A Prospective, Randomized, Controlled Multicenter Trial Comparing Stapled Hemorrhoidopexy and Ferguson Hemorrhoidectomy: Perioperative and One-Year Results

Senagore, Anthony J.; Singer, Marc; Abcarian, Herand; Fleshman, James; Corman, Marvin L.; Wexner, Steven D.; Nivatvongs, Santhat

doi:10.1007/s10350-004-0694-9

“…Additionally, SH procedure also resulted in shorter hospital stay, early recovery, and time to resume normal activities. The other studies also have reported shorter hospital stay post SH procedure [18][19][20][21][22]. Our case series also showed similar findings.…”

Section: Discussionsupporting

confidence: 90%

“…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: 58%

“…The clinical effectiveness have been proved by showing minimal post-operative pain, shorter hospital stay, early to resume the work, shorter operative time, and acceptable safety profile [10][11][12][13][14][15][16]. Many of the studies [18][19][20][21][22] reported the average length of operation time was around 25 minutes, highlighting the saving time as compared to conventional surgeries. Additionally, SH procedure also resulted in shorter hospital stay, early recovery, and time to resume normal activities.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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

Porwal¹

2017

GHOA

0

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

“…The clinical effectiveness have been proved by showing minimal post-operative pain, shorter hospital stay, early to resume the work, shorter operative time, and acceptable safety profile [10][11][12][13][14][15][16]. Many of the studies [18][19][20][21][22] reported the average length of operation time was around 25 minutes, highlighting the saving time as compared to conventional surgeries. Additionally, SH procedure also resulted in shorter hospital stay, early recovery, and time to resume normal activities.…”

Section: Discussionmentioning

confidence: 99%

Untitled

2017

GHOA

0

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

“…In a meta-analysis comparing stapled hemorrhoidopexy and open hemorrhoidectomy, incidence of urinary retention was similar [54]. The expected reduction of postoperative urinary retention after stapled hemorrhoidopexy, caused by less postoperative pain, was not confirmed in the study by Senagore et al [55], which showed that pain was not a risk factor for urinary retention.…”

Section: Complicationsmentioning

confidence: 94%

Clinical Outcome Following Hemorrhoid Surgery: a Narrative Review

Picchio¹,

Greco²,

Filippo

³

et al. 2014

View full text Add to dashboard Cite

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.

show abstract

A Prospective, Randomized, Controlled Multicenter Trial Comparing Stapled Hemorrhoidopexy and Ferguson Hemorrhoidectomy: Perioperative and One-Year Results

Cited by 214 publications

References 24 publications

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

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

Untitled

Clinical Outcome Following Hemorrhoid Surgery: a Narrative Review

Contact Info

Product

Resources

About