Hemorrhoidal stapler prolapsectomy vs. Milligan-Morgan hemorrhoidectomy: a long-term randomized trial

Racalbuto, A; Aliotta, I.; Corsaro, G.; Lanteri, Raffaele; Cataldo, Andrea Di; Licata, Antonio

doi:10.1007/s00384-003-0547-3

Cited by 110 publications

(129 citation statements)

References 7 publications

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“…3,[17][18][19][20] Early thrombosed external hemorrhoids (TEH) were also reported, with the overall early occurrence rate ranging from 0 to 13% and a median occurrence of 4.51%. 21 Overall rates of urinary retention ranged from 0 to 22%.…”

Section: -16 Documented Complications Of Hemorrhoidopexy Porrettmentioning

confidence: 99%

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Documented Complications of Staple Hemorrhoidopexy: A Systematic Review

Porrett

2015

International Surgery

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A systematic review addressing reported complications of stapled hemorrhoidopexy was conducted. Articles were identified via searching OVID and MEDLINE between July 2011 and October 2013. Limitations were placed on the search criteria with articles published from 1998 to 2013 being included in this review. No language restrictions were placed on the search, however foreign language articles were not translated. Two reviewers independently screened the abstracts for relevance and their suitability for inclusion. Data extraction was conducted by both reviewers and entered and analyzed in Microsoft Excel. The search identified 784 articles and 78 of these were suitable for inclusion in the review. A total of 14,232 patients underwent a stapled hemorrhoidopexy in this review. Overall complication rates of stapled hemorrhoidopexy ranged from 3.3%-81% with 5 mortalities documented. Early and late complications were defined individually with overall data suggesting that early complications ranged from 2.3%-58.9% and late complications ranged from 2.5%-80%. Complications unique to the procedure were identified and rates recorded. Both early and late complications unique to stapled hemorrhoidopexy were identified and assessed.

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Section: -16 Documented Complications Of Hemorrhoidopexy Porrettmentioning

confidence: 99%

“…6,21,25,26,27 Early complications including anastomotic dehiscence and edema of the anastomotic ring were also reported. 3,8,20,28 Late Complications Late complications were those occurring postoperatively after 7 days, listed in Table 2. Patient followup ranged from 1 month to 7 years.…”

Section: -16 Documented Complications Of Hemorrhoidopexy Porrettmentioning

confidence: 99%

Documented Complications of Staple Hemorrhoidopexy: A Systematic Review

Porrett

2015

International Surgery

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“…However, in the recent literature, a significant incidence of recurrence after stapled hemorrhoidopexy was reported. In studies evaluating stapl ed hem orrhoid opexy and conventional hemorrhoidectomy for Grade III and IV hemorrhoids with an adequate and systematic follow-up (>1 year), the incidence of recurrence was 0 to 26 % and 0 to 10.8 %, respectively; reoperation rate was up to 16.7 % after stapled hemorrhoidopexy [43,46,61,[63][64][65][70][71][72]. After conventional Ferguson's hemorrhoidectomy, a redo surgery for recurrent hemorrhoids was necessary in 0.8 % of cases in a large series [73].…”

Section: Resultsmentioning

confidence: 99%

Clinical Outcome Following Hemorrhoid Surgery: a Narrative Review

Picchio¹,

Greco²,

Filippo

et al. 2014

Indian J Surg

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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.

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“…Nahas et al [22] reported that they waited 30 s after firing the stapler and the necessity for haemostatic sutures was 20%. Racalbuto et al [20] , in their study in which one min elapsed before and after firing the stapler, did not refer to the rate of haemostatic sutures, but reported the rate of bleeding as 6%. The PA group consisted of the initial patients who underwent haemorrhoidopexy surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Median operation time for stapled haemorrhoidopexy has been reported to be between 15 and 38 min (range, 5-150 min) [13,[20][21][22][23] . Median operation time for the PA group in our study was higher than that reported in the literature; however, the range in operation time was similar.…”

Section: Discussionmentioning

confidence: 99%

Comparison of a modifed anoscope and the purse-stringanoscope in stapled haemorrhoidopexy

Bozdağ¹,

Yaman²,

Derıcı³

et al. 2009

WJG

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AIM:To compare the results of the anoscope of the PPH kit and a modified anoscope during stapled haemorrhoidopexy. METHODS:The hospital records of 37 patients who underwent stapled haemorrhoidopexy between 2001 and 2006 were reviewed. The purse-string suture anoscope in the PPH kit was used on 15 patients (Group 1), and the modified anoscope was used on 22 patients (Group 2). Demographic characteristics of the patients, operation time, surgeon's performance, analgesic requirement, and complications were compared. RESULTS: Operation time was significantly longer inGroup 1 (42.0 ± 8.4 min vs 27.7 ± 8.0 min, P = 0.039).The surgeons reported their operative performance as significantly better in Group 2 (the results of the assessments were poor in ten, medium in four and good in one in Group 1, while good in all patients in Group 2, P < 0.001). The need for haemostatic sutures was significantly higher in Group 1 (six cases) and was needed in two cases in Group 2 (P = 0.034). CONCLUSION:Operation time decreased and the surgeon's satisfaction increased with use of the modified anoscope, and fewer haemostatic sutures were required if the surgeon waited longer before and after firing the stapler.

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Hemorrhoidal stapler prolapsectomy vs. Milligan-Morgan hemorrhoidectomy: a long-term randomized trial

Abstract: Our conclusions confirm the excellent advantages of stapled hemorrhoidectomy which allows the rapid recovery of patients and also promises the complete resolution of hemorrhoidal prolapse in the long term.

Cited by 110 publications

References 7 publications

Documented Complications of Staple Hemorrhoidopexy: A Systematic Review

Documented Complications of Staple Hemorrhoidopexy: A Systematic Review

Clinical Outcome Following Hemorrhoid Surgery: a Narrative Review

Comparison of a modifed anoscope and the purse-stringanoscope in stapled haemorrhoidopexy

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