Stapled Haemorrhoidopexy for Haemorrhoids: A Review of Our Early Experience

Hiremath, Bharati; Gupta, Sandeep

doi:10.1007/s12262-011-0406-3

“…The similarities are found most consistently with the studies of Gouda et al (2010) 8 and Bharati et al (2012) 9 . The availability of such a costly device was the key drawback to our study.…”

Section: Discussionsupporting

confidence: 91%

“…Bharati et al (2012) 9 reported a mean age group of 44.1. Max patients had grade III haemorrhoids and bleeding per rectum as the chief complaint.…”

Section: Discussionmentioning

confidence: 99%

Prospective Study of Stapler Haemorrhoidectomy

Gajbhiye¹,

Tirpude²,

Bhanarkar³

et al. 2014

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AIMS:Study the efficacy of stapled haemorrhoidectomy using circular stapler in terms of benefits as duration of surgery, length of hospital stay, postoperative pain, time to return to normal daily or social activity and usefulness as for patient satisfaction. MATERIAL AND METHODS: Prospective study using circular stapler for grade II, grade III and grade IV haemorrhoids between age group 20 to 70 years was done over a period of Jun 2011 to Nov 2013. OBSERVATION AND RESULTS: Study enrolled 30 symptomatic patients. 21(70%) were males and 9(30%) females. Most common complaint was bleeding per rectum in 29 (96.66%) patients followed by itching 11 (36.66%) patients & constipation 8 (26.66%) patients. 19(63.33%) patients were grade III haemorrhoids, 6 (20%) were grade II and rest 5 (16.66%) grade IV. Mean operative time was 31.76 minutes for our team with same surgeon operating all cases. Postoperative pain recorded using VAS score was max 24 hours after the surgery with mean VAS 2.31 + 0.46(VAS -1 no pain). During stay 28(93.33%) patients required Step 1 pain analgesics (NSAIDS) while only 2(6.66%) were put on Step 2(opioids). Mean hospital stay of patients was 34.96 hours (1.45 days). 28(93.33%) patients were able to return to social activity by day 8 post operatively. 28(93.33%) were complication free while others had minor problems dealt accordingly. No recurrences in 6months follow up in all patients with 28(93.33%) patients reporting satisfaction for their treatment through the procedure. CONCLUSION: Haemorrhoids is a socially embarrassing disorder and this new procedure of stapler haemorrhoidectomy delivers a smile and dignity especially to Indian patients. Hence it should practiced and promoted for patients benefit.

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“…Other studies observed reduced post-operative pain [19,25] and also, in systematic reviews and meta-analyses relief of postoperative pain was observed after SH procedure [10,11,13]. Similarly, we have observed 96 % pain relief at 1 year follow up.…”

Section: Discussionsupporting

confidence: 85%

“…The complication rate reported in this study varies from 1% to 15% and lesser as compared to other studies (6-32%) [20,[24][25][26][27][28][29]. Post operative bleeding leading to interventions is reported 6-8 % in these studies as compared to 1.05% in our study.…”

Section: Discussioncontrasting

confidence: 58%

Untitled

2017

GHOA

0

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Introduction: Stapled Hemorrhoidopexy (SH) is relatively less painful surgery and treatment of choice for grade III and IV internal hemorrhoids. The current study reveals the long term effectiveness of modified Longo technique in 3130 patients treated at a single center. Methods:All the patients with complaints of hemorrhoids visited Healing Hands Clinic, Pune during study period were evaluated. Patients diagnosed with grade III and grade IV were operated with modified Longo technique Stapled Hemorrhoidopexy .Follow up was done after 15 days, 1month, 3months & 12months. Telephonic follow up was done in patients who were not available. The minimum follow up period was 1 years and maximum 7 years. The data evaluated for pre-operative and post-operative symptoms improvements, resumption to normal activity, treatment satisfaction and recurrence rate and quality of life. Results:The mean surgery time and hospitalization duration were 20 minutes and 18 hours respectively. Post-operatively mild pain was reported by 57.53% (n=1801) patients, by 19.14% (n=599) on day 15, 4.89% (n=153) at 3 Months and no patient had pain at the end of 1 year. Patient's satisfaction on Day 3, 57.82% (n=1810) patient were very satisfied, 33.04% (n= 1034) were moderately satisfied and 9.14 % (n=286) were not satisfied with the treatment. The immediate complications (all mild) included urinary retention (5.69%, n=178), difficult defecation (11.69%, n=366), anal fissure (3.83% (n=120), postoperative bleeding 1.05%, (n=33), and anal stenosis 0.93 %( n=29). All patients returned to normal work / activities in an average of 5 days. There was significant improvement in overall perception of World Health Organization-Quality of life and social, physical, psychological domains after surgery. The recurrence rate at 1 year was 0.23%. Conclusion:Modified Longo Technique of Stapled hemorrhoidopexy is associated with low complications rate, minimal post-operative pain and negligible recurrence rate.

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“…Other studies observed reduced post-operative pain [19,25] and also, in systematic reviews and meta-analyses relief of postoperative pain was observed after SH procedure [10,11,13]. Similarly, we have observed 96 % pain relief at 1 year follow up.…”

Section: Discussionsupporting

confidence: 84%

Stapled Hemorrhoidopexy and Long Term Outcomes - A Single Center Experience of 3130 Cases at Healing Hands Clinic, India

Porwal¹

2017

GHOA

0

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Introduction: Stapled Hemorrhoidopexy (SH) is relatively less painful surgery and treatment of choice for grade III and IV internal hemorrhoids. The current study reveals the long term effectiveness of modified Longo technique in 3130 patients treated at a single center. Methods:All the patients with complaints of hemorrhoids visited Healing Hands Clinic, Pune during study period were evaluated. Patients diagnosed with grade III and grade IV were operated with modified Longo technique Stapled Hemorrhoidopexy .Follow up was done after 15 days, 1month, 3months & 12months. Telephonic follow up was done in patients who were not available. The minimum follow up period was 1 years and maximum 7 years. The data evaluated for pre-operative and post-operative symptoms improvements, resumption to normal activity, treatment satisfaction and recurrence rate and quality of life. Results:The mean surgery time and hospitalization duration were 20 minutes and 18 hours respectively. Post-operatively mild pain was reported by 57.53% (n=1801) patients, by 19.14% (n=599) on day 15, 4.89% (n=153) at 3 Months and no patient had pain at the end of 1 year. Patient's satisfaction on Day 3, 57.82% (n=1810) patient were very satisfied, 33.04% (n= 1034) were moderately satisfied and 9.14 % (n=286) were not satisfied with the treatment. The immediate complications (all mild) included urinary retention (5.69%, n=178), difficult defecation (11.69%, n=366), anal fissure (3.83% (n=120), postoperative bleeding 1.05%, (n=33), and anal stenosis 0.93 %( n=29). All patients returned to normal work / activities in an average of 5 days. There was significant improvement in overall perception of World Health Organization-Quality of life and social, physical, psychological domains after surgery. The recurrence rate at 1 year was 0.23%. Conclusion:Modified Longo Technique of Stapled hemorrhoidopexy is associated with low complications rate, minimal post-operative pain and negligible recurrence rate.

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Stapled Haemorrhoidopexy for Haemorrhoids: A Review of Our Early Experience

Cited by 9 publications

References 10 publications

Prospective Study of Stapler Haemorrhoidectomy

Prospective Study of Stapler Haemorrhoidectomy

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Stapled Hemorrhoidopexy and Long Term Outcomes - A Single Center Experience of 3130 Cases at Healing Hands Clinic, India

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