Randomized clinical trial of stapled haemorrhoidopexy <i>versus</i> conventional diathermy haemorrhoidectomy

Ortiz, Héctor; Marzo, José Fernando Cariñena; Armendáriz, P.

doi:10.1046/j.1365-2168.2002.02237.x

Cited by 178 publications

(283 citation statements)

References 24 publications

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“…20-29-31 In a study, Ortiz et al determined tenesmus at the rate of 40% and revealed the opinion that this depends on making sac suture at a low level. 29 The stapler line close the dentate line was noted only in 1 patient with complaint of tenesmus in our cases. In others, no reason explaining the complaint was determined.…”

Section: Discussionmentioning

confidence: 98%

“…In studies related to this, rates between 0.3% and 20% were reported. 12,29 In our series, urinary retention was seen in 2 patients (3%) in whom spinal anesthesia was applied. Drainage was achieved by means of placement of urinary catheter.…”

Section: Discussionmentioning

confidence: 99%

“…6,29 Molloy et al noted that the patients in whom rectal infection developed after stapled hemorrhoidopexy are the patients who do not receive antibiotic and emphasized that antibiotic prophylaxis is so important. 30 In our cases, we considered that antibiotic prophylaxis we applied and no presence of a serious accompanying disease are effective in not seeing infection In the literature, the rate of external hemorrhoidal thrombosis that may be seen in the early or late term after Longo's operation was reported to be around 0.9% and attributed to incompletelyresected hemorrhoidal sinusoids.…”

Section: Discussionmentioning

confidence: 99%

“…17 In studies in the literature, the rate of anal stenosis in stapled hemorrhoidopexy was reported around %2. 21,22,29 Anal stenosis was determined in none of our cases in the follow-up period.…”

Section: Discussionmentioning

confidence: 99%

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Stapled hemorrhoidopexy: clinical results for 65 cases

Pergel

Yücel²,

Aydın³

et al. 2012

J Clin Exp Invest

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ÖZETAmaç: Hemoroidal hastalık sebebiyle stapler hemoroidopeksi uyguladığımız hastalarımızın sonuçlarını sunmak ve literatür eşliğinde tartışmak. Gereç ve yöntem:Ocak 2009-Nisan 2011 tarihleri arasında 3-4. derece hemoroidal hastalık tanısı konan ve Longo yöntemiyle hemoroidopeksi uygulanan hastalar çalışmaya dahil edildi. Tüm veriler prospektif toplanıp retrospektif olarak incelendi. Hastalar; demografik özellikler, başvuru sırasındaki şikayetler, ameliyat sonrası komplikasyonlar açısından değerlendirildi. Bulgular:Toplam 65 hastadan 43 (% 66)'ü erkek, 22 (% 34)'si kadındı. Ortalama yaş 38±11.9 (23-76) yıl idi. Olguların en sık başvuru şikayetleri sıklık sırasına göre kanama, şişlik, kaşıntı, ağrı, kabızlık şeklinde idi. Elli sekiz (% 89) hastada 3. derece, 7 (%11) hastada 4. derece hemoroid mevcuttu. Ortalama ameliyat süresi 37.6±8.1(24-55) dakika, ortalama yatış süresi 27±7.8 (20-76) saat idi. Toplam 17 (% 26) hastada bir ya da daha fazla komplikasyon gelişti. Komplikasyon olarak 13 (% 20) hastada kanama, 6 (%9)'sında ağrı, 2 (% 3)'sinde idrar retansiyonu, 3 (% 5)'ünde tenezm, 1 (% 2)'inde eksternal hemoroidal tromboz, 4 (%6)'ünde ise nüks saptandı. Sonuç:Stapler hemoroidopekside ağrının az ve iyileşme sürecinin hızlı olması nedeniyle hastalar günlük aktivitelerine erken dönebilmektedirler. Bu yöntemin başarısında uygun hasta seçimi ve tekniğin doğru uygulanmasının önemli olduğunu düşünmekteyiz. Özellikle 3.derece hemoroidal hastalıkta Longo tekniği klasik yöntemlere alternatif olarak önerilebilir.Anahtar kelimeler: Hemoroidal hastalık, stapler hemoroidopeksi, Longo yöntemi ABSTRACT Objectives: To present results of our patients underwent stapled hemorrhoidopexy due to hemorrhoidal disease and discuss in accompaniment with the literature. Material and methods:The patients, who diagnosed by 3 rd -4 th degree hemorrhoidal disease and underwent hemorrhoidopexy with Longo method between January, 2009 and April, 2011, were included. All data were prospectively collected and retrospectively examined. The patients were evaluated in terms of demographic properties, complaints on admission, and postoperative complications.Results: Forty-three (66%) of 65 patients were male, 22 (34%) were female. The mean age was 38±11.9 (range:23-76) years. The most frequent complaints were bleeding, swelling, itching, pain, constipation respectively. Third degree hemorrhoid was present in fifty-eight (89%) patients, 4 th degree hemorrhoid was in 7 (11%) patients. The mean operation duration was 37.6±8.1(range:24-55) minutes, the mean hospitalization duration was 27±7.8 (range:20-76) hours. One or more complication developed in total 17 (26%) patients. As complication, bleeding was determined in 13 (20%) patients, pain was in 6 (9%), urinary retention was in 2 (3%), tenesmus was in 3 (5%), external hemorrhoidal thrombosis was in 1 (2%), and recurrence was in 4 (6%). Conclusions:The patients can return their daily activities early with stapled hemorrhoidopexy because of less pain and quick recovery period. We consider that appropriate p...

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Stapled hemorrhoidopexy: clinical results for 65 cases

Pergel

Yücel²,

Aydın³

et al. 2012

J Clin Exp Invest

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“…However, in the recent literature, a significant incidence of recurrence after stapled hemorrhoidopexy was reported. In studies evaluating stapl ed hem orrhoid opexy and conventional hemorrhoidectomy for Grade III and IV hemorrhoids with an adequate and systematic follow-up (>1 year), the incidence of recurrence was 0 to 26 % and 0 to 10.8 %, respectively; reoperation rate was up to 16.7 % after stapled hemorrhoidopexy [43,46,61,[63][64][65][70][71][72]. After conventional Ferguson's hemorrhoidectomy, a redo surgery for recurrent hemorrhoids was necessary in 0.8 % of cases in a large series [73].…”

Section: Resultsmentioning

confidence: 99%

Clinical Outcome Following Hemorrhoid Surgery: a Narrative Review

Picchio¹,

Greco²,

Filippo

et al. 2014

Indian J Surg

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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.

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