Is there a post-PPH syndrome?

Khubchandani, Indru T.; Fealk, Michael; Reed, James F.

doi:10.1007/s10151-009-0471-9

Cited by 33 publications

(24 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…5,23 The presence of persistent hemorrhoidal disease, sphincter spasm, rectal spasm, high anal resting pressures, anal fissures, retained staples, and fibrosis around the staple line, wound dehiscence, and sepsis, were also identified as contributing factors to excessive and/or prolonged pain. 31,48 It was also suggested to occur more frequently in males and people with grade 4 hemorrhoidal disease, or those with high anal sphincter pressures. 31,48 A low threshold for suspicion of complications should exist in patients suffering prolonged and severe pain following a stapled hemorrhoidopexy.…”

Section: Discussionmentioning

confidence: 99%

“…31,48 It was also suggested to occur more frequently in males and people with grade 4 hemorrhoidal disease, or those with high anal sphincter pressures. 31,48 A low threshold for suspicion of complications should exist in patients suffering prolonged and severe pain following a stapled hemorrhoidopexy.…”

Section: Discussionmentioning

confidence: 99%

“…25,28 Anal strictures and stenosis incidence ranged from 0 to 15.6%. 31 Incontinence to feces and/or flatus was reported, with the overall range of occurrence between 0.1 to 17.8%. However, whether this complication was transient or permanent was often not always specified.…”

Section: -16 Documented Complications Of Hemorrhoidopexy Porrettmentioning

confidence: 99%

See 2 more Smart Citations

Documented Complications of Staple Hemorrhoidopexy: A Systematic Review

Porrett

2015

International Surgery

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Documented Complications of Staple Hemorrhoidopexy: A Systematic Review

Porrett

2015

International Surgery

View full text Add to dashboard Cite

show abstract

“…In the present study, although the overall complication rate was 23%, majority of the complications were mild and were resolved during the follow up. Persistent pain after SH is considered chronic when lasting one week after surgery and it seems that the majority of patient recovers from it [12,27,30]. Prevalence of persistent pain after SH ranges from 1.6% to 31% [31].…”

Section: Discussionmentioning

confidence: 99%

Stapled Hemorrhoidectomy; Results of a Prospective Clinical Trial in Saudi Arabia

Guraya

Khairy²

2013

JCDR

View full text Add to dashboard Cite

Objectives: This study was designed to evaluate the effectiveness of stapled hemorrhoidectomy (SH) in terms of cure of the symptoms and post-operative pain control. Material and Methods:In this prospective clinical study, SH (Ethicon Endo-surgery, Cincinnati, OH) was performed for all patients with grade III and grade IV hemorrhoids, presenting to the surgical clinics of Ohud and Meeqat Hospitals Almadinah Almunawwarah Saudi Arabia. The results of SH were evaluated by a questionnaire focusing on the relief of symptoms, severity of post operative pain, and complications of SH.Results: Thirty patients (21 males and 9 females); with a mean age of 39.6 years were recruited in this study. Twenty six (86%) patients had grade III and 4 (14%) presented with grade IV hemorrhoids. Perianal prolapse was the most frequent presentation reported in 23 (76%). Mean operating time was 21.7 minutes (range; 17-36 minutes) whereas mean hospital stay was 1.9 days. Post-operative pain was tolerable (nonpersistent) in 28 (93%) cases whereas 2 (7%) experienced mild pain requiring additional analgesia. Urinary retention was the most common complication found in 5 (16%) patients. All patients were cured of the hemorrhoids Conclusion: SH is a safe, rapid, and convenient surgical remedy for grade III and grade IV hemorrhoids with low rate of complications, minimal postoepative pain, and early discharge from the hospital.

show abstract

“…After stapled hemorrhoidopexy, a relevant percentage of patients develops a syndrome consisting of urgency for defecation, feeling of foreign body, and cramp-like anal pain of variant amplitude [67,68].…”

Section: Complicationsmentioning

confidence: 99%

Clinical Outcome Following Hemorrhoid Surgery: a Narrative Review

Picchio¹,

Greco²,

Filippo

et al. 2014

Indian J Surg

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

Is there a post-PPH syndrome?

Cited by 33 publications

References 13 publications

Documented Complications of Staple Hemorrhoidopexy: A Systematic Review

Documented Complications of Staple Hemorrhoidopexy: A Systematic Review

Stapled Hemorrhoidectomy; Results of a Prospective Clinical Trial in Saudi Arabia

Clinical Outcome Following Hemorrhoid Surgery: a Narrative Review

Contact Info

Product

Resources

About