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

Sileri, Pierpaolo; Stolfi, Vito M.; Franceschilli, Luana; Perrone, Federico; Patrizi, Lodovico; Gaspari, Achille

doi:10.1007/s11605-008-0670-0

Cited by 19 publications

(14 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Recurrence or persistence of prolapse after PPH is well reported in the literature and is encountered between 3 and 24% of patients [3,5,6,11,12,13]. When bleeding is the recurrent or persistent complaint, patients can usually be adequately treated with RBL or THD.…”

Section: Discussionmentioning

confidence: 99%

“…Recurrence of prolapse after PPH is claimed to be higher in comparison to the excisional haemorrhoidectomy [3,8,9]. In case of a persistent or recurrent prolapse after PPH, a new intervention is sometimes required, and frequently a haemorrhoidectomy is the treatment of choice [4,10,11]. We believe, however, that a second PPH is feasible with good results in most of these patients.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Redo Procedure for Prolapse and Haemorrhoids (PPH) for Persistent and Recurrent Prolapse after PPH

Festen¹,

Geloven²,

Gerhards³

2009

Dig Surg

View full text Add to dashboard Cite

Background/Aims: Procedures for haemorrhoidal prolapse that maintain functional haemorrhoidal anatomy are progressively used. The procedure for prolapse and haemorrhoids (PPH) has advantages over conventional haemorrhoidectomy, but is associated with a higher recurrence rate. The feasibility and efficiency of a second PPH instead of haemorrhoidectomy in case of recurrent symptoms were studied. Methods: A retrospective chart review was conducted of all patients that were treated with PPH for haemorrhoidal prolapse in our hospital between May 2002 and November 2008. All patients in need for a second PPH because of persistent or recurrent symptoms of prolapse were identified and analyzed. Results: Out of 137 patients who underwent a PPH, 22 patients (16%) were in need of a reoperation for symptoms of prolapse. Of these, 12 (55%) were treated with a second PPH. Successful prolapse reduction was achieved in 11 out of 12 patients. No postoperative complications were encountered during a median follow-up of 35 months. Conclusion: Redo PPH, in case of persisting or recurrent symptoms of haemorrhoidal prolapse after PPH, is feasible and is a good alternative for excisional haemorrhoidectomy. It possesses the same advantages over haemorrhoidectomy as the initial PPH and does not lead to more morbidity.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Redo Procedure for Prolapse and Haemorrhoids (PPH) for Persistent and Recurrent Prolapse after PPH

Festen¹,

Geloven²,

Gerhards³

2009

Dig Surg

View full text Add to dashboard Cite

show abstract

“…The importance of a high-fiber diet and fiber supplements must be emphasized to the patient and instituted immediately after surgery. Although the results have been reported as excellent [21,22] , it is difficult to interpret whether the patients had significant narrowing or spasm associated with the anal fissure.…”

Section: Treatmentmentioning

confidence: 99%

“…A significant advantage of these flaps over the Y-V anoplasty is that there is significantly greater mobility of the flap, so it can be advanced well into the anal canal. The diamond flap, House flap, and island flap have all been reported to yield excellent results [3][4][5][6][7][8]10,15,19,20,[22][23][24][25][26][27][28][29][30][31][32][34][35][36][37][38][39][40][41][42][43][44] . The type of flap to be used is based on the surgeon's familiarity and choice as well as the patient's anatomy and the availability of adequate perianal skin for use in the various flaps.…”

Section: Choise Of Proceduresmentioning

confidence: 99%

“…These include flap necrosis from loss of vascular supply, infection or local sepsis, suture dehiscence from excessive suture line tension, failure to correct the stenosis, donor site problems, sloughing of the flap, ischemic contracture of the edge of the flap, pruritus, urinary tract infection subsequent to Clostridium difficile enterocolitis only in a few cases, fecal incontinence, constipation without stenosis, urinary retention, restenosis and ectropion if the flap is advanced too far and sutured at the anal verge [4][5][6][7]10,15,19,20,22,23,25,26,31,32,34,[36][37][38][39]41,42,44] .…”

Section: Complicationsmentioning

confidence: 99%

See 1 more Smart Citation

Surgical treatment of anal stenosis

Brisinda¹,

Vanella²,

Cadeddu³

et al. 2009

WJG

108

View full text Add to dashboard Cite

show abstract

Rectal perforation with life-threatening peritonitis following stapled haemorrhoidopexy

Faucheron

Voirin

Abba

2012

British Journal of Surgery

View full text Add to dashboard Cite

Background: Stapled haemorrhoidopexy is a well recognized alternative to haemorrhoidectomy, and is associated with reduced pain and earlier return to normal activity. This paper reports all published cases of life-threatening sepsis following stapled haemorrhoidopexy, identifies causative factors and makes recommendations.Methods: A systematic review of the literature was performed by searching the major electronic databases. All relevant references were reviewed for possible inclusion. All references of the relevant articles were screened for any further articles that were not identified in the initial search.Results: From 2000 to the present, 29 articles reporting complications in 40 patients were identified. Thirty-five patients underwent laparotomy with faecal diversion and a further patient was treated by low anterior resection. A specific complication was rectal perforation with peritonitis. Factors that led to life-threatening sepsis were identified in 30 patients. Despite surgical treatment and resuscitation, there were four deaths. Conclusion:Severe sepsis can complicate stapled haemorrhoidopexy. Rectal perforation and peritonitis are a particular risk of this technique and the associated mortality rate is high.

show abstract

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

Abstract: SH presents unusual and challenging complications. Abuses should be minimized and longer-term studies are needed to further clarify its role.

Cited by 19 publications

References 29 publications

Redo Procedure for Prolapse and Haemorrhoids (PPH) for Persistent and Recurrent Prolapse after PPH

Redo Procedure for Prolapse and Haemorrhoids (PPH) for Persistent and Recurrent Prolapse after PPH

Surgical treatment of anal stenosis

Rectal perforation with life-threatening peritonitis following stapled haemorrhoidopexy

Contact Info

Product

Resources

About