Stapled hemorrhoidectomy for the treatment of hemorrhoids

Nahas, Sérgio Carlos; Borba, Márcia; Brochado, Maria Cecília Ribeiro Teixeira; Marques, Carlos Frederico Sparapan; Nahas, Caio Sérgio Rizkallah; Miotto-Neto, Boulanger

doi:10.1590/s0004-28032003000100008

Cited by 23 publications

(32 citation statements)

References 14 publications

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“…6,[21][22][23][24][25] Because anal region that is sensitive is not touched in the stapler technique and wound healing is faster than the classical method, pain is lesser and lasts for a short time. 6,26 In order to achieve this, Longo suggested sac suture 3 or 4 cm above the dentate line and it was also defended by many authors.…”

Section: Discussionmentioning

confidence: 99%

Stapled hemorrhoidopexy: clinical results for 65 cases

Pergel

Yücel²,

Aydın³

et al. 2012

J Clin Exp Invest

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ÖZETAmaç: Hemoroidal hastalık sebebiyle stapler hemoroidopeksi uyguladığımız hastalarımızın sonuçlarını sunmak ve literatür eşliğinde tartışmak. Gereç ve yöntem:Ocak 2009-Nisan 2011 tarihleri arasında 3-4. derece hemoroidal hastalık tanısı konan ve Longo yöntemiyle hemoroidopeksi uygulanan hastalar çalışmaya dahil edildi. Tüm veriler prospektif toplanıp retrospektif olarak incelendi. Hastalar; demografik özellikler, başvuru sırasındaki şikayetler, ameliyat sonrası komplikasyonlar açısından değerlendirildi. Bulgular:Toplam 65 hastadan 43 (% 66)'ü erkek, 22 (% 34)'si kadındı. Ortalama yaş 38±11.9 (23-76) yıl idi. Olguların en sık başvuru şikayetleri sıklık sırasına göre kanama, şişlik, kaşıntı, ağrı, kabızlık şeklinde idi. Elli sekiz (% 89) hastada 3. derece, 7 (%11) hastada 4. derece hemoroid mevcuttu. Ortalama ameliyat süresi 37.6±8.1(24-55) dakika, ortalama yatış süresi 27±7.8 (20-76) saat idi. Toplam 17 (% 26) hastada bir ya da daha fazla komplikasyon gelişti. Komplikasyon olarak 13 (% 20) hastada kanama, 6 (%9)'sında ağrı, 2 (% 3)'sinde idrar retansiyonu, 3 (% 5)'ünde tenezm, 1 (% 2)'inde eksternal hemoroidal tromboz, 4 (%6)'ünde ise nüks saptandı. Sonuç:Stapler hemoroidopekside ağrının az ve iyileşme sürecinin hızlı olması nedeniyle hastalar günlük aktivitelerine erken dönebilmektedirler. Bu yöntemin başarısında uygun hasta seçimi ve tekniğin doğru uygulanmasının önemli olduğunu düşünmekteyiz. Özellikle 3.derece hemoroidal hastalıkta Longo tekniği klasik yöntemlere alternatif olarak önerilebilir.Anahtar kelimeler: Hemoroidal hastalık, stapler hemoroidopeksi, Longo yöntemi ABSTRACT Objectives: To present results of our patients underwent stapled hemorrhoidopexy due to hemorrhoidal disease and discuss in accompaniment with the literature. Material and methods:The patients, who diagnosed by 3 rd -4 th degree hemorrhoidal disease and underwent hemorrhoidopexy with Longo method between January, 2009 and April, 2011, were included. All data were prospectively collected and retrospectively examined. The patients were evaluated in terms of demographic properties, complaints on admission, and postoperative complications.Results: Forty-three (66%) of 65 patients were male, 22 (34%) were female. The mean age was 38±11.9 (range:23-76) years. The most frequent complaints were bleeding, swelling, itching, pain, constipation respectively. Third degree hemorrhoid was present in fifty-eight (89%) patients, 4 th degree hemorrhoid was in 7 (11%) patients. The mean operation duration was 37.6±8.1(range:24-55) minutes, the mean hospitalization duration was 27±7.8 (range:20-76) hours. One or more complication developed in total 17 (26%) patients. As complication, bleeding was determined in 13 (20%) patients, pain was in 6 (9%), urinary retention was in 2 (3%), tenesmus was in 3 (5%), external hemorrhoidal thrombosis was in 1 (2%), and recurrence was in 4 (6%). Conclusions:The patients can return their daily activities early with stapled hemorrhoidopexy because of less pain and quick recovery period. We consider that appropriate p...

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Section: Discussionmentioning

confidence: 99%

Stapled hemorrhoidopexy: clinical results for 65 cases

Pergel

Yücel²,

Aydın³

et al. 2012

J Clin Exp Invest

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“…Usually, first-and second-degree hemorrhoids can be treated easily and effectively in a conservative approach by dietary modifications and appropriate medications [3]. But surgical interventions are required for more severe hemorrhoids (third-and fourth-degree hemorrhoids) for which open Milligan-Morgan [4] and the closed Ferguson [5] methods are standard surgical procedures.…”

Section: Introductionmentioning

confidence: 99%

“…But surgical interventions are required for more severe hemorrhoids (third-and fourth-degree hemorrhoids) for which open Milligan-Morgan [4] and the closed Ferguson [5] methods are standard surgical procedures. Unfortunately, these methods are associated with high incidence of complications, including urinary retention, hemorrhage, constipation and fecal impaction, prolonged wound healing, and significant postoperative pain because of the wide external wounds in the sensitive anal skin [2,3].…”

Section: Introductionmentioning

confidence: 99%

Is Stapled Hemorrhoidectomy a Safe Procedure for Third and Fourth Grade Hemorrhoids? An Experience at Civil Hospital Karachi

2014

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“…These staplers make it possible to quantify the amount of tissue that must be removed and are associated with a low incidence of bleeding after firing which requires hemostatic suture (approximately 7%). In contrast, the PPH stapler has a limited capacity and haemostatic suturing is required in about 20% of patients [6]. In the TREMMS technique, the rectocele is first removed manually using a continuous suture about 2.0 cm from the dentate line.…”

mentioning

confidence: 99%