confidence: 99%

A comparative study of modern techniques of stapled versus enseal haemorrhoidectomy: a prospective randomized trial on 240 cases

Kochar

Singh

2016

Int Surg J

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Background: Increasing incidence of haemorrhoids in population consuming diet rich in calories, low in fibre, spicy food, tropical climate and other known factors has led to development of new techniques for haemorrhoid treatment. The aim of study is to compare pros and cons of haemorrhoidectomy with stapler v/s enseal. Methods: A prospective randomized trial was conducted on a total of 240 patients having 3rd and 4th degree haemorrhoids, divided into two groups of 120 each during 2012-2014 at NIMS Medical College and Hospital, Jaipur, India. Pre-operative complaints (bleeding P/R, rectal/perianal pain, mass coming out of anus), operative and postoperative outcomes, operative time, post-operative pain, bleeding, urinary retention, faecal/flatus incontinence, thrombosis of external haemorrhoids/perianal hematoma, anal/rectal stenosis, wound problems and recurrence were assessed. Results: Average operating time was 1.5 times in Stapler Haemorrhoidectomy(SH) v/s Enseal Haemorrhoidectomy (EH), average hospital stay, recovery time and total analgesics required during 5 POD was almost 0.5 in SH v/s EH. Post-operative complications like bleeding, urinary retention, faecal/flatus incontinence, anal discomfort, rectal/anal stenosis and wound infection were found significantly less in SH v/s EH. Residual skin tags prolapse and recurrence was almost three times in SH v/s EH. Kochar MP et al. Int Surg J. 2016 May;3(2) Both techniques are equally good, require less operating time, control post-operative bleeding, pain and prolapsed part of haemorrhoids and allow for early resuming of work. Conclusions METHODSA prospective randomized trial was conducted on a total of 240 patients having symptomatic 3 rd and 4 th degree haemorrhoids divided into two groups of 120 each. Group 'A' Stapler haemorrhoidopexy (SH) and Group 'B' Enseal haemorrhoidectomy (EH). All patients followed a fixed protocol. The operation was performed under either general anesthesia (78 patients i.e. 32.5%) or spinal/saddle block anesthesia (162 patients i.e. 67.5%) depending on anesthetist's advice or patient preference. A proctoclysis enema was given to all patients' 3-4hrs prior to surgery. All patients were operated in lithotomy position.In SH group PPH03 was used on 76 patients while HEM 3348 circular stapler was used on the remaining 44 patients. HEM 3348 having detachable anvil which provide good working space for applying purse string suture and having no side holes in casing of device as in PPH03, so traction on purse string is not possible that results into less pulling inside prolapsed haemorrhoids and rectal mucosa into device housing that ultimately gets excised. 30 seconds time was given before and after shoot of stapler that acts as temponade and haemostasis as well. Operating time was recorded from the time of anal dilator insertion to the application of endoanal dressing. An interrupted purse string suture was applied 2-3cm above the dentate line with prolene 2/0 on 38mm round body needle, before tightening it was checked by placing ...

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Section: Discussionmentioning

confidence: 99%

A comparative study of modern techniques of stapled versus enseal haemorrhoidectomy: a prospective randomized trial on 240 cases

Kochar

Singh

2016

Int Surg J

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“…Of the 21 patients, 3 required reoperation (0.4%). 66 The placement of tamponade dressing following hemorrhoidectomy does not decrease the risk of severe anal bleeding as indicated in a randomized control trial of 100 patients by Langenbach et al 67 In addition, numerous medications have been implicated in GIB including NSAIDS, proton pump inhibitors, selective serotonin reuptake inhibitors (SSRIs), and various anticoagulation medications.…”

Section: Iatrogenic Causesmentioning

confidence: 99%

Lower GI Bleeding: An Update on Incidences and Causes

Adegboyega

Rivadeneira

2019

Clinics in Colon and Rectal Surgery

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Bleeding from the lower gastrointestinal tract represents a significant source of morbidity and mortality. The colon represents the vast majority of the location of bleeding with only a much smaller incidence occurring in the small intestine. The major causes of lower gastrointestinal bleeding (LGIB) are from diverticulosis, vascular malformations, and cancer. We discuss the incidence and causes of LGIB.

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“…Many similar studies have shown the same results. [16][17][18] There is no scientific interpretation regarding the predominance in the male. However, many female patients hesitate to report to the hospital for the treatment of haemorrhoid and thus the recorded prevalence rate is less in them.…”

Section: Discussionmentioning

confidence: 99%

Study on prevalence and surgical management of haemorrhoids in a tertiary care teaching hospital in a rural area

et al. 2018

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Background: Haemorrhoids, which is also termed as piles characterized by the enlarged and bulged blood vessels surrounding the supporting tissues present in the anal canal of an individual. In the present study, an attempt has been made to find the prevalence of haemorrhoids and surgical management done in our geographical area.Methods: The present study was retrospective, cross-sectional study from the period of 1st January 2013 to 31st December 2017. A total of 351 haemorrhoids patients were admitted in inpatient surgical ward during that period. The demographic details of all the patients were noted from the medical records.Results: 219 (62%) patients were male and 132 (38%) were females. Most of the patients are predominantly adults above the age of 21 years. The post-operative stay in hospital is almost less than 10 days as it indicates that most of the patients were discharged without any complication.Conclusions: The male patients are predominant compared to female patients. The surgical complications are less. The exact prevalence rate may be high as some patients may either undergo a self-treatment or native medicine treatment.

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Results of 666 consecutive patients treated with LigaSure hemorrhoidectomy for symptomatic prolapsed hemorrhoids with a minimum follow-up of 2 years

Cited by 29 publications

References 27 publications

A comparative study of modern techniques of stapled versus enseal haemorrhoidectomy: a prospective randomized trial on 240 cases

A comparative study of modern techniques of stapled versus enseal haemorrhoidectomy: a prospective randomized trial on 240 cases

Lower GI Bleeding: An Update on Incidences and Causes

Study on prevalence and surgical management of haemorrhoids in a tertiary care teaching hospital in a rural area

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