Outpatient treatment of hemorrhoids with a combined technique: results in 7850 cases

Accarpio, G; Ballari, F.; Puglisi, R; Menoni, Stefania; Ravera, Giambattista; Accarpio, Fabio; Cariati, Andrea; Zaffarano, Renzo

doi:10.1007/s101510200043

Cited by 17 publications

(11 citation statements)

References 9 publications

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“…Komplikationen nach einer Hämorrhoidentherapie werden abhängig von Defi nition und Verfahren in sehr unterschiedlicher Häufi gkeit beobachtet [68,[77][78][79][80]. Während die einzelnen therapiespezifi schen Komplikationen in den jeweiligen Kapiteln abgehandelt werden, ist es das Ziel dieses Kapitels mögliche Behandlungsvorschläge bei eingetretener Komplikation zu beschreiben.…”

Section: Komplikationsmanagementunclassified

Konsensusbericht Hämorrhoidalleiden

Aigner

Conrad²,

Haunold

et al. 2012

Wien Klin Wochenschr

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Haemorrhoidal disease belongs to the most common benign disorders in the lower gastrointestinal tract. Treatment options comprise conservative as well as surgical therapy still being applied arbitrarily in accordance with the surgeon's expertise. The aim of this consensus statement was therefore to assess a stage-dependent approach for treatment of haemorrhoidal disease to derive evidence-based recommendations for clinical routine. The most common methods are discussed with respect of haemorrhoidal disease in extraordinary conditions like pregnancy or inflammatory bowel disease and recurrent haemorrhoids. Tailored haemorrhoidectomy is preferable for individualized treatment with regard to the shortcomings of the traditional Goligher classification in solitary or circular haemorrhoidal prolapses.

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Section: Komplikationsmanagementunclassified

Konsensusbericht Hämorrhoidalleiden

Aigner

Conrad²,

Haunold

et al. 2012

Wien Klin Wochenschr

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“…Pooled OR, where calculable, showed no significant differences between SH and CH for anal fissure [14,23,34,35,48], anal fistula [35,37,43], haemorrhoidal thrombosis [21,[23][24][25]28,30,34,37,39,41,43], pelvic ⁄ perianal sepsis [28,31,36,37], or rectovaginal fistula [36] in the postoperative period. In the longer term there were no reports of anal fistula [39], pelvic ⁄ perianal sepsis [21,36] Stapled haemorrhoidopexy [21,36] after either procedure.…”

Section: Complicationsmentioning

confidence: 99%

Stapled haemorrhoidopexy for the treatment of haemorrhoids: a systematic review

et al. 2009

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Objective This systematic review aimed to evaluate the short-and long-term safety, efficacy and costs of stapled haemorrhoidopexy (SH) compared with conventional haemorrhoidectomy.Method We searched 26 electronic databases and websites for studies in any language up to July 2006. Inclusion criteria were predefined, and each stage of the review process was conducted in duplicate.Results Twenty-seven randomized controlled trials were included (n = 2279). All had some methodological flaws. Postoperatively, 19 trials (95%) reported less pain, 17 (89%) reported a shorter operating time, 14 (88%) a shorter hospital stay, and 14 (93%) a shorter convalescence time following SH. However, prolapse was significantly more common after SH (OR 3.38; 95% CI: 1.00, 11.47). In the longer term, prolapse was significantly more common after SH (OR 4.34; 95% CI: 1.67, 11.28) as was reintervention for prolapse (OR 6.78; 95% CI: 2.00, 23.00). There were no differences in the rate or type of complications. Conventional haemorrhoidectomy and SH had similar costs during the initial admission.Conclusion Compared with conventional haemorrhoidectomy, SH resulted in less postoperative pain, shorter operating time, a shorter hospital stay, and a shorter convalescence, but a higher rate of prolapse and reintervention for prolapse.

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“…This complication is reported in 2% of cases after this technique [3,4]. Incidence of postoperative bleeding after different techniques ranges between 0.6% and 10% [14][15][16][17][18][19][20][21][22][23][24][25][26]. What worries the surgeon most in submucosal hemorrhoidectomy is suture disruption and abscess, as a result of intra-anal reconstruction.…”

Section: Discussionmentioning

confidence: 98%