Stapled hemorrhoidopexy – Initial experience from a general surgery center

Jaiswal, SS; Gupta, Darpan; Davera, Saket

doi:10.1016/j.mjafi.2012.08.015

Cited by 5 publications

(5 citation statements)

References 19 publications

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“…Possible explanation is that, lesser females reaching to hospital for the treatment of hemorrhoids due to cultural and social differences or females are might be less prone to the development of haemorrhoids. 15,16 Associated complications were also noticed in our study. Postoperative surgical pain appeared to be the main outcome after this surgical procedure which was noticed in 42.85% of the study participants.…”

Section: Discussionsupporting

confidence: 80%

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Stapled Hemorrhoidectomy: A Safe Procedure for Third and Fourth Grade Hemorrhoids

Ali¹,

Memon²,

Sami³

et al. 2022

PJMHS

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Objective: To evaluate the safety outcome of staple hemorrhoidectomy in grade III and IV hemorrhoids. Study Design: Descriptive study Place and Duration of Study: Department of Surgery, Shahida Islam Medical Complex, Lodhran from 1st July 2020 to 30th June 2021. Methodology: Seventy patients were selected who were suffering from third or fourth grade hemorrhoids. The age of the patients was between 21-56 years with both gender been presented. Longos method was opted with spinal analgesic been delivered in lithotomy positioning. The complete surgical protocol was maintained with preoperative antibiotic deliverance. The procedure took 30-50 minutes. Patient was then kept in recovery room for three hours post operation and all postoperative antibiotics were timely administered. Results: Mean age of study participants was 41.2±3.2. Men appeared to be higher in number as compared to women. Grade III patients were more in number as compared to grade IV. Most common complication which was observed in present study is postoperative pain. Majority of the patients (70%) showed no associated complications. Conclusion: Staple hemorrhidectomy is appeared to be a safe and reliable surgical procedure for the treatment of grade III and grade IV hemorrhoids. Keywords: Hemorrhoids, Surgical procedure, Stenosis, Efficacy, Conventional

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Section: Discussionsupporting

confidence: 80%

“…Similar results have already been documented in previous studies in which postoperative frequency was very higher among individuals. 16,17 Few other studies also reported some other complications. Difference in the results might be due to pain threshold difference which vary from population to population and cultures.…”

Section: Discussionmentioning

confidence: 98%

Stapled Hemorrhoidectomy: A Safe Procedure for Third and Fourth Grade Hemorrhoids

Ali¹,

Memon²,

Sami³

et al. 2022

PJMHS

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“…Thus, the prolapsed mucosa is retracted to its normal anatomical position in the anal canal. The blood ow to the hemorrhoid pads is reduced [7]. If the circular suture exceeds the mucosal layer, serious complications such as perforation, rectal stricture, recto-vaginal stula, pelvic sepsis, gas-stool incontinence and hematoma may ocur [8][9][10][11][12].…”

Section: Discussionmentioning

confidence: 99%

Current Methods in The Surgical Treatment of Hemorrhoids

Sakoglu

2023

Preprint

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PURPOSE: Hemorrhoidal disease is a chronic disease of the lower rectum and anus because of increased pressure during straining. Millions of people around the world suffer from this disease. My aim here was to see with the non-surgical method could we achieve the success achieved with the surgical method, which could cause serious complications.METHODS: We compared two different treatment methods; surgical (Longo) technique and less invasive non-surgical (ADL) methods by examining the post-operative pain complaints and normal daily activities of our patients operated for hemorrhoids retrospectively. Patients operated for hemoroid from 2021 to 2022 were included.RESULTS: A total of 120 patients, sypmtomatic with bleeding per rectum included in this study. There was no statistically significant difference between the age and gender distributions of the Longo and ADL groups (p = 0,231, p = 0,711). When the daily activities of both groups were compared, the dressing(p = 0.042) and toileting (p = 0.012) activities in the Longo group were found to be statistically significantly lower than the ADL group. On the other hand there was a statistically significant difference within the groups (Longo; p = 0,0001, ADL; p = 0,0001) related to the pain assessments at the end of the 1st day, 1 week and 1 month.CONCLUSION: When both methods were compared, the adaptation of the ADL group to normal daily life was faster than the Longo group. I only detected tenesmus complaint in 12 stage III-IV patients whom I had the pexy procedure (n = 12) (20%).

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“…Treatment includes; Conservative, minimally invasive procedures and Operative procedures such as Ferguson hemorrhoidectomy and Stapled haemorrhoidopexy 4. . SH was conceived and developed in Europe, with the aim of making hemorrhoidectomy a less painful and yet quick and safe procedure 5 . In spite of that, reports of high pain scores and adverse complications have been reported 5 .…”

Section: Introductionmentioning

confidence: 99%

“…SH was conceived and developed in Europe, with the aim of making hemorrhoidectomy a less painful and yet quick and safe procedure 5 . In spite of that, reports of high pain scores and adverse complications have been reported 5 . Further research is required to study the complications and safety of SH to inform its use in our in our setting.…”

Section: Introductionmentioning

confidence: 99%

Post-operative complications of stapled versus Ferguson hemorrhoidectomy at Mulago Hospital. A randomized comparative study

Yiga¹,

Wesonga²,

Kirunda³

et al. 2016

East. Cent. Afr. J. Surg.

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Background: Hemorrhoids are a common anorectal condition. New surgical treatments have led to a reappraisal of hemorrhoid disease over the last few decades and despite a range of treatment modalities, the options are limited in their effectiveness and can lead to a number of complications. This study set out to compare post operative complications between stapled haemorrhoidopexy (SH) and Ferguson haemorrhoidectomy (FH) for patients with Grade III and IV in Mulago National Referral and teaching Hospital. Methods: Following ethical approval 48 consenting participants with Grade III/IV hemorrhoids were randomized to either FH or SH under regional anesthesia on 1:1 allocation. Early and short term post-operative complications were analyzed.. Results: We enrolled 24 participants in each arm with equal sex allocation and mean age of 39 years with 100% follow up. There was largely no difference in early and short term complications between FH and SH save for bleeding in the short term follow up which occurred more frequently in the FH group (p-value 0.045). The bleeding was mild and did not require transfusion. Conclusion: There was no major difference in short term complication rates between SH and FH. SH is a safe alternative to FH in Mulago Hospital.

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Stapled hemorrhoidopexy – Initial experience from a general surgery center

Cited by 5 publications

References 19 publications

Stapled Hemorrhoidectomy: A Safe Procedure for Third and Fourth Grade Hemorrhoids

Stapled Hemorrhoidectomy: A Safe Procedure for Third and Fourth Grade Hemorrhoids

Current Methods in The Surgical Treatment of Hemorrhoids

Post-operative complications of stapled versus Ferguson hemorrhoidectomy at Mulago Hospital. A randomized comparative study

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