Randomized trial assessing anal sphincter injuries after stapled haemorrhoidectomy

Ho, Y. H.; Seow‐Choen, Francis; Tsang, Charles B.; Eu, Kong‐Weng

doi:10.1046/j.0007-1323.2001.01899.x

Cited by 92 publications

(76 citation statements)

References 21 publications

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“…In a number of cases, blood transfusion was needed in order to restore hemoglobin levels. 3,8,23,49,50 The incidence of early bleeding was greatly reduced following the introduction of the second wave of stapling instruments (PPH01 to PPH03). The introduction of this new instrument resulted in a smaller staple width, which also reduced the necessity for oversewing of the staple line.…”

Section: Discussionmentioning

confidence: 99%

Documented Complications of Staple Hemorrhoidopexy: A Systematic Review

Porrett

2015

International Surgery

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A systematic review addressing reported complications of stapled hemorrhoidopexy was conducted. Articles were identified via searching OVID and MEDLINE between July 2011 and October 2013. Limitations were placed on the search criteria with articles published from 1998 to 2013 being included in this review. No language restrictions were placed on the search, however foreign language articles were not translated. Two reviewers independently screened the abstracts for relevance and their suitability for inclusion. Data extraction was conducted by both reviewers and entered and analyzed in Microsoft Excel. The search identified 784 articles and 78 of these were suitable for inclusion in the review. A total of 14,232 patients underwent a stapled hemorrhoidopexy in this review. Overall complication rates of stapled hemorrhoidopexy ranged from 3.3%-81% with 5 mortalities documented. Early and late complications were defined individually with overall data suggesting that early complications ranged from 2.3%-58.9% and late complications ranged from 2.5%-80%. Complications unique to the procedure were identified and rates recorded. Both early and late complications unique to stapled hemorrhoidopexy were identified and assessed.

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Section: Discussionmentioning

confidence: 99%

Documented Complications of Staple Hemorrhoidopexy: A Systematic Review

Porrett

2015

International Surgery

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“…Several randomized trials comparing stapler haemorrhoidopexy with conventional haemorrhoidectomy were conducted to test the feasibility and efficacy of the technique (3,7,8,9,10,12).…”

Section: Discussionmentioning

confidence: 99%

“…it represent radical change in the treatment of haemorrhoids by avoiding multiple excisions and suture lines in sensitive perianal area and thus offer less postoperative pain than with conventional technique. Several randomized controlled trials (7,8,9,10,11,12) assessed results of stapler haemorrhoidopexy. Results of These studies have consistently shown a decrease in postoperative pain, analgesic requirement, length of surgical procedure, shorter hospital stay and early return to daily activities.…”

Section: Introductionmentioning

confidence: 99%

Stapler Haemorrhoidopexy for Treatment of Haemorrhoids– Our Initial Experience

Agrawal¹

2017

jmscr

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“…However, postoperative incontinence after stapled hemorrhoidectomy was reported in up to 28 % of cases [61]. In most patients, incontinence is transitory, due to excessive anal stretching secondary to circular anal dilator insertion [62]. At long-term follow-up, persistent continence problems were reported in a minority of patients with no significant difference with respect to conventional hemorrhoidectomy [61,[63][64][65].…”

Section: Complicationsmentioning

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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Randomized trial assessing anal sphincter injuries after stapled haemorrhoidectomy

Abstract: The large circular anal dilator used for stapled haemorrhoidectomy increased the risk of anal sphincter injuries, which may become problematic with ageing.

Cited by 92 publications

References 21 publications

Documented Complications of Staple Hemorrhoidopexy: A Systematic Review

Documented Complications of Staple Hemorrhoidopexy: A Systematic Review

Stapler Haemorrhoidopexy for Treatment of Haemorrhoids– Our Initial Experience

Clinical Outcome Following Hemorrhoid Surgery: a Narrative Review

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