Transanal Suture Rectopexy for Haemorrhoids: Chivate’s Painless Cure for Piles

Chivate, S. D.; Ladukar, Laxmikant; Ayyar, Mahesh; Mahajan, Vinayak; Kavathe, Sunil

doi:10.1007/s12262-012-0461-4

Cited by 13 publications

(8 citation statements)

References 28 publications

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“…Sitz baths, dressings, and heavy analgesics or sedation are necessary. 15 Stapled hemorrhoidopexy was described by Longo 16 as a less painful procedure; however, postoperative pain has been observed in 25% and local discomfort in 38% of cases. Intervention for the removal of granuloma, infection‚ or staples is required in 3% to 11% of patients to reduce pain.…”

Section: Discussionmentioning

confidence: 99%

Transanal Suture Mucopexy for Hemorrhoids

Chivate¹,

Killedar²,

Vardhani³

et al. 2022

Diseases of the Colon &Amp; Rectum

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Section: Discussionmentioning

confidence: 99%

Transanal Suture Mucopexy for Hemorrhoids

Chivate¹,

Killedar²,

Vardhani³

et al. 2022

Diseases of the Colon &Amp; Rectum

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“…It is based on the principles of blocking of blood supply and preventing the neo vascularization by plication of vessels in the rectum above dentate line at two different levels and anchoring the rectal mucosa & sub mucosa to Parks Ligament. [5] In Relation to Superior Haemorrhoidal Artery, there are 3 anal Cushions at 3, 7 and 11'0 Clock Position. [14] The main part of this cushion lies superior to the dentate line and which is covered by sensitive mucosa.…”

Section: Treatment Options For Haemorrhoids-mentioning

confidence: 99%

Suture Haemorrhoidopexy and Its Short-Term Outcome

Prasad¹,

Jerambhai²,

Jivani³

2018

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BACKGROUND Since ancient times, haemorrhoids are known to be a common anorectal disease. [1] Many of the treatments have been widely practiced since old times. In India, this condition is associated with rural areas and low socioeconomic status, hence the exact prevalence is not known. Patients usually neglect the disease because of fear to come in front of society with disease and also hesitate to take treatment for it. This leads to progression of the disease and it become more severe. [2] Patients who had failed medical treatment usually need surgical treatment. [3] Suture haemorrhoidopexy (Chivate's procedure) now also called as mucorectopexy is a new surgery invented by an Indian surgeon for managing 2nd, 3rd, 4th grades of haemorrhoids with lesser incidence of pain. It is based on the principles of blocking of blood supply and preventing the neovascularization by plication of vessels in the rectum above dentate line at two different levels and anchoring the rectal mucosa & sub mucosa to Parks Ligament. [4],[5] The objective of the study is to evaluate Chivate's new procedure of trans-anal mucorectopexy for 3rd and 4th degree haemorrhoids for pain, bleeding, hospital stay, recurrence and complications. MATERIALS AND METHODS It is an observational study. A total of 35 patients with grade 3 and grade 4 haemorrhoids (symptomatic with bleeding per rectum) underwent suture mucorectopexy procedure. The study was conducted at department of general surgery, SMIMER, Surat, wherein patients presenting to us with complaints of haemorrhoids were screened and patients with 3rd and 4th degree haemorrhoids and willing to undergo surgery were selected for this study. We had collected data of 35 patients with 3rd and 4th degree haemorrhoids and operated with this procedure. The sample size has taken for convenience. RESULTS  Mean time required for procedure was 74.9 min.  Mean duration of hospital stay was 4.42 days.  Mean time to return to normal activity was 7.2 days. Average VAS score for post-operative pain at 24 hours was 5.5, at 72 hours was 3.4, at 7th day was 1.3, at 1 month was 0.3. Commonly reported complaints include, urinary retention-34.2 % (n=12), pruritus ani-8.5% (n=3), pain after operation requiring analgesic injections 8.5% (n=3), constipation 5.71% (n=2), bleeding PR 2.85% (n=1), rehospitalization due to urinary retention 2.85% (n=1). CONCLUSION Negligible recurrence rate on short term follow up along with lesser incidence of post-operative bleeding, minimal invasiveness with faster recovery or return to work will make Suture Haemorrhoidopexy a procedure of choice for grade II, III and IV haemorrhoids.

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Section: Introductionmentioning

confidence: 99%

“…All the existing procedures have a recurrence rate varying between 18 % and 60.0% 16 . The main etiological factor of development of recurrence of the haemorrhoids is development of the collaterals in all the present procedures in which ligation of vessels is done at one site 16 . In this study we tried to show the effects of sutured haemorrhoidopexy in terms of post-operative events and recurrence rates along with cost effectiveness.…”

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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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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Transanal Suture Rectopexy for Haemorrhoids: Chivate’s Painless Cure for Piles

Abstract: The aim of the study was to evaluate Chivate's new procedure of transanal suture rectopexy for haemorroids for pain, bleeding, hospital stay, recurrence and complications.

Cited by 13 publications

References 28 publications

Transanal Suture Mucopexy for Hemorrhoids

Transanal Suture Mucopexy for Hemorrhoids

Suture Haemorrhoidopexy and Its Short-Term Outcome

Surgical Outcomes of Haemorrhoidectomy along With Suture Haemorrhoidopexy in Multiple Haemorrhoids

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