Long-Term Results After Stapled Hemorrhoidopexy: High Patient Satisfaction Despite Frequent Postoperative Symptoms

Fueglistaler, Philipp; Guenin, Marc-Olivier; Montali, I.; Kern, Beatrice; Peterli, Ralph; Flüe, Markus von; Ackermann, Christoph

doi:10.1007/s10350-006-0768-y

Cited by 58 publications

(71 citation statements)

References 45 publications

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“…Hospital stay, reported in the literature as 0-2 d was similar to that in the present study [20] . When the two groups were compared in terms of late complications, there were no significant differences, also consistent with the literature [17,20,21,24] . Results of the histopathological examination of the specimens obtained in this study were similar to those reported in the literature, and no significant differences between the two groups in this study were noted [15] .…”

Section: Discussionsupporting

confidence: 88%

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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Section: Discussionsupporting

confidence: 88%

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

Bozdağ¹,

Yaman²,

Derıcı³

et al. 2009

WJG

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“…Some have hypothesized that it may be related to a reduction in the absolute threshold for the stimulus to defecate due to excision of rectal mucosa. (12) We found that urgency existed in a number of patients preoperatively which had all resolved by the six month follow-up. Of the patients who developed urgency postoperatively, there was a higher rate in the SH group at six weeks follow-up.…”

Section: Wexner Continence Scores and Long-term Symptom Follow-upmentioning

confidence: 90%

Long-Term Functional Outcome After Stapled and Excisional Hemorrhoidectomy

Zahid

Austin

Young

et al. 2016

International Surgery

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Abstract:Background: Stapled haemorrhoidectomy (SH) described by Longo has been a recently added option for hemorrhoid surgery. Interest in SH has been principally driven by the fact that conventional excision haemorrhoidectomy (EH) has been an extremely painful procedure as it involves excision of haemorrhoidal tissue along the extremely sensitive anoderm. SH on the other hand has been shown to be associated with decreased postoperative pain, as it does not involve the sensate anal mucosa below the dentate line.To date there have been many randomized controlled studies comparing circular stapled haemorrhoidectomy with traditional excision techniques. Despite proven early postoperative advantages for SH the long-term benefits and effect on patients quality of life (QOL) compared to EH still remains to be debated. Methods:To evaluate long-term patient outcomes via a validated health related QOL survey.Results: QOL measures were satisfactory in both groups across all subscales of physical health summary measures and mental health summary measures. This coincided with Wexner continence scores, which were also satisfactory with median of 0 in both groups.Conclusion: QOL, continence scores and long term symptom follow-up is similar in patients that undergo SH or EH.

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“…This procedure, when conducted below the dentate line, may affect many sensitive nerve endings and create tight and thin layers of anoderm, leading to any number of complications. [7][8][9] Discomfort and problems in sexual functioning seem to be more common in women than in men, most likely because the female perianal area is between the anus and vagina. Conditions related to pelvic floor dysfunction, such as pelvic pain, are correlated with sexual dysfunction.…”

Section: Introductionmentioning

confidence: 99%

The impact of hemorrhoidectomy on sexual function in women: a preliminary study

et al. 2009

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The purpose of this study was to explore the prevalence of sexual problems in posthemorrhoidectomy females. The study consisted of a surgical group and a control group of women between the ages of 22 and 74 years, 39 with and 39 without hemorrhoidectomy. Female sexual function was evaluated using the Female Sexual Function Index (FSFI). The level of sexual function was calculated for each domain and compared across domains and demographic variables for each group. The prevalence of sexual dysfunction among the post-hemorrhoidectomy participants was 48.7% (19/39) and among the healthy women 7.7% (3/39). The average FSFI score was significantly lower in the surgical group (46.38 ± 28.13) than in the control group (65.69 ± 18.48) (P ¼ 0.001). All the FSFI domain scores, with the exception of the desire domain, were significantly lower for the surgical group relative to the healthy group (Po0.05). Logistic regression analysis revealed that group (P ¼ 0.001) and age (P ¼ 0.013) were predictors of problems in female sexual functioning. This preliminary study shows that women who have had a hemorrhoidectomy are at higher risk of sexual function problems. The sexual function of women with hemorrhoidectomy should be evaluated to provide them with a better quality of life.

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Long-Term Results After Stapled Hemorrhoidopexy: High Patient Satisfaction Despite Frequent Postoperative Symptoms

Cited by 58 publications

References 45 publications

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

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

Long-Term Functional Outcome After Stapled and Excisional Hemorrhoidectomy

The impact of hemorrhoidectomy on sexual function in women: a preliminary study

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