Stapled Haemorrhoidopexy Compared with Conventional Haemorrhoidectomy-A Systematic Review

Rahman, Asmt; Rahman, Asmz; Sk, Bhattacharya; Majumder, KR; Biswas, Gourab

doi:10.3329/fmcj.v7i1.10297

Cited by 4 publications

(4 citation statements)

References 29 publications

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“…The Milligan-Morgan (MM) open haemorrhoidectomy is the most widely practiced surgical technique used for the management of haemorrhoids and is considered the current "gold Standard 9 . Due to the high recurrence rate and potential complications, the use of stapler is decreasing day by day.…”

Section: Discussionmentioning

confidence: 99%

“…Different study was carried out though out the last 35 years to design a more optimum treatment procedure for haemorrhoid [2][3][4] . The interventional attitude [5][6][7][8] may involve physical and chemical procedures (Mitchell's sclerotherapy, atomization, cryosurgery, infrared, laser or radiofrequency coagulation), supradentate devascularisation (Baron's rubber banding, Pakravan's en Z-haemorrhoidopexy, Morinaga's haemorrhoid arterial ligation, De Longo's stapling haemorrhoidopexy) 9 or haemorrhoidectomies (segmental hemorrhoidectomy of Parks, Milligan-Morgan, Fergusson or their variants using the harmonic scalpel 10 or LigaSure 11 or the radical White head Vercescu's procedure 5 .…”

Section: Introductionmentioning

confidence: 99%

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Surgical Outcomes of Haemorrhoidectomy along With Suture Haemorrhoidopexy in Multiple Haemorrhoids

Khalil¹,

Rahman²,

Ahmed³

et al. 2019

J Curr Adv Med Res

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Background: Haemorroid stapler becomes easier and safe to deal multiple and prolapsed haemorrhoid at a time. Objectives: The purpose of the present study was to evaluate the outcome of suture haemorrhoidopexy for secondary position haemorrhoids in addition to haemorrhoidectomy for primary haemorrhoids (multiple). Methodology: This prospective interventional study was performed in Dhaka Medical College Hospital, Dhaka, Bangladesh and in a private hospital in Gazipur, Bangladesh for over five (05) years from January 2012 to December 2016. Patients who were presented with secondary position haemorrhoids in addition to primary position haemorrhoids (multiple haemorrhoids) were included in this study. Open haemorrhoidectomy (Milligan-Morgan) followed by suture haemorrhoidopexy was done. All patients were followed up after 1, 2, 4, 8 weeks, 6 months and 1 yearly. Result: Total 18 patients were operated. Among those immediate complications were encountered in patients in the form of per rectal bleeding 1(5.55%), pain 3(visual pain scale 4)16.66%, mucosal oedema 6(33.33%), no patient developed early postoperative prolapse. No patient developed bowel incontinence. Late complications experienced as prolapse at 1 year follow up which was treated by conservative measures. No patient developed anal stenosis. Mean operating time was 25 minutes and duration of hospital stay was 1 day. Conclusion: Stapled haemorrhoidopexy is a safe procedure for circumferential excision of mucosa and submucosa dealing all haemorrhoids and prolapse simultaneously. Journal of Current and Advance Medical Research 2019;6(2): 73-76

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Surgical Outcomes of Haemorrhoidectomy along With Suture Haemorrhoidopexy in Multiple Haemorrhoids

Khalil¹,

Rahman²,

Ahmed³

et al. 2019

J Curr Adv Med Res

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show abstract

“…The interventional attitude (3,4) may involve physical and chemical procedures (Mitchell's sclerotherapy, atomization, cryosurgery, infrared, laser or radiofrequency coagulation), supradentate devascularisation [Baron's rubber banding, Pakravan's en Z-hemorrhoidopexy, Morinaga's hemorrhoid arterial ligation, De Longo's stapling hemorrhoidopexy (5)] or hemorrhoidectomies [segmental hemorrhoidectomy of Parks, Milligan-Morgan, Fergusson or their variants using the harmonic scalpel (6) or LigaSure (7) or the radical Whitehead-Vercescu's procedure (1)].…”

