Stapled hemorrhoidectomy—cost and effectiveness. randomized, controlled trial including incontinence scoring, anorectal manometry, and endoanal ultrasound assessments at up to three months

Ho, Yik‐Hong; Cheong, Wai-Kit; Tsang, Charles B.; Ho, Jan Hoong; Eu, Kong‐Weng; Tang, Choong Leong; Seow‐Choen, Francis

doi:10.1007/bf02236847

Cited by 275 publications

(406 citation statements)

References 13 publications

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“…Various controlled trials comparing stapled haemorrhoidopexy and conventional haemorrhoidectomy have concluded that stapled haemorrhoidopexy may be associated with less post-operative pain and earlier return to work as compared to conventional haemorrhoidectomy [3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Stapled Haemorrhoidopexy for Haemorrhoids: A Review of Our Early Experience

Hiremath

Gupta

2012

Indian J Surg

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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.

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Section: Introductionmentioning

confidence: 99%

Stapled Haemorrhoidopexy for Haemorrhoids: A Review of Our Early Experience

Hiremath

Gupta

2012

Indian J Surg

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“…Bleeding in the immediate postoperative period is almost always due to inadequate intraoperative hemostasis. In the existing literature, this complication occurs in 4 to 25 % of cases [41][42][43][44][45][46][47][48]. Bleeding predominantly affects patients with fourth-degree hemorrhoids [49,50].…”

Section: Complicationsmentioning

confidence: 99%

Clinical Outcome Following Hemorrhoid Surgery: a Narrative Review

Picchio¹,

Greco²,

Filippo

et al. 2014

Indian J Surg

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Surgical therapy guaranties satisfactory results, which are significantly better than those obtained with conservative therapies, especially for Grade III and IV hemorrhoids. In this review, we present and discuss the results of the most diffuse surgical techniques for hemorrhoids. Traditional surgery for hemorrhoids aims to remove the hemorrhoids, with closure (Fergusson's technique) or without closure (Milligan-Morgan procedure) of the ensuing defect. This traditional approach is effective, but causes a significant postoperative pain because of wide external wounds in the innervated perianal skin. Stapled hemorrhoidopexy, proposed by Longo, has gained a vast acceptance because of less postoperative pain and faster return to normal activities. In the recent literature, a significant incidence of recurrence after stapled hemorrhoidopexy was reported, when compared with conventional hemorrhoidectomy. Double stapler hemorrhoidopexy may be an alternative to simple stapled hemorrhoidopexy to reduce the recurrence in advanced hemorrhoidal prolapse. Transanal hemorrhoidal deartertialization was showed to be as effective as stapled hemorrhoidopexy in terms of treatment success, complications, and incidence recurrence. However, further high-quality trials are recommended to assess the efficacy and safety of this technique.

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“…SH is also known as procedure for prolapsed hemorrhoids (PPH). 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%

Stapled Hemorrhoidopexy and Long Term Outcomes - A Single Center Experience of 3130 Cases at Healing Hands Clinic, India

Porwal¹

2017

GHOA

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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.

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Stapled hemorrhoidectomy—cost and effectiveness. randomized, controlled trial including incontinence scoring, anorectal manometry, and endoanal ultrasound assessments at up to three months

Abstract: Stapled hemorrhoidectomy is a safe and effective option in treating irreducible prolapsed piles. It is more expensive but less painful, with less time needed off work. Nonetheless, long-term results are still awaited.

Cited by 275 publications

References 13 publications

Stapled Haemorrhoidopexy for Haemorrhoids: A Review of Our Early Experience

Stapled Haemorrhoidopexy for Haemorrhoids: A Review of Our Early Experience

Clinical Outcome Following Hemorrhoid Surgery: a Narrative Review

Stapled Hemorrhoidopexy and Long Term Outcomes - A Single Center Experience of 3130 Cases at Healing Hands Clinic, India

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