Long-term outcomes of stapled hemorrhoidopexy.

Michalik, Maciej; Pawlak, Maciej; Bobowicz, Maciej; Witzling, Mieczysław

doi:10.5114/wiitm.2011.35784

Cited by 13 publications

(8 citation statements)

References 14 publications

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“…Secondly, partial excision of the hemorrhoidal cushions themselves reduces the size of the internal hemorrhoids. Thirdly, the resection of rectal mucosa reduces the tendency to prolapse and restores the internal cushions of Morgagni to their normal physiological positions [13].…”

Section: Discussionmentioning

confidence: 99%

An Early Experience of Stapled Hemorrhoidectomy in a Medical College Setting

Chalkoo¹,

Ahangar²,

Awan³

et al. 2015

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Background: Stapled hemorrhoidectomy, popularly known as Longo technique is in use for the treatment of hemorrhoids since its first description to surgical fraternity in the world congress of endoscopic surgeons in 1998. Objectives: To evaluate the feasibility, patient acceptance, recurrence and results of stapled haemorrhoidectomy in our early experience. Methods: Between Jan 2012 and Dec 2013, 42 patients with symptomatic GRADE III and IV hemorrhoids were operated by stapled hemorrhoidectomy by a single surgeon at our surgery department. The evaluation of this technique was done by assessing the feasibility of the surgery; and recording operative time, postoperative pain, complications, hospital stay, return to work and recurrence. Results: All the procedures were completed successfully. The mean (range) operative time was 30 (20-45) min. The blood loss was minimal. Mean (range) length of hospitalization for the entire group was 1 (1-3) days. Only 3 patients required more than 1 injection of diclofenac (75 mg) while as rest of the patients were quite happy switching over to oral diclofenac (50 mg) just after a single parenteral dose. All the patients returned to their routine work in less than a week's time. The mean (range) follow-up was 6 (4-12) months. There were no major intraoperative or postoperative complications except for retention of urine in 8 patients. The patients are still on regular follow-up and have not had recurrence as yet. Conclusion: Stapled hemorrhoidectomy technique is a safe alternative to the traditional Milligan-Morgan technique. It can be performed as an office procedure, is well tolerated by patients and is cost effective than conventional surgical therapy.

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Section: Discussionmentioning

confidence: 99%

An Early Experience of Stapled Hemorrhoidectomy in a Medical College Setting

Chalkoo¹,

Ahangar²,

Awan³

et al. 2015

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“…Hemorrhoidal disease is one of the most common anorectal disorders with a reported prevalence in adults around 5% [2] . There are different types of surgical procedure to treat hemorrhoids according to the symptoms and anatomical presentation.…”

Section: Discussionmentioning

confidence: 99%

Mucocele complicating stapled hemorrhoidopexy

Grapsi

Sturiale

Fabiani

et al. 2017

International Journal of Surgery Case Reports

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“…The results of both methods were comparable. The main advantage of the Ligasure technique seems to be the lower risk of skin tags, as well as a decreased risk of haemorrhoidal prolapse in the future [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of haemorrhoidal disease – the current situation in Poland

Dziki¹,

Mik²,

Trzciński³

et al. 2016

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IntroductionIn cases of haemorrhoidal disease resistant to conservative treatment, surgical treatment is necessary to relieve the symptoms.AimTo investigate the current methods used by Polish surgeons.Material and methodsSurveys were distributed to members of the Association of Polish Surgeons (APS), in which participants were asked a number of closed-ended questions regarding haemorrhoidal disease and the way they treated suffering patientsResultsOut of the 1523 members of APS who received questionnaires, responses were received from 807 (52.9%) members. The Milligan-Morgan technique was indicated by 72.5% of surgeons as a leading surgical treatment, followed by Ligasure (15.5%), Ferguson (3.5%), DGHL (3.5%), other methods (3.5%), Parks (1.7%), and Longo (0%). The majority of participants (93%) indicated from 0 to 1 life threatening complications, 5% – from 2 to 3, and 2% > 4. A total of 83% of participants use a single dose of antibiotics prior to surgery.ConclusionsThe Milligan-Morgan technique is the preferred method. The majority of procedures are performed in regional hospitals and university departments, and less commonly in private practices. The vast majority of surgeons in Poland are not convinced about the stapler technique, justifying this fact with the possibility of developing serious complications

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Long-term outcomes of stapled hemorrhoidopexy.

Cited by 13 publications

References 14 publications

An Early Experience of Stapled Hemorrhoidectomy in a Medical College Setting

An Early Experience of Stapled Hemorrhoidectomy in a Medical College Setting

Mucocele complicating stapled hemorrhoidopexy

Surgical treatment of haemorrhoidal disease – the current situation in Poland

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