Stapled hemorrhoidopexy: functional results, recurrence rate, and prognostic factors in a single center analysis

Voigtsberger, Arndt; Popovicova, Lucia; Bauer, Gunter; Werner, Knut; Weitschat-Benser, Tina; Petersen, Sven

doi:10.1007/s00384-015-2354-z

Cited by 12 publications

(6 citation statements)

References 24 publications

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“…After the treatment with the LHP hemorrhoidectomy, typically, a patient can return to home the same day. After 3 or 4 days he/she are very comfortable without pain or any difficulty with their bowels, and they can return to their normal routine in 7-10 days after the intervention 20 . Simply, painless hemorrhoidectomy results in satisfaction of both the patients and surgeons 16,21,22 .…”

Section: Discussionmentioning

confidence: 99%

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Laser hemorrhoidoplasty versus Milligan-Morgan hemorrhoidectomy - short term outcome

2019

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Background/Aim. According to the "vascular" theory, arterial inflow into the upper hemorrhoidal artery leads to venous dilatation of the hemorrhoidal plexus. Laser hemorrhoidoplasty (LHP) is a new treatment applied to outpatients in whom the hemorrhoid arterial blood flow is coagulated (nourishes by hemorrhoidal plexus) by laser. The aim of this study was to compare two groups of patients treated by two different methods: by laser (LHP) and with open surgical procedure-the Milligan Morgan (MM) method. Methods. This study included 200 patients with grade 3 hemorrhoidal disease older than 18 years, divided into two groups: 100 patients treated with the LHP, while the other 100 patients with the MM hemorrhoidectomy. Parameters used to compare two applied surgical methods were: duration of hospitalization, postoperative pain, the presence of bleeding and time needed to return to normal life. Results. The results reveal a statistically significant difference between these two methods. The level of postoperative pain was lower in the group of patients treated with the LHP compared to the group of patients treated with the MM method (p < 0.0001). The group treated with the LHP manifested less bleeding in comparison with the group treated with the open surgical method (MM). Length of hospitalization and duration of surgery were significantly shorter in the group treated with the LHP method than in the group treated by the MM method. Conclusion. According to our results, it is clear that the LHP method has many advantages over the MM hemorrhoidectomy in patients with grade 3 hemorrhoidal disease.

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Section: Discussionmentioning

confidence: 99%

“…Average hospitalizations was 2.1 days in case of the MM method and 1 day after the LHP. According to Voigtsberger et al 20 , hospitalization lasted for 3 days. Financial costs are higher for the LHP treatment than for the MM procedure 28 .…”

Section: Discussionmentioning

confidence: 99%

Laser hemorrhoidoplasty versus Milligan-Morgan hemorrhoidectomy - short term outcome

2019

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“…Eskandaros and Darwish (9) stated that the mean hospital stay in group MM was 2.1 ± 0.6 days and in group LHP was 0.7 ± 0.3 day with highly significant difference between both groups. Besides, Voigtsberger et al (11) revealed hospitalization lasted for 3 days.…”

Section: Resultsmentioning

confidence: 99%

Comparison between Laser Hemorrhoidoplasty Procedure and Conventional Open Surgical Hemorrhoidectomy

Yahya¹,

Refaat²,

Abdelhady³

et al. 2022

The Egyptian Journal of Hospital Medicine

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Background: Hemorrhoids are a very common anorectal condition defined as the symptomatic enlargement and distal displacement of the normal anal cushions. Objective: The present study aimed to compare between laser hemorrhoidoplasty and conventional open surgical hemorrhoidectomy in treatment of the hemorrhoidal diseases. Patients and methods: This study included 30 patients with symptomatizing hemorrhoidal diseases. They were divided into two groups: 15 patients underwent open method (MMH) and 15 patients underwent laser method (LHP). They were admitted to General Surgery Department, Faculty of Medicine, Zagazig University Hospitals with symptomatic hemorrhoidal diseases. Full history, clinical examination and pre-and post-operative assessment were performed. Results: The mean age was distributed as 36.03 ± 7.32 in the MMH group and 35.73 ± 8.39 years in the LHP group with no significant difference between both groups. The mean operative time was distributed as 29.53 ± 4.05 and 14.60 ± 3.13 minutes for MMH and LHP groups respectively. The mean hospital stay for MMH group was 36.25 ± 6.58 hours and 7.85 ± 2.11 hours for LHP, MMH group significantly associated with longer hospital stay. MMH group was significantly associated with more bleeding at 1 st and 2 nd week but no bleeding founded after 2 nd week at both groups. Conclusion: laser hemorrhoidoplasty (LHP) technique for the management of hemorrhoids was, with shorter operative time, less postoperative pain, shorter hospital stay, and less postoperative complications than open surgical hemorrhoidectomy.

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“…Es muss berücksichtigt werden, dass die Fall-Kontroll-Studien mit retrospektiver oder prospektiver Erfassung von Ergebnissen der Hämorrhoidenbehandlung die Wirklichkeit wahrscheinlich viel eher abbilden als randomisierte Studien. Die nichtvergleichenden Daten einzelner Institute mit tausenden von Behandlungen blieben sonst unberücksichtigt [20,24]. Daher kann das Verdienst der DGK-Leitlinie nicht hoch genug angerechnet werden, dass sich die Kollegen/Autoren die Mühe gemacht haben, auch Fall-Kontroll-Studien und Fallberichte in die Konsensusdiskussion aufzunehmen.…”

Section: Diskussionunclassified

Leitlinien zur Behandlung des Hämorrhoidalleidens

Petersen

Holch

Jongen³

2019

coloproctology

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Stapled hemorrhoidopexy: functional results, recurrence rate, and prognostic factors in a single center analysis

Abstract: The data presented here provide evidence that SHP is a save procedure with a very low rate for functional disorders and low recurrence rate. Therefore, in our hands, SHP remains standard for prolapsing hemorrhoids.

Cited by 12 publications

References 24 publications

Laser hemorrhoidoplasty versus Milligan-Morgan hemorrhoidectomy - short term outcome

Laser hemorrhoidoplasty versus Milligan-Morgan hemorrhoidectomy - short term outcome

Comparison between Laser Hemorrhoidoplasty Procedure and Conventional Open Surgical Hemorrhoidectomy

Leitlinien zur Behandlung des Hämorrhoidalleidens

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