Stapled Hemorrhoidopexy With Longo Process in the Treatment of 3rd and 4th Degree Internal Hemorrhoids and Rectal Mucosal Prolapsus: A Prospective Study

Yağmur, Yusuf; Yiğit, Ebral; Bahçe, Zeynep Şener; Gümüş, Serdar

doi:10.17554/j.issn.2224-3992.2015.04.556

Cited by 1 publication

(1 citation statement)

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“…11,12 Associated anorectal condtions like fissure in ano 06.25%, mucosal prolapse 03.13% and external piles 01.88% reported in our study ( Table-II 17 Shorter duration of surgery has many advantages in terms that it reduces anaesthesia related complication and also suitable for patient having anaesthesia related risk. The average length of hospital stay was 36 hours in the present study which is comparable to the study Yagmur Y et al 18 Sachin ID et al reported the mean duration of hospital stay 48 hours in stapled haemorrhoidopexy and 96 hours in open haemorrhoidectomy. 19 Shorter hospital stay in stapled haemorrhoidopexy also reported by Tjandra JJ et al, Laughlan et al and Khan NF et al 20.21.22 According to the studies mentioned duration of hospital stay was significantly lower in stapled haemorrhoidopexy.…”

Section: Cost Effectivenesssupporting

confidence: 88%

Stapled Haemorrhoidopexy in the Treatment of Haemorrhoidal Disease: A Prospective Study

Bhuiyan¹,

Yahia

Begum³

et al. 2020

J. Bangladesh Coll. Phys.

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Background: Haemorrhoids are usually managed by open haemorrhoidectomy which is associated with postoperative pain, prolong hospital stay, longer convalescence and late return to normal activities. Stapled haemorrhoidopexy is a newer alternative for the treatment of haemorrhoid. The present study was designed to evaluate this technique in terms of duration of surgery & hospital stay, complications, convalescence, time return to normal activities, cost effectiveness and patient’s satisfaction. Materials and methods: One hundred and sixty patients of either sex who fulfilled the criteria were included in this study. More than 90% of the patients were in grade 3 & 4. All data were prospectively collected and examined. The patients were evaluated in terms of demographic properties, complaints on admission and postoperative complication. Results: 69.4% were male and 30.6% were female. Mean age was 40.93 years. Grade 3 haemorrhoid was present in 73.75% cases, Grade 4 was 18.12% cases, Grade 1 and Grade 2 were in 8.13% cases. The mean duration of surgery was 30 minutes. The mean duration of hospitalization was 36 hours. Intraoperative bleeding was observed in 9.38% patients. Reactionary haemorrhage was seen in 3.75% patients. Postoperative mild pain in 3.12% patients and residual prolapse in 1.25% cases. Conclusion: Stapled haemorrhoidopexy is safer alternative to open haemorrhoidotectomy with many short and long term benefits. J Bangladesh Coll Phys Surg 2020; 38(3): 126-134

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Section: Cost Effectivenesssupporting

confidence: 88%