Stapled haemorrhoidopexy: a consensus position paper by an international working party – indications, contra‐indications and technique

Corman, M L; Gravié, J-F; Hager, Th.; Loudon, Malcolm; Mascagni, Domenico; Nyström, Per‐Olof; Seow‐Choen, Francis; Abcarian, Herand; Marcello, Peter W.; Weiss, Eric G.; Longo, Antonio

doi:10.1046/j.1463-1318.2003.00483.x

Cited by 162 publications

(121 citation statements)

References 35 publications

Supporting

Mentioning

109

Contrasting

Unclassified

Order By: Relevance

“…The complication rate reported in this study varies from 1% to 15% and lesser as compared to other studies (6-32%) [20,[24][25][26][27][28][29]. Post operative bleeding leading to interventions is reported 6-8 % in these studies as compared to 1.05% in our study.…”

Section: Discussioncontrasting

confidence: 57%

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

Section: Discussioncontrasting

confidence: 57%

Untitled

2017

GHOA

View full text Add to dashboard Cite

show abstract

“…The operation is essentially a procedure of fixation; therefore the name Stapled Hemorrhoidopexy was accepted by an international working committee, and subsequently this has been the name most commonly used. 3 SH is reported to be effective in the treatment of second and third-degree hemorrhoids with low morbidity, high patient satisfaction and good long-term control of hemorrhoidal symptoms. 4 It is not routinely performed in AFMS hospitals and hence this study was undertaken to evaluate the efficacy of this modality in our set-up.…”

Section: Introductionmentioning

confidence: 99%

Stapled hemorrhoidopexy – Initial experience from a general surgery center

Jaiswal

Gupta²,

Davera³

2013

Medical Journal Armed Forces India

View full text Add to dashboard Cite

HemorrhoidsStapled hemorrhoidopexy a b s t r a c t Background: Stapled hemorrhoidopexy is gaining popularity as a relatively painless alternative to conventional excisional hemorrhoidectomy. The initial experience from a service hospital is presented along with review of literature.Methods: 40 cases were managed by stapled hemorrhoidopexy (SH) over a period of two and half years. The primary outcome measures assessed were the analgesic requirement in the post-operative period and the time taken to resume Activities of Daily Living (ADL).Additional outcome measures studied were; presence of bleeding per rectum, prolapse of mass per rectum, incontinence to flatus/stool, post-operative urinary retention, requirement of a repeat procedure, presence of post-operative anal stenosis, and residual external haemorrhoids at 1 week, 1, 3 and 6 months and 1 year after surgery.

show abstract

“…It was unanimously decided to use the term 'stapled haemorrhoidopexy' by an international working group of surgeons experienced in the procedure [7]. It approaches the problem of prolapsing haemorrhoids from the standpoint that the prolapse occurs as a result of stretching or disrupting suspensory ligaments.…”

Section: Introductionmentioning

confidence: 99%

Stapled Haemorrhoidopexy for Haemorrhoids: A Review of Our Early Experience

Hiremath

Gupta

2012

Indian J Surg

View full text Add to dashboard Cite

Haemorrhoids is one of the most common problems seen in surgical OPD. Open haemorrhoidectomy has remained the gold standard for a long time with a high postoperative morbidity. The quest for a better understanding of the pathology of haemorrhoids resulted in the evolvement of stapler haemorrhoidopexy. Our aim is to study the efficacy of stapler haemorrhoidopexy with regards to role of immediate post-operative morbidity. A prospective study of 50 patients (n050) with the second-and third-degree symptomatic haemorrhoids was done. The mean age of the patients was 44.1 years. Fourteen patients had co-morbid conditions. The average duration of the operation was 29 min. Patients with the second-degree haemorrhoids had higher rate of complication. The complication rate was 32%. Three patients had urinary retention. Two patients had minor bleeding, and one patient experienced transient discharge. The mean analgesic requirement was 2.4 tramadol, 50 mg injections. Ten patients had significant post-operative pain. Average length of hospital stay was 2.7 days. There were no symptomatic recurrences till date.

show abstract

Stapled haemorrhoidopexy: a consensus position paper by an international working party – indications, contra‐indications and technique

Cited by 162 publications

References 35 publications

Untitled

Untitled

Stapled hemorrhoidopexy – Initial experience from a general surgery center

Stapled Haemorrhoidopexy for Haemorrhoids: A Review of Our Early Experience

Contact Info

Product

Resources

About