Stapled haemorrhoidectomy compared with milligan-morgan excision for the treatment of prolapsing haemorrhoids: A prospective study

Goulimaris, I.; Kanellos, Ioannis; Christoforidis, E.; Mantzoros, Ioannis; Odisseos, C.; Betsis, D.

doi:10.1080/11024150201680009

Cited by 36 publications

(39 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Click here to download Manuscript ManuscriptIS UPDATED (1).doc being. It is now widely accepted that in order to assess the overall effectiveness of a treatment option QOL assessment should be taken into account.…”

Section: Manuscriptmentioning

confidence: 99%

Long-Term Functional Outcome After Stapled and Excisional Hemorrhoidectomy

Zahid

Austin

Young

et al. 2016

International Surgery

View full text Add to dashboard Cite

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.

show abstract

Section: Manuscriptmentioning

confidence: 99%

Long-Term Functional Outcome After Stapled and Excisional Hemorrhoidectomy

Zahid

Austin

Young

et al. 2016

International Surgery

View full text Add to dashboard Cite

show abstract

“…Further follow-up of the patients is planned in order to determine whether the long-term results will be as satisfactory as the initial ones [4] . Over the last decades, a wide variety of surgical methods (anal dilatation, fi ssurectomy, advanced fl ap, posterior and lateral sphincterotomy) have been described for the management of chronic fi ssure-in-ano [6] .…”

Section: Discussionmentioning

confidence: 99%

“…Stapled haemorrhoidopexy has recently been introduced as a method of treatment for prolapsing haemorrhoids [2,4,5] . This stapled technique does not excise the haemorrhoids.…”

Section: Discussionmentioning

confidence: 99%

Stapled Haemorrhoidopexy for Haemorrhoids in Combination with Lateral Internal Sphincterotomy for Fissure-in-Ano

et al. 2005

Self Cite

View full text Add to dashboard Cite

The aim of this prospective study is to describe the combined technique and results of stapled haemorrhoidopexy and lateral internal sphincterotomy for patients suffering from prolapsing 3rd-degree haemorrhoids and chronic fissure-in-ano. During the period from 1999 to 2004, 26 patients underwent combined surgical treatment for anal fissure and prolapsing symptomatic haemorrhoids. Preoperative and postoperative clinical evaluation and the patient’s degree of satisfaction were recorded. Early complications included faecal urgency (3 patients) and pain (2 patients). Complete continence was restored within 10 weeks in all patients except 1 who had persisting incontinence to flatus. All fissures healed completely within 4 weeks. No haemorrhoidal or fissure recurrence has been observed during follow-up. The combination of stapled haemorrhoidopexy and lateral internal sphincterotomy is a safe and effective procedure for the treatment of prolapsing 3rd-degree haemorrhoids and chronic anal fissures.

show abstract

“…4 The effectiveness of the hemorrhoidopexy as a definitive cure in patients with fourth-degree hemor-rhoids is controversial. Of the 7 randomized trials published in the literature in which patients with fourth-degree hemorrhoids were included, [5][6][7][8][9][10][11] in 3 of them 8 -10 the results obtained in the resolution of one or various hemorrhoidal symptoms after the stapled technique were worse than after hemorrhoidectomy. Moreover, defecation disturbances, such as urgency, were observed.…”

Section: Annals Of Surgery • Volume 245 Number 1 January 2007mentioning

confidence: 99%

“…Long-term results of this technique are as superb as other tensionfree repairs and are well described. [7][8][9][10][11][12][13] For those who prefer the Lichteinstein hernioplasty, reapproximation of the oblique aponeurosis below the spermatic cord, instead of over it, could also solve the problem of the potential vas injury complication. A randomized study could be performed to assess the effectiveness of such modification of the Lichteinstein technique, but in our opinion there is sufficient indirect evidence to support our thesis.…”

Section: Replymentioning

confidence: 99%