Section: Background Backgroundmentioning

confidence: 99%

Supradentate Transmucosal Hemorrhoidopexy (Original Technical Variant)

Voiculescu¹,

Voiculescu²,

Scăunașu³

et al. 2016

chr

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Symptomatic hemorhoidal disease is a serious issue affecting the quality of life. The multiplicity of current interventional procedures reflects the failure of covering all pathological aspects, thus justifying the quest for other operative solutions. Any new operative procedure is challenged by the need for broad applicability and less invasive attributes and should fit inside the frame of reasonable costs, fair efficacy, low morbidity and recurrence rate based on a procedural technique that is simple enough, reproducible and easy-tolearn. Aiming to achieve these goals we conceived a procedural variant of hemohrhoidopexy fit for outpatient surgery, a technique that does not require sophisticated/costly medical equipment or disposables and is less invasive. The operative indication concerned 2nd, 3rd and 4th grade hemorrhoids. The surgical indication was represented by 2nd, 3rd and 4th grade hemorrhoids. The needed anesthesia is regional (caudal spinal anesthesia), which qualifies this procedure for private medical services. Prolapse reduction is followed by transmucosal suturing using two rows of slowly absorbable half-step staggered en-X stitches placed just above the dentate line. Preliminary results are encouraging both as therapeutic success rate and legerity of postoperative consequences. This hemorrhoidopexy is a simple and broadly applicable technique, causing mild pain, low morbidity and good efficacy, preferable to other techniques used to treat 3rd grade and selected 4th grade hemorrhoids.

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“…In the past years, stapled hemorrhoidopexy became less popular even though early postoperative pain is not as severe as after hemorrhoidectomy [20]. Various studies have shown that PPH is associated with a greater recurrence rate [21], higher stenosis rate [15] when compared with the standard hemorrhoidectomy and it is related with other unusual complications (chronic proctalgia, bleeding granulomatous polyps due to retained staples, rectovaginal fistulae etc.) which are not described after Ferguson or Milligan-Morgan approach [18].…”

Section: Fig 14mentioning

confidence: 99%

Transanal Hemorrhoid Dearterialization and mucopexy: a minimal invasive approach for prolapsed hemorrhoids. Four cases report.

Morărașu¹,

Eguare²,

Bashir³

et al. 2016

Arch Clin Cases

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Hemorrhoidal disease is one of the most frequent causes of anal pathology. Surgical therapy is reserved for patients who do not respond to non-operative management and for advanced third and fourth degree hemorrhoids. Milligan-Morgan and Ferguson hemorrhoidectomies are considered the first-choice therapy, but these procedures are associated with postoperative complications including infection, stenosis, pelvic floor dysfunction, rectal bleeding and postoperative pain. In order to minimize postoperative complications, less invasive procedures have been described and two of them are reported with promising results: Stapled hemorrhoidopexy (PPH) and Transanal Hemorrhoid Dearterialization (THD). THD involves ligation of the hemorrhoidal arteries under Doppler guidance resulting reduced inflow that facilitates reduction in size of hemorrhoids, while suture mucopexy addresses the prolapsed mucosa. THD is proven as a reliable technique for third degree hemorrhoids, but its role in fourth degree hemorrhoids is not generally accepted. Herein we report four cases of prolapsed hemorrhoids which were treated with THD and mucopexy. The procedure was successful in all patients. Photographs taken, before and after the procedure, show an impressive reduction of the prolapsed hemorrhoids. THD and mucopexy appears to be an effective technique with the potential of treating not only third degree, but advanced hemorrhoids as a safe one-day procedure with immediate visible results.

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Stapled Haemorrhoidopexy Compared with Conventional Haemorrhoidectomy-A Systematic Review

Cited by 4 publications

References 29 publications

Surgical Outcomes of Haemorrhoidectomy along With Suture Haemorrhoidopexy in Multiple Haemorrhoids

Surgical Outcomes of Haemorrhoidectomy along With Suture Haemorrhoidopexy in Multiple Haemorrhoids

Supradentate Transmucosal Hemorrhoidopexy (Original Technical Variant)

Transanal Hemorrhoid Dearterialization and mucopexy: a minimal invasive approach for prolapsed hemorrhoids. Four cases report.

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