Long–term results after stapled haemorrhoidopexy for third–degree haemorrhoids

Abstract

SH is a safe, low-pain and, in the long-term, effective technique for the treatment of third-degree haemorrhoids.

Reinterventions for Specific Technique-Related Complications of Stapled Haemorrhoidopexy (SH): A Critical Appraisal

“…Differently from other authors report, in our experience the mean return to work period (expressed in days) was similar between SH and CH. [8][9][10] We explain this similarity of results with the fact the our hospital serves a large Government employed (directly or indirectly) population with paid sick leave. Complications rates of SH range from 6.4% to 31% 8,9 with a reintervention rate after 1 year of 11%.…”

“…14 Tenesmus, frequency and faecal urgency are variably associated and reported between 5% and 40% and are usually transient and self-limiting. [8][9][10][11] These symptoms were observed in about 14.5% of our patients, but both tenesmus and urgency were the most frequent complications in the referred group.…”

“…Shalaby and Desoky reported a 1% recurrent prolapse, but this study included also patients with second degree haemorrhoids. 2,8,13,19 Conversely, Ganio et al reported a 20% recurrent prolapse after a telephone follow-up on 50 patients who underwent SH. 2 All our recurrences occurred in patients with fourth degree haemorrhoids.…”

Pudendal nerve block versus local anesthesia for harmonic scalpel hemorrhoidectomy: a prospective randomized study

“…Pudendal nerve block is superior to simple perianal block in terms of postoperative pain and decreased length of hospital stay in a statistically significant manner while no differences were observed regarding complication's incidence [5][6][7][8].…”

Stapled Anopexy: Postoperative Course and Functional Outcome in 400 Patients

“…Therefore, this procedure has been considered to be a safe and effective alternative to traditional hemorrhoidectomy and has gained increasing popularity. [10][11][12][13][14][15][16][17] We performed a retrospective analysis of perioperative complications and medium-term outcome in a series of 400 consecutive patients with hemorrhoidal disease treated by stapling technique after at least six months of follow-up. Because patients with hemorrhoids often show some degree of constipation and continence impairment, in the last 50 patients we prospectively evaluated these symptoms to state whether stapled anopexy could have any effect on them.…”