Day case stapled anopexy for the treatment of haemorrhoids and rectal mucosal prolapse

Grau, Luis Antonio Hidalgo; Budó, Adolfo Heredia; Cardeñosa, Sara Llorca; Roure, J. Carbonell; Ferrer, O Estrada; Torralbo, E. García; Sala, Xavier Suñol

doi:10.1111/j.1463-1318.2011.02751.x

Cited by 13 publications

(8 citation statements)

References 24 publications

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“…Reduction in postoperative pain, hospital stay and patient comfort has been approved by a number of randomised controlled trials in preference for SH over CH [12][13][14][15]. In our study, 88% of patients were satisfied, which is comparable to other studies [16][17][18][19][20]. Bleeding and prolapse recurring after operation was reported in only 3% of patients, results which are comparable to that of CH [21][22][23][24][25][26][27].…”

Section: Discussionsupporting

confidence: 84%

Stapled haemorrhoidopexy—Complications and patient satisfaction

Amin¹

2012

OJGas

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Background: Surgical haemorrhoidectomy is recognised as an effective but often painful intervention for haemorrhoids. Performed in a district hospital setting, this survey studied the success rates of stapled haemorrhoidopexy (SH) technique according to reported symptoms and patient satisfaction, post operatively. Methods: A cohort of 108 patients admitted for circular stapled procedure at Inverclyde Royal Hospital between June 2006 and December 2011 gave their consent to be interviewed over the telephone after their procedure. 101 out of the 108 patients responded. Assessment of patient satisfaction was made on the basis of pre operative symptoms, postoperative results and complications. Results: Preoperatively, all patients had Grade lll or lV haemorrhoids complicated by haemorrhage. 33% of patients reported associated pain, and 25% complained of anal leakage. Mean follow up time was 23.8 months (7-38 months). Overall reported complication rate was 17%, with 9% reporting short term bleeding, 4% reporting shortlived post-operative pain and 3% with recurrence of prolapsed haemorrhoids. 88% of patients were happy with results, with 87% of patients happy to recommend the procedure to others. Conclusion: Stapled anopexy is a relatively new procedure. It has been found to be a successful and well-tolerated procedure for prolapsing haemorrhoids in this district general setting. It has a low recurrence rate, low incidence of post operative pain and a high level of patient satisfaction. However, there are associated complications and it has a steep training curve.

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Section: Discussionsupporting

confidence: 84%

Stapled haemorrhoidopexy—Complications and patient satisfaction

Amin¹

2012

OJGas

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“…As anal bleeding originates from submucosal haemorrhoidal tissue , blockage, by SA, of the end branches of the haemorrhoidal arteries could prevent it. As other authors have reported before , we also found smooth muscular fibers in our 94% of surgical specimens . However, using pre‐ and postoperative blood‐flow assessment with noninvasive colour Doppler ultrasound, Aignier et al .…”

Section: Discussionmentioning

confidence: 88%

“…In our series of 340 procedures, we had one serious complication: a perirectal haematoma that was treated conservatively . We observed only five (1.4%) cases of postoperative bleeding from the staple line; this was examined under anaesthesia and was successfully sutured in all . We agree with Slawik et al .…”

Section: Discussionmentioning

confidence: 99%

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Does stapled anopexy for bleeding haemorrhoids cure associated anaemia?

et al. 2014

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“…Stapled haemorrhoidopexy (SH) is an effective operation for haemorrhoids . Although meta‐analyses have identified some disadvantages of SH compared with conventional haemorrhoidectomy, such as a higher incidence of recurrence, higher rate of anal incontinence and the need for additional operations, SH is popular worldwide because it has less postoperative pain .…”

Section: Introductionmentioning

confidence: 99%